What it is
Tennis elbow, often called lateral epicondylitis, is a term for pain and tenderness on the outside of the elbow. It is generally linked to the tendons that attach forearm muscles to the bony bump on the outer elbow.
People often notice it during gripping, lifting, typing, turning a doorknob, or shaking hands. Despite the name, it is commonly associated with many repetitive work, hobby and household activities, not just racquet sports.
Other problems can cause elbow or forearm pain, including nerve irritation and joint issues, and symptoms can overlap. Only a licensed clinician can tell what is going on after an evaluation, which is why this page does not diagnose or suggest what applies to you.
How it’s traditionally been approached
Tennis elbow treatment has traditionally started with conservative approaches. These often include adjusting activities that aggravate the area, resting from painful tasks, and using ice or over-the-counter pain relievers as a clinician or pharmacist advises.
Other approaches commonly discussed include physical or occupational therapy, bracing or straps, and changes to equipment or workstation setup. How long symptoms last varies widely from person to person, and some people find it takes weeks to many months to settle.
When symptoms persist, clinicians may discuss further options such as injections, imaging, or procedures, including surgery in a small number of cases. Biologic or regenerative injections, such as PRP, stem cell, amniotic or umbilical products, are not FDA-approved for most orthopedic uses, and insurance often does not cover them. Ask any provider about regulatory status and costs before deciding.
How the right orthopedic doctor may help
A shoulder and elbow or hand and wrist orthopedic doctor may help by examining the arm, asking about your work, sports and daily habits, and considering whether other causes could explain your pain. A visit generally includes a conversation about history, a physical exam, and sometimes imaging if the clinician thinks it is useful.
The right provider may also explain the range of options in plain language, including the pros, limits and uncertainties of each, and may coordinate with therapists or other specialists. No outcome is guaranteed, and the plan is decided together with you after an evaluation.
Helpful questions to bring: What do you think is causing my pain, and what else could it be? What are the conservative options, and what might a general timeline look like? Which options are FDA-approved for this use, and what does insurance typically cover? If surgery is ever suggested, would you support a second opinion?
The whole-person view
Body, mind and stress affect each other. Ongoing pain can make it harder to sleep, work and enjoy hobbies, and stress or tension can make the body feel more sensitive. Many people find that feeling heard and understood is part of coping with a long-lasting problem.
Some people explore body-based support such as Somatic Experiences alongside their medical care, and others find talk therapy through Therapists.plus helpful for stress, frustration or worry about pain. These are optional supports that can sit alongside, not replace, an orthopedic evaluation.
Somatic Experiences: embodiment and movement →Therapists.plus: mind body connection →
Keep in mind
- Only a licensed clinician can diagnose elbow pain and decide what is appropriate for you after an evaluation.
- Recovery experiences vary from person to person, and no treatment or provider can guarantee a result.
- Consider a second opinion before any major surgery, and ask about FDA status and insurance coverage for biologic or regenerative injections.
- For emergencies such as severe injury, a visibly deformed arm, or sudden loss of feeling or circulation, call 911; if you are in emotional crisis, call or text 988.
Not sure where to start? Answer a few gentle questions and choose who you’d like to hear from.
Frequently asked questions
What is the best tennis elbow treatment?
There is no single best tennis elbow treatment for everyone, and only a licensed clinician can recommend what fits you after an evaluation. Traditionally, care often begins with conservative steps such as activity changes and therapy. Your doctor can explain the options and how they compare for your situation.
How do I find an orthopedic doctor near me for tennis elbow?
Look for an orthopedic doctor near you who focuses on the shoulder and elbow or on the hand and wrist. You can use a directory such as this one to explore independent providers, then check credentials, insurance acceptance and patient access. It is reasonable to ask how often the provider sees elbow conditions.
How long does tennis elbow take to heal?
Healing time varies widely from person to person. Some people notice improvement over weeks, while others take many months, and no timeline can be promised. A clinician can discuss a general range based on your history and activities.
Is tennis elbow treatment covered by insurance?
Coverage depends on your plan and on the specific service. Visits, exams and therapy are often covered in some form, while many biologic or regenerative injections are not FDA-approved for orthopedic uses and are often not covered. Ask the provider's office and your insurer about costs before starting.
Do I need surgery for tennis elbow?
Surgery is not the first step for most people and is considered only in some cases after other approaches have been discussed. Whether it is appropriate is a decision for you and a licensed surgeon. Getting a second opinion before any major surgery is a sensible step.
Are PRP or stem cell injections approved for tennis elbow?
Many PRP, stem cell, amniotic, umbilical and exosome products are not FDA-approved for orthopedic uses, including elbow pain. Insurance often does not cover them either. Ask a licensed provider about the regulatory status, the evidence they rely on, and the full cost before deciding.
Educational resource. Best Orthopedic Doctors shares general information and connects people with independent orthopedic doctors. It is not medical advice, diagnosis or treatment. Talk with a licensed professional about your health.