A painful condition of the elbow caused by overuse leading to inflammation of the tendons that join the forearm muscles to the outside of the elbow.
Symptoms usually develop gradually with pain and tenderness on the outside of the elbow that worsens over weeks and months. There may be pain and burning in this region or weakened grip strength.
Non-surgical: Avoiding aggravating activities and resting the arm can relieve symptoms, this may be achieved with a forearm brace to take the stress off the tendons. Other treatment includes physical therapy to strengthen the forearm muscles or steroid injections into the muscle.
Surgical: If symptoms do not respond to non-surgical methods after 6-12 months, surgery may be recommended. Surgery involves removing the damaged muscle and reattaching healthy muscle back to bone and may be done arthroscopically.
Following surgery the arm may be immobilised temporarily with a splint, once the splint is removed physical therapy is recommended to stretch the elbow and restore flexibility. Athletic activity can usually be resumed four to six months following surgery.