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Top Health Tips on Managing Tennis Elbow

Tennis Elbow - How to Prevent it?

BPT, MPT- Ortho
Physiotherapist, Gurgaon
Tennis Elbow - How to Prevent it?
Tennis elbow is a condition, which is characterized by the inflammation of the tendons occurring in the elbow region due to excess use of the muscle groups present in the overarm. Tennis elbow can cause a lot of distress once it occurs so it is best to perform certain exercises to strengthen the muscle groups in your overarm so that muscle strain does not occur during your physical activities.

Read on more to find about all the different ways to strengthen your muscle groups to prevent tennis elbow:

Staying in good physical shape overall tones your body and strengthens your muscle groups, thus reducing the likelihood of tennis elbow.
It is also important that the physical activities, which are performed by you are done using proper technique as otherwise undue strain might cause unnecessary discomfort and pain.
You should try strengthening the muscles in your shoulder, arm and upper back to reduce the stress your elbow undergoes during physical activity.
Using a counterforce brace for activities, which include twisting or grasping of the arm can also help. The use of a counterforce brace is to distribute the pressure throughout the arm, which reduces the stress on the elbow. The brace is highly recommended for people who are likely to develop tennis elbow. One should consult a doctor before opting for a counter brace.
However, it is not a substitute for rehab exercises. If repeated arm movements or certain physical activities are causing discomfort or pain in the elbow region, check for alternative ways of performing the task. If you have taken up tennis, cricket or golf as a sport, it is highly recommended that you take proper lessons in technique as these sports involve twisting and grasping your arm, which can cause injuries if you do not follow proper techniques. Also keep in mind to choose sports equipments which are at par with your physical fitness, flexibility and strength.

For daily activities, take a note of the activities, which involve putting stress on your elbows. In such instances follow techniques or different ways to perform the tasks, which will put minimum stress or pressure on your elbows. Also, apart from using the technique one has to stay fit, for which getting regular body health checkup is very important.
4987 people found this helpful

What Is Tennis Elbow? How Can It Be Dealt With?

MBBS, MS - Orthopaedics, Fellowship in Arthroscopy & Arthroplasty Shoulder & Knee
Orthopedist, Gurgaon
What Is Tennis Elbow? How Can It Be Dealt With?
You can be diagnosed with a tennis elbow even if you have never been on a tennis court! A tennis elbow refers to tendinitis or swelling of the tendons in the elbows and arms. Tough tissue bands that join the muscles of the arm to the bone are known as tendons. This affliction is one of the most common reasons for elbow pain and can affect men and women at any age. However, it is most commonly seen in patients who are around 40 years old.

Tennis elbow develops gradually and is triggered by repetitive motions that strain the muscles or put too much pressure on the tendons such as sports that involve swinging a racquet, weight lifting or hobbies like carpentry, knitting, typing or painting.

Most cases of tennis elbow resolve themselves with time as long as you rest the elbow and give your tendons a break. Some things you could do to speed up the healing process are:

Soak the elbow in an ice bath for half an hour every 3 to 4 hours. This should help relieve the pain and reduce swelling.

Use an elbow strap to support the arm and prevent further strain in the injured tendon.

Exercising the arm to reduce stiffness and increase the possible range of motions. This will also make your tendons more flexible. However, exercises should be done only under a physiotherapist s guidance so as to prevent any further damage. Additionally, your doctor may also suggest physiotherapy, to strengthen and stretch the arm muscles.

Over the counter, anti-inflammatory medicines such as ibuprofen or aspirin can also help reduce the pain and swelling. These drugs should not be used without a doctor s guidance as they can cause a number of side effects. In some cases, these side effects can slow down the healing process.

Painkiller or steroid injections may also be prescribed to temporarily ease the pain and swelling around the elbow.

In some cases of severe tennis elbow, these forms of treatment may not be effective and if you are still suffering from pain and swelling for over 4 months, you may need to consider surgery. Surgery for tennis elbow involves removing the damaged section of the tendon and repairing the remaining part.

Recovery from a tennis elbow may seem slow but it is essential to be patient and avoid lifting weights or putting any strain on the arm during recovery. Once the swelling has completely gone down and you feel no pain or tenderness in the area, only then should begin using your arm normally.
4729 people found this helpful

Tennis Elbow - Tips To Help You Prevent It!

