Unmasking the Cause: Two Cases of Recurrent Lateral Elbow Tendinopathy Resolved through Detailed Clinical History

Lateral elbow tendinopathy, or tennis elbow, is a common musculoskeletal condition linked to repetitive wrist extension and gripping. Although standard treatments are often effective, recurrence may result from overlooked behavioural or mechanical factors. This report describes the two cases of recurrent lateral elbow tendinopathy in young women, where symptom persistence stemmed from atypical causes. One patient exhibited compulsive utensil-cleaning behaviour due to undiagnosed obsessive–compulsive disorder, while the other experienced mechanical strain from a faulty scooter throttle. Both had previously received standard conservative care with limited success. Symptoms resolved only after identifying and addressing the underlying perpetuating factors – psychological in one case and mechanical in the other. Targeted interventions, including behavioural therapy and ergonomic correction, led to complete recovery. These cases highlight the value of a biopsychosocial approach in musculoskeletal care. Thorough clinical history is essential to uncover hidden contributors and guide effective and personalised management.