Management overview for epicondylar tendinopathy

Reassure people that the prognosis for both lateral and medial epicondylar tendinopathies is generally favourable. Both conditions are usually self-limiting and about 90% of people with untreated lateral epicondylar tendinopathy will have no symptoms at 1 yearIkonen, 2022. These conditions impact on the person’s ability to perform daily activities (eg participation in social, recreational and occupational activities) and on their mental health. Assessment of their mental health is important at each consultation.

Management principles for tendinopathy are discussed in Nonpharmacological management for tendinopathy. A reasonable management approach includes analgesia if required and watchful waiting. Surgical intervention does not alter the natural history of this conditionIkonen, 2022. Advise people to avoid or modify activities that aggravate discomfort or place high loads on the affected tendon.