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Epicondylitis

Kevin Heaton, DO Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Tendinopathy of the elbow characterized by pain and tenderness at the origins of the wrist flexors/extensors at the humeral epicondyles

  • May be acute (traumatic) or chronic (overuse)

  • Tw...

DIAGNOSIS

HISTORY

  • Pain typically localized to lateral or medial elbow

  • Occupational activities

  • Sports participation

  • Direct trauma

  • Duration and location of symptoms

  • Prior treatments or medication use

  • Pain with...

TREATMENT

GENERAL MEASURES

Initial treatment consists of activity modification, counterforce bracing, oral or topical NSAIDs, ice, and physical therapy: 
  • Observation: If left untreated, symptoms typical...

ONGOING CARE

PROGNOSIS

Good: majority resolve with conservative care 

REFERENCES

1
1 Pattanittum P, Turner T, Green S, et al. Non-steroidal anti-inflammatory drugs (NSAIDs) for treating lateral elbow pain in adults. Cochrane Database Syst Rev.  2013;(5):CD003686. {L...

ADDITIONAL READING

  • Cullinane FL, Boocock MG, Trevelyan FC. Is eccentric exercise an effective treatment for lateral epicondylitis? A systematic review. Clin Rehabil.  2014;28(1):3–19. {L-End} {...

SEE ALSO

Algorithm: Pain in Upper Extremity 

CODES

ICD10

  • M77.00 Medial epicondylitis, unspecified elbow

  • M77.10 Lateral epicondylitis, unspecified elbow

  • M77.01 Medial epicondylitis, right elbow

  • M77.02 Medial epicondylitis, left elbow

  • M77.12 Lateral ep...

CLINICAL PEARLS

  • Medial epicondylitis (golfer’s elbow) is characterized by pain and tenderness at the tendinous origins of the wrist flexors at the medial epicondyle.

  • Lateral epicondylitis (tennis elbow...

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