Most people who get tennis elbow don’t play tennis! In fact, less than 5% of all cases of tennis elbow occur in people who play tennis. Tennis elbow can happen to anyone who repeatedly uses their elbow, wrist, and hand for their job, sport, or hobby.

What Is Tennis Elbow or Lateral Epicondylitis?

Tennis elbow is a painful condition caused by overuse of the “extensor” muscles in your arm and forearm, particularly where the tendons attach to rounded projections of bone (epicondyles) on the outside or lateral aspect of the elbow. The muscles you use to grip, twist, and carry objects with your hand all attach to the “lateral epicondyle” at the elbow. That’s why a movement of the wrist or hand can actually cause pain in the elbow.

Prolonged use of the wrist and hand, such as when using a computer or operating machinery —and, of course, playing tennis with an improper grip or technique—can lead to tennis elbow. It can happen to athletes, non-athletes, children, and adults. It occurs more often in men than women, and most commonly affects people between the ages of 30 and 50.

Your Care Pathway with us

  • To book an appointment, call us on 020 8870 8761 or email us at:
  • Comprehensive MSK examination.
  • Detailed MSK ultrasound scan for just £120.
  • Treatments we offer. Cortisone Injection £250, Hyaluronic acid Ostenil Injection £350.

Ultrasound-Guided Injections For Tennis Elbow

Steroid injection

If pain persists and no other treatments are effective, steroid injections may be required. Under the direction of a real-time ultrasound scan, a mixture of local anaesthesia and corticosteroid (a strong anti-inflammatory) is given. This ensures that the damaged area is precisely targeted. Guided injections are more accurate and effective at reducing pain than non-guided injections, according to research.

Hyaluronic Acid injection (Ostenil)

Hyaluronic Acid is a chemical that occurs naturally in the body. A increasing amount of evidence supports its use in the treatment of chronic musculoskeletal disease. It can be used as a safe alternative to steroids when combined with a local anaesthetic.

Joint Injections has a staff of physiotherapists and musculoskeletal sonographers with a wealth of experience. Our staff is fully qualified to write prescriptions, scan patients, and administer ultrasound-guided injections.

What our Patients say

What are the symptoms of tennis elbow?

Symptoms of tennis elbow can occur suddenly as a result of excessive use of the wrist and hand for activities that require force, such as lifting, twisting, or pulling. Forceful activities—like pulling strongly on a lawn mower starter cord—can injure the extensor muscle fibres and lead to a sudden onset of tennis elbow.

More commonly, though, symptoms of tennis elbow develop gradually over a period of weeks or months as a result of repeated or forceful use of the wrist, hand, and elbow. If you work as a grocery store cashier, you might have symptoms of tennis elbow as a result of repetitive (and often too forceful) typing—combined with continuous lifting of grocery bags.

Your symptoms may include:

  • Pain that radiates into your forearm and wrist
  • Difficulty doing common tasks, such as turning a doorknob or holding a coffee cup
  • Difficulty with gripping activities
  • Increased pain when you use your wrist and hand for lifting objects, opening a jar, or gripping something tightly, such as a knife and fork
  • Stiffness in the elbow
  • Weakness in the forearm, wrist, or hand


Tennis elbow usually occurs due to repeated movements. As a result, other muscles and joints in this region of the body may be affected as well. Your Clinician at Joint Injections, will perform a careful examination not only of your elbow but of other areas of your body that might be affected and might be contributing to your pain. Your therapist will perform special manual tests that help diagnose the problem and help detect conditions such as muscle weakness that might have led to the problem in the first place. For instance, the therapist might ask you to gently tense or stretch the sore muscles to identify the exact location of the problem. Rarely is an x-ray required to diagnose this condition.

Conservative Treatments for Tennis Elbow

Tennis elbow can take a long time to heal, so choosing the right treatment is crucial. Conservative modalities, such as below, are frequently used to begin treatment.

  • Physiotherapy
  • Forearm rehabilitation exercises
  • Acupuncture
  • Sports taping
  • Advice on activity modification