Epicondylitis is an inflammation or slight tearing of the tendons or muscles (extensor and flexor) around the elbow joint. This can occur at the medial epicondyle, the lateral epicondyle or both (dual epicondylitis). Common symptoms include pain, swelling, redness or irritation on the sides of the forearm. Pain can extend down the elbow to the wrist and may be present during rest. Pain may also be experienced when gripping objects, turning your hand or swinging your arm, especially when bending wrist. Epicondylitis can develop from any repetitive actions that involve extending your wrist or rotation of your forearm - common causes are improper tennis stroke or golf swing. For treatment it is recommended to avoid the activity producing pain, wear an elbow strap or support, and use cold or hot therapy. Use cold therapy immediately after activity and heat therapy for chronic, recurring pain not brought on by activity.