This study investigates the comparative effectiveness of non-immersive virtual reality (VR) therapy and conventional physiotherapy in managing tennis elbow (lateral epicondylitis). Tennis elbow is a painful condition often characterized by chronic pain, reduced grip strength, and limited functionality.

Conventional treatment approaches, including manual therapy and strengthening exercises, have been widely used but may not fully address the long-term rehabilitation needs of every patient. Virtual reality, an emerging tool in rehabilitation, has the potential to enhance patient engagement and adherence by providing an interactive therapeutic environment. Participants will be divided into two groups: one receiving VR therapy and the other conventional therapy, with each intervention lasting six weeks. Outcome measures include pain intensity (VAS), functional disability (DASH), patient satisfaction (PRTEE), grip strength, range of motion (ROM), and adherence rates. This study aims to determine if VR therapy can offer superior benefits over conventional

Inclusion Criteria:

• Adults aged 25 to 50 years.
• Patient diagnosis with lateral epicondylitis.
• Patients that a medical doctor will be formally diagnosed to have tennis elbow, that is, lateral epicondylitis.
• Patients who have specific pain and function impairment associated with tennis elbow.
• Patients giving written consent to participate in the study. Willing to participate and provide informed consent.

Exclusion Criteria:

• Patients with neurological conditions whereby they have abnormal functioning of their arms.
• Any previous surgical intervention for tennis elbow The presence of other significant musculoskeletal diseases in the upper extremity Severe cardiovascular or neurological disorders.