American Board of Internal Medicine (ABIM) Certification Practice Exam

What is the primary treatment for lateral epicondylosis?

1. Immediate surgical intervention

2. Avoidance of activities that cause pain

3. Corticosteroid injections

4. Physical therapy

The correct answer is: Avoidance of activities that cause pain

The primary treatment for lateral epicondylosis, often referred to as tennis elbow, is the avoidance of activities that aggravate the condition. This approach allows the inflamed tendons to heal and prevents further irritation. Lateral epicondylosis is typically a chronic condition characterized by pain and tenderness on the outer part of the elbow, resulting from overuse or repetitive strain. In the initial stages of treatment, it's essential for patients to avoid movements or activities that trigger pain in the elbow. This not only helps in reducing inflammation but also plays a crucial role in the recovery process. Lifestyle modifications and activity adjustments can significantly contribute to symptom relief. While other treatments, such as physical therapy, corticosteroid injections, and even surgical intervention, may play supportive roles or be considered at later stages, they are often not the first line of treatment. Physical therapy focuses on strengthening and restoring function once acute pain is managed, while corticosteroid injections may provide temporary relief, but are not typically the first approach in ongoing management. Surgical options are considered only for chronic cases that do not respond to conservative measures over an extended period. Therefore, avoiding activities that lead to pain stands out as the primary, most effective initial strategy.