Red flags & when to go in person for Lateral Epicondylitis (Tennis Elbow)

Audience: adult

Lateral epicondylitis, commonly known as tennis elbow, is a condition that causes pain on the outer part of the elbow. It often results from repetitive arm and wrist movements, leading to inflammation and small tears in the tendons. Many people manage symptoms at home with rest, ice, and gentle exercises. Telemedicine can help you understand your symptoms, discuss treatment options, and guide self-care. However, some signs mean you should see a healthcare provider in person. These include severe pain, numbness, weakness, or if symptoms worsen despite treatment. Early in-person evaluation can prevent complications and help tailor treatments. This guide explains when to seek in-person care, what telemedicine can and cannot do, and how to prepare for your virtual visit. Remember, this information is educational and not a substitute for professional medical advice or diagnosis.

Red flags — go in person / ER

• Severe sudden elbow pain or swelling — seek immediate in-person care.
• Numbness, tingling, or weakness in hand or fingers — urgent evaluation needed.
• Signs of infection such as redness, warmth, fever, or pus around the elbow — get prompt medical attention.

What telemedicine can do

• Symptom assessment and history taking
• Guidance on home care and pain relief
• Education about condition and prevention
• Determining need for in-person evaluation
• Follow-up on symptom progress

What telemedicine cannot do

• Physical examination of the elbow
• Imaging tests (X-ray, ultrasound)
• Injection therapies
• Diagnosis of complex or alternative conditions
• Treatment of infections or severe injuries

What is Lateral Epicondylitis (Tennis Elbow)?

Lateral epicondylitis is an overuse injury affecting the tendons on the outside of your elbow. It often happens from repetitive gripping, lifting, or twisting motions, common in sports like tennis or activities involving manual work. Symptoms usually include pain and tenderness on the outer elbow, which may worsen with wrist or hand movements.

Common Symptoms and When to Monitor

Typical symptoms include:

Many cases improve with rest and simple treatments. Keep track of your symptoms and any changes over time.

Red Flags: When to Seek In-Person Care

Seek urgent in-person evaluation if you experience:

These signs may indicate complications or other conditions needing prompt care.

What Telemedicine Can Do for Tennis Elbow

Telemedicine can help by:

It offers convenient access to healthcare advice without travel.

Limitations of Telemedicine for Tennis Elbow

Telemedicine cannot:

In-person visits may be necessary for these services.

Preparing for Your Telemedicine Visit

Before your virtual appointment:

This preparation helps your provider understand your condition better.

After Your Telemedicine Visit: What to Do Next

Follow your provider’s advice carefully. Typical steps may include:

Keep track of your progress and communicate any concerns promptly.

How to prepare for your tele-visit

• Note when symptoms began and how they have changed
• List any treatments or medications tried
• Prepare to describe daily activities and any recent injuries
• Ensure a quiet, well-lit space for the tele-visit
• Have a family member assist with camera positioning if possible

After your tele-visit

• Follow home care instructions provided
• Monitor symptoms and note any changes
• Schedule follow-up visits if recommended
• Seek in-person care if red flags appear
• Consider physical therapy or specialist referral if advised

FAQs

Can tennis elbow heal on its own?

Yes, many cases of tennis elbow improve with rest, avoiding aggravating activities, and simple treatments like ice and over-the-counter pain relievers. Healing may take several weeks to months.

When should I see a doctor in person for tennis elbow?

See a healthcare provider in person if you have severe pain, numbness or weakness in your hand, inability to move your elbow, signs of infection, or if symptoms do not improve after several weeks of home treatment.

What treatments can help tennis elbow?

Common treatments include rest, ice, physical therapy exercises, pain relievers, and sometimes braces. In some cases, doctors may recommend injections or surgery, but these require in-person evaluation.

Can telemedicine replace all care for tennis elbow?

Telemedicine is useful for initial assessment, education, and follow-up. However, it cannot replace physical exams, imaging, or procedures that require in-person visits.

How can I prevent tennis elbow?

Preventive steps include using proper techniques during activities, taking breaks to avoid repetitive strain, strengthening forearm muscles, and using ergonomic tools or supports.

Sources

1. Lateral Epicondylitis (Tennis Elbow) — MedlinePlus, U.S. National Library of Medicine.
2. Tennis Elbow (Lateral Epicondylitis) — Mayo Clinic.
3. Tennis Elbow: Overview and Treatment — National Library of Medicine.
4. Tennis Elbow (Lateral Epicondylitis) — Centers for Disease Control and Prevention (CDC).

This telemedicine guidance is for educational purposes only and is not a substitute for professional in-person medical care, diagnosis, or treatment. If you have any concerning symptoms or red flags, please seek immediate medical attention.