Tennis elbow is a pain on the inside of the joint of the arm. It is caused by too much use of your wrist or hand, especially in activities that require you to repeatedly grip or release objects. The condition may be caused by repeated use of tennis, golf, bowling, weightlifting, painting, or other sports and twisting movement of hand. Early symptoms often include pain when you move your wrist up and down or open and close your hand. You may also feel pain when you use your arm or hand for prolonged periods.
What Causes Tennis Elbow?
Tennis elbow is caused by cumulative micro-trauma to the extensor tendon that runs down the forearm. The repetitive movements of certain sports or occupations can lead to muscle fatigue and an increase in collagen degeneration, which is easier for muscles to tear. When these tears happen, they cause inflammation. This process often takes many years of use before symptoms appear.
The pain of tennis elbow is often characterized by aching in the area of the elbow, which can gradually worsen with repeated arm use. The pain is often worse at night when the arm is fully flexed against the body. It’s also common to experience swelling or tightness in the forearm or wrist when affected, as well as numbness to specific sensations, such as touch or cold temperatures.
The diagnosis of tennis elbow is done by checking for tenderness on the outer side of your forearm at the point where the muscle attaches. There are other tests that may be used, but this is one of the most straightforward. You should see a doctor if you have tennis elbow or if it does not get better after a week. The doctor will also take a look at the elbow to see if any swelling or tenderness is present. He or she may be unable to feel the inflammation through your wrist and hand, which is why he or she will check the area with their other hand.
A doctor may also order an X-ray to see if there is any damage in the forearm, especially in people who are older than 40. In rare cases, a doctor may even order an MRI to check for damage in the tendons and ligaments of the elbow.
Tennis elbow, also known as lateral epicondylitis, is a pain on the outside of the elbow due to inflammation on the tendon that connects the forearm muscles to the bony area of the outside of the elbow. It may be caused by repetitive use or injury of the tendon. The treatment options of tennis elbow are largely conservative treatments such as physical therapy, rest, and anti-inflammatory medications. Surgery may also be an option. Physical therapy is an important part of treating tennis elbow and may include:
- Stretching exercises to lengthen your tendons (such as wrist flexion, hyperextension, and ulnar deviation)
- Strengthening exercises to strengthen your injured muscles (examples include wrist flexion with a light weight, and extensor carpi radialis brevis)
- Ultra-sound therapy
- Heat or ice
- Soft tissue massage, including self-massage of the forearm muscles and tendons.
If your tennis elbow is not responding to these treatment options, you may be a candidate for cortisone injections. Corticosteroids, injected into the tendon that is inflamed and causing the pain, will help to reduce the inflammation in your elbow. In some cases, this can provide relief from pain in your tennis elbow immediately.
If you have tried these conservative treatments and are still experiencing pain, you may be a candidate for an arthroscopic surgery. During this procedure, your elbow will be numbed and a small incision made to view the inside of the elbow joint. The surgeon will then use arthroscopic instruments to examine the joint and possibly repair any small tears in the tendon or bone.
After surgery, a sling will be placed on your arm to help keep the elbow joint immobile while it heals. A physical therapist may also be a part of your care management team, helping you regain motion and strength in your elbow.
Lastly, a tennis elbow is a common injury for those who play a lot of tennis or other sports. Proper treatment, such as taking an anti-inflammatory medication, physical therapy and avoiding further contact is essential to recovery.
Tennis elbow will not go away on its own and the only way to recover is with treatment such as taking an anti-inflammatory medication and avoiding contact.
Tennis elbow: What is it?
Tennis elbow, also known as lateral epicondylitis, affects the tendons that join the forearm muscles to the lateral epicondyle, a bony protrusion on the outside of the elbow, and is characterized by discomfort and inflammation.
Why does tennis elbow occur?
Tennis elbow is often brought on by repetitive gripping, lifting, or twisting actions that result in overuse of the forearm muscles and tendons. Tennis and other racquet sports are frequently linked to it, but other repetitive arm and wrist motions in various jobs or activities can also contribute to it.
What signs indicate tennis elbow?
