In many cases, your medical history and the physical exam provide enough information for your doctor to make a diagnosis of tennis elbow. But if your doctor suspects that something else may be causing your symptoms, he or she may suggest X-rays or other types of imaging tests.
Tennis elbow can usually be treated with medications, therapy, and other procedures:
Over-the-counter medications such as ibuprofen (Advil, Motrin), naproxen (Aleve), and aspirin.
Therapy. Eccentric exercises, which involve lowering your wrist very slowly after raising it, are particularly helpful. A forearm strap or brace may reduce stress on the injured tissue.
Injections. Your doctor might suggest injecting platelet-rich plasma, Botox or some form of irritant into the painful tendon.
Ultrasonic tenotomy (TENEX procedure). In this procedure, under ultrasound guidance, a doctor inserts a special needle through your skin and into the damaged portion of the tendon.
Surgery. If your symptoms haven't improved after six to 12 months of extensive non-operative treatment, you may be a candidate for surgery to remove damaged tissue.