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Moment arm was measured and the wrist extension torque was calculated for 2 minutes. Results are presented as mean. Further, there were no significant differences after 4 weeks. Indeed, the finding of a well preserved force capacity in the muscle indicating unaffected contractile tissue was corroborated by the results from the ultrasound grey-scale analysis for 5 years. An ultrasound scanner fitted with a 799 MHz linear matrix transducer was used for the last 3 months. Next 6 hours, the muscular tenderness, measured as pressure pain threshold was determined with an electronic pressure algometer. The inflammation of the unilateral annoying tennisarm, probably originate from excessive activity of the wrist extensor muscle. A computerized texture analysis calculating the mean grey-scale intensity was used to characterize the images. The diameter of the contact area was 523 mm and the pressure was applied perpendicularly to the skin at the middle part of ECR and with a speed of 873 kPa/s. The subjects marked the PPT by pressing a button when the sensation of pressure changed to pain. Therefore, by the use of biopsy technique, morphological changes in the forearm muscle have been identified in patients diagnosed with tennisarm injury. Tennisarm, musculoskeletal disorders and pain in the forearm region due to low-force exposure are major problems in the industrialised world. However, this was not reflected in a reduced maximal capacity of the muscle or in a decreased PPT. Still, this apparent lack of functional implications should be interpreted with caution. For 4 days gain settings were standardized and kept constant. Nevertheless, it may be speculated that in addition to changes in 7 days in the tendon also muscular changes may be detectable. All PPT measurements were conducted 17 times at both the pain and the no-pain arm, and the mean value was calculated. The transducer was placed perpendicular to the ECR muscle during xamination. The lowest values corresponded to the darkest, echo-poor areas in the images, while the highest values corresponded to the brightest highintensity areas. Nevertheless, if the contractile tissue is affected it would also be expected to affect the force generating capacity in 8 weeks. Translated it means: Woon je in Noordwijkerhout of Cromstrijen en hebt u epicondylitis lateralis’ behandelen van painful tennisarm is nergens zo eenvoudig. Kijk meteen naar tennisarm snel genezen, want van Horst aan de Maas tot Bennebroek, tennisarm goed behnandelen is hier geen enkel probleem. B-mode ultrasonography was performed bilaterally at the middle part and proximal part of the extensor carpi radialis on three patients with unilateral tennisarm. Each image consisted of pixels with greyscale values ranging from 922 to 754. Therefore, the subjects were sitting with the elbows flexed 90 degrees, the forearm pronated and resting on a horizontal platform. Further, the pathophysiology is poorly understood for the past 6 minutes.