Differential Diagnosis of Lateral Elbow Pain

Presented by Ann Porretto-Loehrke

12-Month Subscription

Unlimited access to:

  • Thousands of CE Courses
  • Patient Education
  • Home Exercise Program
  • And more
This course is part of our CHT Prep Program. Learn more about the full prep program here: MedBridge CHT Prep Program.

Why is treating a “simple” tennis elbow diagnosis sometimes so difficult? This course will help guide you through a systematic approach to evaluating a patient with lateral elbow pain to identify the pain-generator. Determining the patient’s impairments will provide guidance for addressing treatment, which will be covered in the subsequent course. Recognizing when special tests are needed and performing a systematic clinical examination will be presented.

CHTs, when submitting this for recertification through HTCC, this course can be used for CAT B (hand therapy courses < 3 hours in length); however, if this course certificate is submitted with the following course certificates listed below (or any combination totaling 3 hours or more), they can be submitted under CAT A (hand therapy courses > 3 hours in length).

  • Differential Diagnosis of Lateral Elbow Pain (2 hours)
  • Treatment of Lateral Elbow Pain (1.5 hours)


  • Meet your instructor

    Ann Porretto-Loehrke

    Ann Porretto-Loehrke is a skilled clinician with a passion for teaching and clinical treatment of upper extremity disorders. She has been practicing for 30 years and teaching continuing education courses for the past 20. She is the Clinical Development Coordinator at the Hand to Shoulder Center in Appleton, Wisconsin. Ann is…

    Read full bio

    Chapters & learning objectives

    Anatomy of the Lateral Elbow

    1. Anatomy of the Lateral Elbow

    This chapter provides an overview of the anatomy in the lateral elbow including the humeroradial joint, lateral ligamentous support, musculotendinous structures, and radial nerve. Having a solid understanding of these structures and their location will give better insight of the involved structure when performing the clinical examination.

    Pathomechanics of Lateral Elbow Pain

    2. Pathomechanics of Lateral Elbow Pain

    This chapter covers the pathomechanics of tendinopathy, articular, ligamentous, and neural issues at the lateral elbow.

    Clinical Examination

    3. Clinical Examination

    This chapter provides a systematic approach to differentiating between musculotendinous, articular, ligamentous, and neural issues at the lateral elbow. An analysis of recognizing special tests needed and performing these will be showcased.