xLateral elbow pain frequently diagnosed as lateral epicondylitis is a prevalent musculoskeletal overuse disorder that affects 3% of the US population and has serious consequences for musculoskeletal health, occupational performance, and overall healthcare burden (average per patient cost =$4263, 7.2 million in annual costs)1. Available treatment options have been studied rigorously (steroid injections, PRP, and therapeutic regiments such as stretching, eccentric exercise, elastic taping), yet supporting evidence is low to moderate for short-term and mid-term effectiveness (total improvement in 42%, 46 % transient improvement, 12 % progress to chronicity)2, and limited, conflicting and no evidence for many others3–5.