In the context of lateral epicondylitis, what does TTP stand for?

• A. Tender to Palpation
• B. Tendon Tension Pathology
• C. Total Tissue Pressure
• D. Trigger Tender Point

Answer: (A)

Tender to palpation describes the exam finding where pressing on the lateral epicondyle reproduces pain. In lateral epicondylitis, overuse irritates the wrist extensor tendons at their origin on the elbow, so pressing over that area typically elicits tenderness. This focal tenderness supports a localized tendon issue at the epicondyle rather than a diffuse or distant source of pain. The other terms aren’t standard descriptors for this sign: they don’t specifically refer to pain produced by palpation at the epicondyle, and a trigger point is a different concept related to myofascial pain, not the tendon origin at the elbow.