Peri-elbow tendinopathies; including lateral epicondylitis, medial epicondylitis, and distal biceps and triceps tendon pathologies, are common causes of pain and functional impairment in both athletes and the general population. Tendinopathy is currently regarded as a degenerative spectrum disorder related to mechanical overuse rather than an acute inflammatory process. The mechanism underlying the development of peri-elbow tendinopathies frequently involves repetitive forceful gripping combined with wrist flexion/extension or forearm supination/pronation movements. Physical examination remains the most important step in diagnosis, while ultrasound and magnetic resonance imaging are valuable adjunctive diagnostic tools. Treatment strategies-including activity modification, anti-inflammatory medications, wrist splinting, specifically designed exercise programs, physical therapy modalities, and injection therapies-have been shown to yield favorable outcomes when applied according to the stage of the disease. In chronic and/or treatment-resistant cases, percutaneous needling as well as open or arthroscopic surgical techniques have demonstrated successful results. The aim of this review is to summarize the anatomy and biomechanics, pathophysiology, clinical evaluation, imaging findings, and current treatment options for peri-elbow tendinopathies.