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Common Causes of Tennis Elbow Racquet sports: Tennis, racquetball, squashparticularly with poor technique Occupational activities: Painting, plumbing, carpentry, meat cutting Computer work: Repetitive mouse use and typing Manual tasks: Repeated gripping, twisting, or lifting Gardening: Hedge trimming, raking, digging Musical instruments: Particularly string instruments Diagnostic Evaluation Diagnosis is usually clinical, based on history and examination