Tennis elbow occurs due to a small tear/microtear in the tendon(s) on the outside of the elbow (lateral side) that attach the forearm muscles to the elbow joint (lateral eipcondyle). Repeated tears leads to the development of damage in the tendon known as angiofi broblastic hyperplasia. The microtear and subsequent development of the damaged tissue is due to forceful and repetitive forearm use.
Age You are at higher risk if > 40 years.
Activity Regular tennis of more than 2 hours playing time each session, or a similar activity.
Technique Tennis players with poor stroke technique (hitting the ball with a flexed elbow) and improper grip size.
Other factors Hard court players are more likely to develop a problem compared to those who use other surfaces.