Tennis elbow is characterized by discomfort and soreness on the outside of the elbow, forearm muscle stiffness, and weakness in the affected arm. These symptoms may get worse with gripping or lifting tasks. In certain instances, the discomfort may radiate into the wrist and down the forearm.
How can tennis elbow be identified?
Tennis elbow is frequently identified using a patient’s medical history, physical exam, and specialized testing carried out by a healthcare provider. These examinations support the evaluation of forearm muscles and tendons for discomfort, tenderness, and dysfunction.
What options are there for tennis elbow treatment?
Tennis elbow is frequently treated with conservative methods such rest, ice, painkillers, physical therapy, and the wearing of a counterforce brace. More intrusive methods including corticosteroid injections, platelet-rich plasma (PRP) injections, or surgery may be explored when less invasive treatments are ineffective.
How do I avoid getting tennis elbow?
Reducing stress on the forearm muscles and tendons is a necessary step in preventing tennis elbow. These can include adopting ergonomic equipment created to lessen stress on the forearm, warming up and stretching before engaging in repetitive activities, and practicing good technique in sports and other activities.
How long does it take for tennis elbow to heal?
The length of time it takes to recover from tennis elbow depends on how bad it is and how well the treatment is working. With conservative therapies, symptoms usually subside within six to twelve months for most people. However, more serious conditions or those that require surgery could take longer to recover from.
Is tennis elbow reversible?
Tennis elbow is a condition that might return, particularly if the underlying reasons, such as repeated motions or poor technique, are not treated. The chance of recurrence can be decreased by taking preventative measures and continuing your recovery routines.
- Bisset, L., Beller, E., Jull, G., Brooks, P., Darnell, R. and Vicenzino, B., 2006. Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial. Bmj, 333(7575), p.939. https://www.bmj.com/content/333/7575/939.full-text
- Cullinane, F.L., Boocock, M.G. and Trevelyan, F.C., 2014. Is eccentric exercise an effective treatment for lateral epicondylitis? A systematic review. Clinical rehabilitation, 28(1), pp.3-19. https://journals.sagepub.com/doi/pdf/10.1177/0269215513491974
- Nirschl, R.P. and Ashman, E.S., 2003. Elbow tendinopathy: tennis elbow. Clinics in sports medicine, 22(4), pp.813-836. https://www.sportsmed.theclinics.com/article/S0278-5919(03)00051-6/abstract
- Petrella, R.J., Cogliano, A., Decaria, J., Mohamed, N. and Lee, R., 2010. Management of tennis elbow with sodium hyaluronate periarticular injections. BMC Sports Science, Medicine and Rehabilitation, 2(1), pp.1-6. https://bmcsportsscimedrehabil.biomedcentral.com/articles/10.1186/1758-2555-2-4
- Shiri, R., Viikari-Juntura, E., Varonen, H. and Heliövaara, M., 2006. Prevalence and determinants of lateral and medial epicondylitis: a population study. American journal of epidemiology, 164(11), pp.1065-1074. https://academic.oup.com/aje/article-abstract/164/11/1065/61970
- Smidt, N., Van Der Windt, D.A., Assendelft, W.J., Devillé, W.L., Korthals-de Bos, I.B. and Bouter, L.M., 2002. Corticosteroid injections, physiotherapy, or a wait-and-see policy for lateral epicondylitis: a randomised controlled trial. The Lancet, 359(9307), pp.657-662. https://www.sciencedirect.com/science/article/pii/S014067360207811X
- Stasinopoulos, D. and Johnson, M.I., 2005. Effectiveness of extracorporeal shock wave therapy for tennis elbow (lateral epicondylitis). British journal of sports medicine, 39(3), pp.132-136. https://bjsm.bmj.com/content/39/3/132.short
- Verhaar, J.A.N., 1994. Tennis elbow: anatomical, epidemiological and therapeutic aspects. International orthopaedics, 18, pp.263-267. https://link.springer.com/article/10.1007/BF00180221
- Waugh, E.J., 2005. Lateral epicondylalgia or epicondylitis: what’s in a name?. Journal of Orthopaedic & Sports Physical Therapy, 35(4), pp.200-202. https://www.jospt.org/doi/abs/10.2519/jospt.2005.0104