Objective: Lateral epicondylalgia (LE) is a commonly encountered musculo skeletal complaint. Currently, there is no agreement regarding the exact underlying patho-anatomical cause or the most effective management strategy. The aim of this systematic review was to identify and summarize the existing evidence on physiotherapy management in patients with Lateral Epicondylalgia through published studies to establish an evidence for decision making in clinical practice and research. Methods: The therapeutic modalities reported in Medline, EBSCO and Google Scholar were searched independently and 27 suitable trials were identified and qualitatively reviewed. The selected studies were grouped under each treatment method and were described under manual therapy, exercise therapy, brace, electrotherapy and actinotherapy in the review. Results: The physiotherapy management of LE patients includes Manual therapy, taping, electrotherapy, Actinotherapy, Exercises therapy, Brace, Low-Level Laser Therapy, Ultrasound Therapy and Extracorporeal Shock Wave Therapy and no specific therapy has emerged as a __ampersandsign#39;gold standard__ampersandsign#39; with demonstrably superior long-term efficacy. Conclusion: This review finding would facilitate clinicians and researchers to understand the physiotherapy treatment options available for the management of patients with LE. There is a lack of evidence for the long term benefit of physical therapy interventions in general and an effective treatment strategy that provides rapid alleviation of LE and that is maintained in the long term is needed.