💡Tennis elbow /Lateral elbow pain, rowing elbow or Lateral epicondyalgia is a tendonitis or tendinopathy , caused by overuse.
😩Pain is caused at bony point outside the elbow, this is called common extensor origin.
👉🏼This is the origin point for forearm muscles that help move the wrist and hand in upwards and outwards movement.
👩💼Age- middle age, 30 -50 years of age, mostly 4% of population equally seen in male and females.
👉🏼Causes-Overuse pains on dominant elbow, forearm and hand/wrist
Repetitive use of vibrating tools, manual jobs- carpentry, machine work etc
Repetitive lifting, reaching - daily jobs
Sports- tennis, badminton , rowing, kayaking etc.
Repetitive typing and mouse use - desk work
Playing piano , cello etc
😞Symptoms -
Pain on outside of the forearm, elbow on bony point
Weakness in grip strength
Pain in lifting , reaching, moving with hand and forearm
Swelling and inflammation in acute phases
🧐Investigations - Not required unless tears in the tendon attachment is suspected
Ultrasound can confirm tendonitis - inflammation changes.
👉🏼Treatment-
Ibuprofen gel ( if allowed )every 3-4 hours
Loading exercises to improve the pain and function
Injections are not recommended due to poor outcomes and risk of tears
if no improvement in 6 -12 months then further opinion is recommended from orthopedics
📲Please contact us if you need specific targeted exercises, advice and treatments we can help you with that
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