TENNIS ELBOW                                                              KANDILNOTES                                                                               

INTRODUCTION

  • Lateral Epicondylitis, more commonly known as tennis elbow, is a condition affecting the outer part of the elbow

  • It is an overuse injury that leads to tendinosis and degeneration of the extensor tendons of the forearm and wrist, specifically extensor carpi radialis brevis (ECRB)

  • While tennis elbow can affect 50% of tennis players, most cases occur in patients who don’t play tennis

  • Contrary to popular opinion, tennis elbow is not an inflammatory condition

  • 1-3% of adults per year experience tennis elbow

CAUSES

  • Repetitive wrist and forearm motion, gripping activities, and lifting activities increase the chance of developing tennis elbow

  • In tennis players, poor swing technique, using heavier rackets, and increased racket string tension are associated with tennis elbow pain

  • SIGNS AND SYMPTOMS

  • Pain over the collarbone

  • Tenderness over the collarbone 

  • Prominence or deformity of the collarbone, oftentimes with skin tenting, can be present

TREATMENT​​

  • The mainstay of treatment for lateral epicondylitis is conservative management 

  • Physical Therapy is the foundation of conservative management. Stretching exercises help loosen the tension on the bone where the tendons insert on the elbow

  • Counterforce braces are helpful in dissipating the forces on the area of injury

  • Corticosteroid injections can decrease pain

  • Platelet Rich Plasma (PRP) has promising results for the treatment of lateral epicondylitis. Numerous high-quality studies show improvement in symptoms and many show a significant improvement compared to other conservative options

  • Surgery is indicated in patients with persistent symptoms and functional impairment that have failed at least 6 months of conservative management

PREVENTION

  • Avoid repetitive activities involving wrist extension

  • Maintain an elbow, forearm, and wrist stretching program 

  • In tennis players, improving swing technique, using lighter rackets, and decreasing racket string tension can decrease the pain associated with tennis elbow

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