Tennis elbow (lateral epicondylalgia (LE)) is the most common musculoskeletal condition of the elbow and affects up to 40% of the population at some stage in their lives. Recurrence and chronicity is common with over 50% of patients attending general practice reporting ongoing symptoms after 12months. The current paper outlines the current best evidence for diagnosis, assessment and treatment for LE by physiotherapists.

Diagnosis is based on clinical history and physical examination, with imaging only indicated for differential diagnosis. Assessment should include pain free grip strength testing and the PRTEE questionnaire. Treatment should include advice, education, exercise and Mulligans MWM’s in the first instance.