16/04/2026
Disclaimer: only for educational purposes
Tennis elbow (lateral epicondylitis) is diagnosed through physical exams that trigger pain on the outside of the elbow, primarily Cozen’s test (resisted wrist extension), Mill’s test (passive stretching), and Maudsley’s test (resisted middle finger extension). A positive result is indicated by pain at the lateral epicondyle during these motions.
Common Tennis Elbow Tests
Cozen’s Test (Resisted Wrist Extension): While seated, you make a fist, pronate (turn down) the forearm, and extend the wrist while a doctor provides resistance.
Mill’s Test (Passive Stretch): With the arm straight, the doctor passively flexes the wrist and rotates the forearm inward, stretching the elbow to check for pain.
Maudsley’s Test (Third Digit Test): The examiner resists the extension of your third digit (middle finger) while you keep the wrist straight, which causes pain in the lateral epicondyle if positive.
Chair Test: Attempting to lift a chair while standing behind it with your palm facing down (arm straight) will cause pain in the elbow.
What to Expect
When to see a doctor: If pain on the outside of your elbow does not improve within a week, or if you suspect an injury, you should see a doctor to discuss treatment options.
Symptoms: Pain is typically felt at the bony bump (lateral epicondyle) on the outside of the elbow, often triggered by gripping or twisting.
Diagnosis: Diagnosis is mainly based on physical exams, though in some cases, imaging may be needed.
If you are experiencing severe pain or limited mobility, you should consult a doctor
