From the Guidelines
Lateral epicondyle tenderness is a condition characterized by pain and sensitivity on the outside of the elbow, commonly associated with lateral epicondylitis or "tennis elbow," which is caused by inflammation or small tears in the tendons due to overuse or repetitive strain. This condition is estimated to occur in 1% to 3% of the population 1. The development of lateral epicondyle tenderness is often related to repetitive wrist extension and gripping activities that place excessive stress on the extensor carpi radialis brevis tendon, leading to microtears and subsequent inflammation and pain.
Some key points to consider in the management of lateral epicondyle tenderness include:
- Rest and activity modification to avoid exacerbating the condition
- Ice application for 15-20 minutes several times daily to reduce pain and inflammation
- Over-the-counter anti-inflammatory medications like ibuprofen (400-600mg three times daily with food) or naproxen (220-440mg twice daily with food) for 1-2 weeks
- Use of a counterforce brace worn just below the elbow to reduce strain during activities
- Physical therapy exercises focusing on eccentric strengthening and stretching of the forearm extensor muscles for recovery
It's worth noting that while corticosteroid injections may be effective in the acute phase of epicondylosis, they do not change long-term outcomes of pain 1. Additionally, imaging plays an important role in the assessment of chronic elbow pain, with radiographs being beneficial as the initial imaging modality 1.
In terms of treatment, a multimodal approach including rest, physical therapy, and analgesia is recommended, with surgery considered for more severe or refractory cases. It's also important to avoid activities that cause pain, particularly gripping motions and wrist extension against resistance, to allow for recovery and prevent further injury.
From the Research
Definition of Lateral Epicondyle Tenderness
Lateral epicondyle tenderness is associated with lateral epicondylitis, a condition characterized by:
- Overuse tendinopathy of the common extensor origin of the elbow
- Involvement in repetitive movement of the wrist and forearm
- Also known as tennis elbow 2
Key Characteristics
- Self-limiting condition
- Operative management only recommended in severe, recalcitrant cases
- Recent updates on operative and non-operative management have been reviewed 2