Inclusion Criteria:  Patients over the age of 18 Clinical diagnosis- Symptoms lasting more than 3 months and no injection within this period Radiologically diagnosed -  Exclusion Criteria:  - 1. symptoms for less than 3 months 2. Having been given injection treatment within 3 months  3. Surgical procedure for lateral epicondylitis 4. Having pain caused by the cervical spine 5. Restricted elbow range of motion 6.Having an elbow bony deformity