Pain at the lateral (radial) side of the elbow is a common condition. If the pain is located at the lateral epicondyle, and if pain can be provoked with resisted extension of the wrist, lateral epicondylitis is the most probable diagnosis. Lateral epicondylitis is considered an inflammatory reaction, possibly caused by microruptures of a tendon insertion. A local steroid injection can relieve pain and should be combined with a resting splint or a soft cast for 2 - 3 days.

Technique: Find the target spot by palpating the lateral epicondyle and the ECRB-tendon. Mark the tender point and clean the injection site with alcohol. Use gloves when injecting steroids. Introduce the needle through the skin while injecting local anesthesia, advance the needle through the ECRB-tendon into the subtendineous space. Injecting local anesthesia into the subtendineous space should be performed without resitance. Inject 0,25 cc of Lederspan® and inject anesthesia when retracting the needle to prevent steroid deposition subcutaneously. Put adhesive tape over the needle spot. Use a splint or elbow bandage for 2 - 3 days.