Tennis elbow is a term used to describe what happens when you overuse your arm and the elbow joint in a way that causes pain on the outside of the elbow. Golfer’s elbow generally causes pain on the inside of the elbow. Both are caused by the tendons and muscles becoming strained by being used repetitively by sporting activities such as tennis and golf, as well as occupational causes such as gardening, cutting meat, plumbing and painting.