Lateral (tennis elbow) and medial (golfer’s) elbow patients complain of pain on either side of the elbow.  Elbow tendinopathies are more common in the middle aged.  Lateral epicondylitis is more common and patients complain of pain with greeting (hand shaking) or excessive lifting. 

Conservative treatment includes physiotherapy and injections (local analgesia and Celestone soluspan) while causing micro-trauma during the injection for the release of humeral mediators.  Return to sport will be determined by your pain tolerance.

After failed extensive conservative treatment surgery will be considered.   You will be in a splint for 2 weeks after which you will start with physiotherapy.  Non-contact sport can be done after 6 weeks and contact sport after 3 months.