Although lateral epicondylitis has become synonymous with tennis, 95% of cases occur in non-tennis-playing individuals. Redundant assignments and developments including the elbow and wrist place a person in danger of creating horizontal epicondylitis. The point of this investigation was to look at results of arthroscopic arrival of extensor carpi radialis brevis with PRP infusion for the board of safe horizontal epicondylitis. Strategies: The examination was led on 42 patients partitioned into 2 gatherings. The main gathering (21 patients) went through arthroscopic debridement of ECRB birthplace, and the other gathering (21 patients) had PRP infusion. All patients had at first nonoperative treatment, including calming drug, rest, action change, active recuperation, propping, and corticosteroid infusions. The usable signs were headstrong manifestations for in any event a half year or irritation of indications in spite of nonoperative treatment for a very long time. Results and end: Our examination discoveries propose the accompanying ends: PRP infusions and arthroscopic ECRB discharge are both powerful in the short and mid term follow up. PRP patients in some cases show helpless outcomes which require extra infusions or elective sort of treatment as arthroscopic discharge. The two techniques ( PRP infusion and arthroscopic discharge) were protected and very much acknowledged by the patients. Longer term follow up might be required for patients to identify any protests repeat particularly in manual and substantial laborers.