Tennis elbow or lateral epicondylitis is an extremely common injury, appearing in a large proportion of tennis players. Now days it is common among working people. It may be due to lack of sufficient food intake, over use of elbow joint, lack of intake of milk and milk products. It is kaphasthanagata Vata vyadhi, therefor Agnikarma is effective in the initial stage. Snigdha ahara and oushadha are to be consumed later for the complete cure of vatavyadhi. Agnikarma is cost effective and give result very soon. Observational study conducted at NRIP, Cheruthuruthy shows Agnikarma is very much effective in tennis elbow.