Generally, a period of observation with conservative management of at least 6 month’s duration is recommended. Conservative management includes activity modification, correction of playing technique in sports, improved ergonomics in work-related tennis elbow, analgesics, stretching exercises, counterforce bracing and topical injections of steroids.
Failure of a trial of conservative management may require surgery to treat symptoms. There are various surgical options available, including open release of the affected tendon with excision of the damaged tissue, arthroscopic release, and newer techniques that stimulate improved blood supply to the affected area.