Comparing the Effectiveness of the 'Think in Nerve Length and Layers' (TINLL) Approach to Traditional Treatment for Patients With Lateral Elbow Pain.

Lateral elbow pain can significantly limit people's ability to do the activities they want or need to do. We want to explore if one treatment technique is better than another for people with lateral elbow pain.

You will be placed in a traditional treatment group or in a non-traditional treatment group. Your placement in the group will depend on past treatments you have had for this pain.

Before you start treatment, you will be given four tests: 1) a grip strength test, 2) a pinch test, 3) a pain level survey, and 4) a functional survey. These four tests will take no longer than 15 minutes to complete. These four tests are common tests given to people with elbow pain. You will be given these four tests:

* At the beginning, before you start treatment * At 2-weeks * At 4-weeks * At the end of your treatment

Traditional treatment group: You will receive treatment 1x/week for 4-6 weeks. The traditional treatment group will consist of the following treatments:

* stretching and strengthening of the wrist extensors * soft tissue work to the forearm muscles * joint mobilization at the elbow * rigid and elastic taping with focus on the wrist extensor muscles * ergonomic strategies * transcutaneous electrical nerve stimulation (TENS) * wrist splinting

Non-traditional (TINLL) treatment group: You will receive treatment 1x/every 1-2-weeks for 4-6 weeks. The non-traditional (TINLL) treatment group will consist of the following treatments:

* joint and tendon mobilization at the elbow * elastic tape for muscles and nerves * stretching/strengthening of the muscles at the elbow and upper arm * ergonomic strategies