Tennis Elbow

What is Tennis Elbow?

Tennis elbow, or lateral epicondylitis, is an overuse injury that causes pain and tenderness on the outer part of the elbow.

• Common in tennis players and individuals with repetitive wrist motions
• Results from microtears in the tendons connecting the forearm muscles to the elbow

Overview of the Condition

The condition is primarily an inflammatory response due to repetitive stress, leading to tendon degeneration and pain.

Symptoms

• Pain and tenderness on the outer elbow
• Weak grip strength
• Discomfort during wrist extension and gripping

Causes

Repetitive overuse and strain from activities such as tennis, painting, or carpentry can lead to micro-tears in the tendon, resulting in inflammation.

Diagnosis

Diagnosis is typically made through a physical examination and assessment of the patient's activity history. In some cases, imaging tests like ultrasound or MRI are used.

Treatment Options

• Rest and modification of activities
• Physical therapy and stretching exercises
• Use of braces or straps
• Anti-inflammatory medications and corticosteroid injections

Conservative Management

Initial treatment involves rest, ice, and over-the-counter pain relievers. Physical therapy to improve flexibility and strength is also recommended.

Rehabilitation Exercises

1. Gentle stretching of the forearm muscles
2. Strengthening exercises to support the tendon
3. Gradual return to normal activities as pain decreases

When is Surgery Needed?

Surgery is considered only when non-surgical treatments have failed for 6-12 months and the patient continues to experience significant pain and functional limitations.

Surgical Procedures

• Debridement of damaged tendon tissue
• Repair of torn tendon fibers
• Techniques to stimulate tendon healing

Anatomy Overview

Tennis elbow affects the lateral epicondyle of the humerus, where the extensor tendons of the forearm originate.

Affected Areas

• Lateral (outer) elbow
• Forearm muscles
• Extensor tendon insertions

Frequently Asked Questions

QuestionAnswerHow long does recovery take?Recovery time typically ranges from 6 to 12 months with proper treatment.Can I still play tennis?Yes, with proper treatment and gradual return to play, many patients resume their sport.

Prevention Strategies

• Maintain proper technique in sports and repetitive tasks
• Strengthen and stretch the forearm muscles regularly
• Take frequent breaks during repetitive activities to reduce strain

Related Conditions

• Golfer's elbow (medial epicondylitis)
• Wrist tendinitis

Additional Treatments

In some cases, extracorporeal shockwave therapy (ESWT) and platelet-rich plasma (PRP) injections may be explored as alternative treatments.