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Tennis Elbow

Medical Questions » Tennis Elbow
Name: Tennis Elbow
Also known as: Lateral Epicondylitis
Inflammation of the tendon on the outside of the bony lump at the back of the elbow (olecranon).
Causes of Tennis Elbow
Over straining of the extensors tendon at the outer back of the elbow due to excessive bending and twisting movements of the arm. In tennis, the injury is more likely if the backhand action is faulty, with excessive wrist action and insufficient follow-through. Being unfit, having a tautly strung racquet, a heavy racquet and wet balls all add to the elbow strain. This leads to tears of the minute fibres in the tendon, scar tissue forms which is then broken down again by further strains. May also occur in tradesmen who undertake repetitive tasks, housewives, musicians and many others who may put excessive strain on their elbows.
Symptoms of Tennis Elbow
Painful inflammation occurs, which can be constant or may only occur when the elbow is moved or stressed. The whole forearm can ache in some patients, especially when trying to grip or twist with the hand.
Tests for Tennis Elbow
None usually necessary.
Treatment for Tennis Elbow
Prolonged rest is most important. Exercises to strengthen the elbow and anti-inflammatory drugs may also be used. Cortisone injections may be given in resistant cases. The strengthening exercises are done under the supervision of a physiotherapist and involve using the wrist to raise and lower a weight with the palm facing down. Some patients find pressure pads over the tendon, or elbow guards (elastic tubes around the elbow) help relieve the symptoms and prevent recurrences by adding extra support.
Complications of Tennis Elbow of its treatment
Not easy to treat and can easily become chronic.
Likely Outcome of Tennis Elbow
No matter what form of treatment is used, most cases seem to last for about 18 months and then settle spontaneously.
       
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