Tennis Elbow Pain
Definition: Lateral Epicondylitis [Tennis elbow] is inflammation or, in some cases, micro-tearing of the tendons that join the forearm muscles on the outside of the elbow. The forearm muscles and tendons can become damaged from overuse — repeating the same motions again and again. This leads to pain and tenderness on the outside of the elbow. Not surprisingly, playing tennis or other racket sports can cause this condition. However, several other activities besides sports can also put you at risk. Our reliance on computer technology especially with Covid times has developed a significant increase in this presentation of epicondylitis due to overuse of these muscles. This can be associated with altered body mechanic and poor posture . Physiotherapy can assess musculoskeletal problems and plan treatment to recovery.
Symptoms
The symptoms of tennis elbow develop gradually. In most cases, the pain begins as mild and slowly worsens over weeks and months. There is usually no specific injury associated with the start of symptoms.
Common signs and symptoms of tennis elbow include:
- Pain or burning on the outer part of your elbow
- Weak grip strength
- Sometimes, pain at night
The symptoms are often worsened with forearm activity, such as holding a racquet, turning a wrench, or shaking hands. Your dominant arm is most often affected; however, both arms can be affected.
TREATMENT
- Rest , ice and anti-inflammatory cream
- Elbow brace to off load the tendon
- Specific exercises taught by the physiotherapist
- Mobilisation of the elbow joint and soft tissues
- Guided return to activities
MEDICAL INTERVENTION
- Ultrasound for diagnosis of tendonopathy
- XRay joint to exclude other pathology
- Non-steroidal therapy
- Plasma therapy or Cortisone injection