Montgomery
Epicondylitis  is an inflammation, soreness, or pain on the outside (lateral) or inside (medial) side of the upper arm near the elbow. There may be a partial tear of the tendon fibers connecting the arm muscles to the bone, at or near their point of origin on the outside and or inside of the elbow. The condition is due to repeated motions of the wrist or forearm.
Lateral Epicondylitis (Fig. 1)  is the most common form of the problem and is typically associated with tennis playing, hence the name "tennis elbow." However, any activity that involves repetitive twisting of the wrist (like using a screwdriver) can lead to this condition.
Medial Epicondylitis (Fig. 2) affects the inside of the elbow and it is also known as “golfers elbow”. Playing golf alone is not the main cause for this condition. Many other repetitive activities can also lead to golfer's elbow; pitching, chopping wood with an ax, running a chain saw, and using some types of hand tools. Any activities that stress the same forearm and wrist muscles can cause symptoms of golfer's elbow.
Area of pain
Fig 1
Fig 3
Fig 2
Repetitive use of elbow or hand Doing the same motion over and over, such as turning the wrist, gripping, twisting and in some cases using vibrating power tools
Reaching and gripping in an unsafe way Starting work or play without warming up first Gripping tools, racquets, or clubs too hard
Straining the elbow by reaching for objects too far away. The more often you do this the worse it gets
REPETITIVE MOTIONS
POOR TECHNIQUE
POOR POSITIONING
Vary activities to reduce repeated motions Switch hands as much as you can Take frequent breaks
Pick up objects with a side or bottom grip, not a top grip Do warm-up stretches at work and don’t grip objects too tightly Keep your hands in a neutral (handshake) position as much as you can
Keep elbows close to the body when moving arms Move mouse & keyboard close so you won’t have to reach for them Stand on a raised surface so your shoulders are above any object you reach for or grasp
AT WORK
AT WORK
AT WORK
Warm up before you start Avoid bending your elbow repeatedly Reduce tennis racquet vibration by using nylon strings, midsize racquet, or graphite racquets
Choose equipment for grip and weight suited to your size Warm up before playing Use whole arm or two-handed technique for backstroke Gently stretch after playing
If the ball is out of play let it go Keep elbows as close to your body as you can Keep wrists firm in a neutral position as often as you can Learn correct technique from a Pro
AT PLAY
AT PLAY
AT PLAY
Causes
Wrist Extensor Stretch (Fig 3)
1- Hold your left arm out at shoulder height. Hold your palm in, fingers   down.
2- Put your right hand across the front of your right hand & gently pull your right hand towards you. Don’t bend your fingertips
3- Hold for 10 seconds. Now switch hands and repeat 5 times with each hand
EPICONDYLITIS