Tennis Elbow is one of the most often diagnosed disorders of the upper extremity with an incidence of about 1% and a prevalence of 13% of adults, most commonly in age group 30-50. Dry needling is a technique to treat pain in any body part using needles of different sizes. Strain counterstrain technique is a passive positional intervention given to reduce musculoskeletal pain. Both of this techniques are given to reduce pain and applied on tender points and trigger points. The aim of this study is to find out the immediate effect of dry needling versus strain/counterstrain technique on elbow pain and functional disability among lateral epicondylitis patients. There is significant increase in both Dry Needling and Strain Counterstrain immediately in both groups. But group receiving Dry Needling showed more powerful improvement in pain and disability in tennis elbow patients.