Fellowship of the Royal College of Surgeons (FRCS), Membership of the Royal College of Surgeons (MRCS), MBBS, Fellow of Academy of General Education (FAGE)
Orthopedist, Hyderabad
Tennis Elbow - Tips To Help You Prevent It!
Tennis elbow is a condition which is characterized by a sharp pain on the outer portion of the elbow. This condition is also called lateral epicondylitis and it occurs when the muscles of the elbow are overused. The symptoms of pain tend to occur near the forearm when you bend your elbow or try to grip an object.

Causes
The elbow joint comprises of muscles which facilitate movement of the wrist, elbows and the fingers. There are tendons present in the elbow which join the muscles and bones, thus regulating the forearm muscles. When the muscles of the elbow are overused, then it can lead to inflammation and tears in the muscles.

This condition is so called as it is usually caused by playing certain sports, primarily tennis. It may also be caused by activities that put repetitive stress on the elbow. If the same pain occurs around the inner portion of the elbow, it is called a golfer s elbow .

Prevention
The best treatment method to prevent tennis elbow is to strengthen your elbow muscles. You need to follow a regulated strength and stretching program directed at strengthening the muscles of the body, including the elbows.

Here are some tips to prevent tennis elbow:

Try to stay in good shape physically.
Use proper technique when you are carrying out any activity that involves the elbow.
Avoid overstressing the elbow joint with repetitive movements as it can cause injury to the tendon.
The muscles of the shoulder, arm and the upper back should be strengthened to prevent tennis elbow.
For movements that require you to twist your arm or grasp things, you can use a counter force brace to protect your elbow. This brace is worn on the forearm which redistributes pressure on the muscle. A counter force brace is recommended for people who are at an increased risk of tennis elbow.
4533 people found this helpful

Elbow Pain - Know The Causes!

MBBS, MS - Orthopaedics, Hand Surgery Fellowship
Orthopedist, Delhi
Elbow Pain - Know The Causes!
Elbow pain is a common problem affecting people. The elbow gives your hand the necessary flexibility to perform a lot of important activities such as to pick up or throw things. An elbow pain, if severe can affect a lot of these activities. Thus, if the pain gets uncomfortable and persists for long, you should consult an Orthopedic at the earliest. Different factors can trigger the elbow pain in different people. Thus, to make the treatment effective, it is first important to find out the underlying cause of the pain.

The three major ligaments that hold the elbow bones together are:

Ulnar-Collateral Ligament or the Medial Collateral Ligament.
Lateral Collateral Ligament or the Radial Collateral Ligament.
Annular Ligament.
Any injury, disorder or damage to the elbow bones, ligaments, cartilage or tendons can result in an elbow pain. Some of the common factors and medical conditions that can give rise to an elbow pain include:

Tennis Elbow: Tennis Elbow became famous, all thanks to the batting maestro Sachin Tendulkar, who suffered from this condition. Continued use of the arm in a particular motion can stress the tendons at the Extensor Carpi Radialis Brevis (ECRB) muscle (located at the end of the elbow) which may suffer from tears. If left untreated, what started as a small tear will give rise to an inflammation affecting the full arm. The condition can be so painful that a person is unable to lift or hold anything.
Injury to the Ulnar Collateral Ligament (UCL): The UCL is of the three major ligaments that hold the elbow bone in position, thereby controlling the joint movement. Increased and repetitive stress and pressure to the ULC, particularly children and adults who are into baseball (baseball pitchers) can result in ligament tear. Negligence will only worsen the injury with an excruciating elbow pain.
Little League Elbow Syndrome: This syndrome is also found to be common among the young baseball players especially the pitchers. Little League Elbow Syndrome results from overuse of the elbow (while throwing the ball) which can cause inflammation of the Medial Epicondyle (the growth plate located at the end of the elbow). The Little Leaguer s Elbow can leave the person with chronic elbow pain.
Elbow Arthritis: Another condition that can trigger an elbow pain is the arthritis of the elbow. There may be inflammation in the elbow joint, resulting in pain, swelling, and stiffness. A person also experiences difficulties in moving the elbow, including straightening and bending it. An injury or inflammation of the biceps and the triceps (the muscles that cross the elbow), due to strenuous physical exercise or activities can also cause pain and discomfort in the elbow.
Cubital Tunnel Syndrome: The Ulnar Nerve is present on the inner side of the elbow. Compression of this nerve resulting from leaning on the elbow over and over again can cause numbness and pain in the elbow, a condition known as Cubital Tunnel Syndrome.
In addition to these, an elbow pain can also be caused by a sprain, fracture, bone dislocation, and tenosynovitis (inflammation of the tendon sheath), to name a few.
4467 people found this helpful

Tennis Elbow - Common Causes Behind It!

