Lateral elbow tendinosis (LET) is a condition familiar to many therapists treating the upper extremity; however, there is a lack of evidence supporting effective treatment methods and outcomes. LET is often treated using exercise and modalities despite the lack of evidence supporting their effectiveness. Furthermore, LET is often treated as an inflammatory condition. The current literature suggests it is a chronic condition which warrants a different approach to intervention. It is the aim of my capstone initiative to provide therapists with an evidence-based program addressing the management of lateral elbow tendinosis as a chronic condition. The use of neuroscience education is effective in the management of chronic neuromuscular conditions; therefore, my capstone will provide a framework to manage LET by merging evidence-based musculoskeletal approaches to treatment, i.e., exercise and the use of neuroscience education to promote optimal outcomes in clients with this potentially disabling condition.