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Ten-donstransmitamuscle’sforcetotheboneAtherapistcanhelpidentifywhatactivitiesmightaggravatesymptoms,anddiscussactivitymodificationsPhysical examinationinvolvestendernesstopalpationofthelateralepicondyleandsupracondylarridge,normalelbowrangeofmotionwithpossiblelossofwristflexion. TennisElbow,alsoknownasLateralEpicondylitisorLateralEpicondylopathy,isdescribedaspainandsensitivityoverthelateralepicondyleofthehumerus AdditionalNotesfromYourClinicianIntroductionandEpidemiologyContinuetosupportyourThisleadstopainandtendernessaroundtheelbow[1][2] TennisElbowisthemostcommoncauseoflateralelbowpain[1]anditisacommonmusculoskeletalpresentationgenerally(outofMSKINTRODUCTION longersupportedbythetableWhatistenniselbow?Gripweakness,whichiscommonlyfoundonexamination,isanefectivediagnostictestwith%accuracyin determiningLE[2,9]StageFullystraightenyourelbowandliftyourarmsothatitisnoThemusclein-volvedinthiscondition,theextensorcarpiradialisbrevis, helpstostraightenandstabilizethewristLateralepicondylitis,alsocommonlyreferredtoastenniselbow,describesanoveruseinjurysecondarytoaneccentric overloadofthecommonextensortendonattheoriginoftheextensorcarpiradialisbrevis(ECRB)tendonAhandtherapistcanprovideconservativemanagement forthetreatmentoftenniselbow,withthegoaltoreturnthepatientbacktonormalwork,homeandsportsactivitiesLateralElbowPain(LEP),aconditionalso knownastenniselbow,epicondylalgia,lateralepicondylitisortendinosis,isaverycommondisablingcondition(1)%ofthegeneralpopulationexperiencesthis problematleastonceinlifetimeLateralepicondylitis,commonlyknownas“tenniselbow,”isapainfulconditioninvolvingthetendonsthatattachtotheboneonthe outside(lateral)partoftheelbowTenniselbow,alsoknownaslateralepicondylosis,lateraltendinosis,orlateralepicondylitis,isaconditionthatinvolvestendons locatedaroundThePRTEEallowspatientstoratetheirlevelsoftenniselbowpainanddisabilityfromto,andconsistsofsubscales:(0=nodisability),wherepain andfunctionalproblemsTenniselbowisbreakdownanddegenerationoftendonswhichattachtotheoutside(orlateralside)oftheelbow.ingeneral,andthe PatientRatedTennisElbowEvaluation(PRTEE)(20),whichismuchmorespecificfortheelbow;theCenterforEpidemiologicalStudiesDepressionScaleTennis elbowisaconditionthatresultsinpainaroundtheoutsideofyourelbowAroundyourelbowyouhaveacollectionofmuscles,ligaments,tendonsandbone;an injurytoKeywordsTenniselbow Lateralepicondylosis Pain Treatment Injections SurgeryIntroductionLateralepicondylosis(LE)isoneofthemost commondis-ordersthataectLateralepicondylitis,commonlyknownas“tenniselbow,”isapainfulconditioninvolvingthetendonsthatattachtotheboneonthe outside(lateral)partoftheelbowTen-donsStraightenyourelbowslightlyThemuscleswhichworkthehandandwristbeginastendonsPAINinyouraffected armRatetheaverageamountofpaininyourarmoverthepastweekbycirclingthenumberthatbestdescribesyourpainonascalefromAzero(0)meansthat youdidnothaveanypainandaten(10)meansthatyouhadtheworstpainimaginableBothtenniselbow(lateralepicondylitis)andgolfer’selbow(medial epicondylitis)arepainfulconditionscausedbyoveruseOvertime,theforearmmusclesandtendonsbecomedamagedfromrepeatingthesamemotionsagainand againarmonthetable