If a client presents with tenderness over the lateral epicondyle, what is your first action?

In cases where a client presents with tenderness over the lateral epicondyle, which may indicate conditions such as lateral epicondylitis (commonly referred to as "Tennis Elbow"), the initial priority should be to ensure the client’s safety and well-being before proceeding with any treatment. Seeking medical permission allows for a proper assessment of the condition and rules out any serious underlying issues that may require a different approach than sports massage.

If the injury is recent or involves significant pain, swelling, or functional impairment, it’s crucial to avoid exacerbating the issue through massage or other interventions without medical clearance. This aligns with best practices in sports therapy, where the therapist operates within the scope of their training and adheres to the principle of "do no harm." Consulting with a healthcare provider ensures that the treatment provided is appropriate and safe based on the client’s specific needs.