Smoking, obesity, age 45 to 54, repetitive movement for at least two hours daily, and forceful activity (managing physical loads over 20 kg) appear to be risk factors in the general population for the development of epicondylitis. The lateral humeral epicondyle serves as the bony common origin of the wrist extensors. Injury to the extensor carpi radialis brevis muscle (ECRB) and the extensor digitorum communis muscle (EDC) constitutes lateral epicondylitis. This is a case of lateral epicondylitis (tennis elbow). By analyzing its etiology, disease location, disease potential, and discuss the surround needling method of acupuncture treatment and tracking of the course of treatment.