 Musculoskeletal conditions account for the third leading cause of health systems expenditure in Australia. Lateral epicondylalgia tennis elbow is a painful musculoskeletal condition that is often treated in primary care. Seven out of every 1000 patients seeing their general medical practitioner do so for this condition, though most are not tennis related. On average 10-30 of sufferers take 12 weeks of absenteeism from work and the condition may last 6-48 months. 