Or lateral epicondylitis is due to small tears in a tendon at its attachment to the bone on the outer side of the elbow, often following repetitive excessive activity. The principle symptom is of pain and tenderness over the outer aspect of the elbow which may radiate to the forearm. An ultrasound or MRI scan may be helpful in confirming diagnosis. Modification of activities and rest are often helpful to reduce symptoms. Application of a cold compress or forearm brace can also help. Anti-inflammatory medication (topical and oral), analgesia, physiotherapy and steroid or plasma-rich protein injections can be used to treat this condition. Surgery may be considered if conservative measures fail.