Lateral Epicondyle Tendinopathy (LET) Toolkit


The BC Physiotherapy *Tendinopathy Task Force is pleased to share with you the attached final version of the Lateral Epicondyle Tendinopathy (LET) Toolkit  – [Tennis Elbow Toolkit].

The purpose of the  toolkit is to provide clinicians with information (both evidence-informed and expert-informed) to facilitate clinical decision-making regarding the management of tendinopathy of the lateral epicondyle.


The toolkit is comprised of the following components:


A summary of the evidence for interventions commonly used to manage tendinopathy of the lateral epicondyle including:

  • Manual therapy
  • Exercise
  • Low Level Laser Therapy
  • Ultrasound
  • Extracorporeal Shock Wave Therapy
  • Iontophoresis using Dexamethasone
  • Iontophoresis using NSAID or Lidocaine
  • Orthotic Devices
  • Taping
  • And, relevant outcome measures

Lateral Epicondyle Tendinopathy – Treatment Alogorithm – (June 2013)

                An algorithm to assist clinicians in ascertaining when to incorporate specific interventions into the management of Lateral Epicondyle Tendinopathy

And, appendices with more detailed information on the preceding components:

Appendix A Lateral Epicondyle Tendinopathy – Details of Articles (June 2013)

Appendix B. Lateral Epicondyle Tendinopathy – Manual Therapy (June 2013)

Appendix C. Lateral Epicondyle Tendinopathy – Details of Exercise Prescription (June 2013)

Appendix D. Lateral Epicondyle Tendinopathy – LASER Dosage Calculation (June 2013)

Appendix E. Lateral Epicondyle Tendinopathy – Braces, Splints and Taping (June 2013)

Appendix F. Lateral Epicondyle Tendinopathy – Outcome Measures (June 2013)


LET Home Exercise Program Handout (Oct 2014)

Please feel free to share this toolkit with colleagues.

A sincere thank you to the members of the Tendinopathy Task Force (*Dr. Joseph Anthony, Dr. Angela Fearon, Diana Hughes, Carol Kennedy, Dr. Alex Scott and Michael Yates ) and to Carolyn Andersson from the UBC Department of Physical Therapy,  who have all given countless hours to the development of this toolkit and to all  BC PTs who have provided invaluable input for its refinement.

Questions and comments are welcome. Please contact:

The development of this toolkit is one of multiple Physical Therapy Knowledge Broker projects (including a similar toolkit focused on Achilles Tendinopathy) supported by: UBC Department of Physical Therapy (Faculty of Medicine), Physiotherapy Association of BC, Vancouver Coastal Research Institute and Providence Healthcare Research Institute.