Tennis elbow
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What is tennis elbow?

Tennis elbow is a pain or soreness on the outside of your elbow.

Tennis elbow happens when you damage the tendons in your lower arm. These tendons attach your muscles to the bone of your elbow. When you move your wrist or hand, the tendons keep your muscles in place.

You can get tennis elbow if you keep using your elbow in a way that strains the tendons.

Tennis elbow often starts for no clear reason. Most people who get tennis elbow have not had a specific injury to their arm or elbow. But many people with tennis elbow often do work or a sporting activity where they move their arm in a repetitive way.
 
 
 
 
 
Source:
American Academy of Orthopaedic Surgeons.
Tennis elbow (lateral epicondylitis).
October 2007. Available at http://orthoinfo.aaos.org (accessed on 28 August 2009).
 
 
 
 
 
1 This creates tiny tears in the tendon that then become
 
 
 
 
 
inflammation
If your skin or some other part of your body becomes red, swollen, hot or sore, we say it is inflamed. It means that your body is trying to protect you from germs, from something in your body tissues that can hurt you (like a thorn or sliver), or from things that cause allergies (allergens). Inflammation is part of the way the body heals an infection or injury.
 
 
 
 
 
inflamed.

Although playing tennis and other racquet sports such as badminton or squash can lead to tennis elbow, only 1 in 20 people get it this way.
 
 
 
 
 
Source:
Murtagh J.
Tennis elbow.
Australian Family Physician. 1988; 17: 90-91, 94-95.
 
 
 
 
 
2 Many other things, such as raking leaves, wringing clothes or using scissors can cause tennis elbow.
 
 
 
 
 
Source:
Jobe FW, Ciccotti MG.
Lateral and medial epicondylitis of the elbow.
Journal of the American Academy of Orthopaedic Surgeons. 1994; 2: 1-8.
 
 
 
 
 
3 Some jobs are associated with a higher risk of tennis elbow. These include meat cutting, plumbing, and painting. Research also shows a higher risk of tennis elbow among people whose jobs involve:
 
 
 
 
 
Source:
van Rijn RM, Huisstede BM, Koes BW, et al.
Associations between work-related factors and specific disorders at the elbow: a systematic literature review.
Rheumatology. 2009; 48: 528-536.
 
 
 
 
 
4

  • Using a tool that weighs more than 2.2 pounds (1 kilogram)
  • Lifting loads that weigh more than 44 pounds (20 kilograms) at least 10 times a day
  • Doing a repetitive movement for more than two hours a day.

Tennis elbow mostly affects people between ages 30 and 50.
 
 
 
 
 
Source:
American Academy of Orthopaedic Surgeons.
Tennis elbow (lateral epicondylitis).
October 2007. Available at http://orthoinfo.aaos.org (accessed on 28 August 2009).
 
 
 
 
 
1 But it can happen to anyone.

You usually get tennis elbow in the arm you use most (for example, in the right arm if you are right-handed). You're more likely to get tennis elbow if your forearm muscles aren't strong and you over-exert them.

Doctors sometimes call tennis elbow lateral epicondylitis.

Sources for the information on this page:
  1. American Academy of Orthopaedic Surgeons.Tennis elbow (lateral epicondylitis).October 2007. Available at http://orthoinfo.aaos.org (accessed on 28 August 2009).
  2. Murtagh J.Tennis elbow.Australian Family Physician. 1988; 17: 90-91, 94-95.
  3. Jobe FW, Ciccotti MG.Lateral and medial epicondylitis of the elbow.Journal of the American Academy of Orthopaedic Surgeons. 1994; 2: 1-8.
  4. van Rijn RM, Huisstede BM, Koes BW, et al.Associations between work-related factors and specific disorders at the elbow: a systematic literature review.Rheumatology. 2009; 48: 528-536.
This information was last updated on Oct 13, 2009
BMJ Group
This information is for educational use only, and is not a substitute for prompt professional medical advice. Readers should always consult a physician or other professional for advice and treatment.
© BMJ Publishing Group Limited 2010. All rights reserved.
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