Tennis elbow, clinically known as lateral epicondylitis, is a common condition causing pain and tenderness around the elbow. This comprehensive article delves into the pathology, highlighting angiofibroblastic tendinosis, and discusses evidence-based treatments including physical therapy, corticosteroid injections, dry needling, and TENS therapy. It also explores emerging therapies like PRP injections and ESWT. Understanding these interventions and their efficacy can guide those seeking relief towards effective recovery strategies.