 Two popular treatment options that are commonly prescribed for the management of lateral epicondylalgia are manual therapytherapeutic exercise and corticosteroid injections. To date there is little evidence that supports manual therapytherapeutic exercise. This lack of evidence is largely due to the small number of studies of physiotherapy treatments, most of which are of poor quality. The small number of studies of manual therapy contrasts with the larger number of studies of corticosteroid injections, which show that corticosteroid injections are beneficial in the short term 3-6 weeks, but they are associated with significantly greater recurrence rates and offer no advantage in the long term 12 months. The efficacy of a manual therapy and therapeutic exercise programme compared to that of corticosteroid injections is unknown at this stage. 