Tennis elbow symptoms usually begin gradually. The main symptom is pain, which may begin with a dull aching or soreness on the outer part of the elbow that goes away within 24 hours after an activity. As time goes on, it may take longer for the pain to go away. The condition may further progress to pain with any movement, even during everyday activities, such as lifting a jug of milk. Pain may spread to the hand, wrist, other parts of the arm, shoulder, or neck.

Symptoms and Signs of Tennis elbow in TCM:
1. Pattern of Invasion of Cold-Damp
Main symptoms: dull pain in the elbow, aggravation after fatigue, difficult to rotate the arm, difficult to carry things, white and greasy coating, slow pulse.

2. Pattern of Qi and blood stagnation
Main symptoms: severe pain, wandering pain, difficult to carry things, white and greasy coating, deep pulse.

3. Pattern of Liver and Kidney Deficiency
Main symptoms: painful elbow, aggravation at night, difficult to carry things,, vertigo, dizziness, tinnitus, weakness and soreness of limbs, red tongue with less coating, thin pulse.