MBBS, MS - Orthopaedics, Fellowship in Shoulder Surgery
Orthopedist, Gurgaon
Tennis Elbow - Common Causes Behind It!
Tennis elbow is a type of tendinitis. It is usually the swelling of certain ligaments. It causes pain in the elbow as well as the arm. These ligaments are bands of strong and stretchable tissues that connect the muscles of your lower arm to your elbow. In spite of its name, you can in any case get tennis elbow regardless of the possibility that you have never been close to a tennis court. This is merely a name for the condition and has little to do with the sport. It can affect anyone who indulges in a swinging motion.

Any repetitive exercises that require a tight grip, particularly in cases where the thumb and the initial two fingers are used frequently, may cause tennis elbow. Tennis elbow is the most common reason for patients to see their doctors for elbow torment. It can occur in individuals of all ages; however, it is most common and normal at about the age of forty.

This condition is usually caused when there are repeated contractions of the lower arm muscles that you use to raise your hand and wrist as well as to straighten it. The repetitive movements and pressure to the tissue may bring about a series of little tears in the ligaments that connect the lower arm muscles to the hard surface on the outside of the elbow.

Tennis elbow ordinarily occurs after some time. Dull movements such as holding a racket during a swing can strain the muscles and put a lot of weight on the ligaments. That consistent pulling can cause a small amount of tears in the tissue. Tennis elbow may be caused because of the following reasons:

Playing tennis
Playing racquetball
Playing squash
Fencing
Weight lifting or any other stressful exercises involving the muscles
In tennis, the following moves can lead to tennis elbow:

One-handed backstroke with a poor stance or lose hand
A late forehand swing bringing a bend in the wrist altogether
Snapping and turning the wrist while hitting with full power
As the name suggests, playing tennis, particularly repeated use of the backhand stroke with poor strategy, is a conceivable reason for tennis elbow.
However, a number of other basic arm movements can also cause tennis elbow. It can also affect individuals with particular occupations or while performing leisure activities that require heavy arm movements or gripping, for example, the following:

Carpentry
Excessive writing
Painting
Raking
Weaving or knitting
Utilising plumbing devices
Driving screws
Chopping cooking ingredients or vegetables, especially meat
Repetitive computer mouse utilisation
Lifting heavy materials or even grocery bags
There are a number of ways to treat a tennis elbow. These include certain over-the-counter (OTC) medicines. If those do not work, seek the help of a specialist or physiotherapist. He or she can recommend you the right kind of medicines as well as exercises needed for the recovery.
4164 people found this helpful

Pain In Elbow - Know The Causes and How to Manage It

DNB - Orthopedics, Diploma In Orthopaedics, MBBS Bachelor of Medicine and Bachelor of Surgery, Fellowship In Rheumatology & Joint Dosorder
Orthopedist, Delhi
Pain In Elbow - Know The Causes and How to Manage It
Throwing a ball, lifting something or even eating requires the use of the elbow joint. This is one of the most overused joints in the body and hence is very susceptible to wear and tear, which mostly causes pain. Pain in the elbow could be the result of an issue with the arm muscles, ligaments, tendons, bones or bursae. The treatment for this pain depends largely on the factors causing it. Some of the most common conditions that cause elbow pain are:

Golfer s Elbow
This condition is also known as 'Medial Epicondylitis'. It is caused by an overuse of the elbow muscles and affects the elbow s inner tendons. Resting the elbow, cold packs and the use of over-the-counter pain killers can usually relieve this sort of pain.

Tennis Elbow
This condition is also caused by repetitive actions and affects the elbow s outer tendons. It is also known as lateral epicondylitis. Resting the elbow can help this type of pain. In addition, patients may also need to wear an elbow strap or brace to support the joint. In some cases, physiotherapy may also be needed.

Student s Elbow
This is also commonly known as draftsman s elbow or olecranon bursitis. This condition affects the small fluid sacs or bursae in the elbow. These fluid sacs aid in the movement of the elbow. Leaning on the elbow for a long time, a sharp blow or an infection could be the cause of this condition. It can be treated with medication and elbow pads. In chronic and severe cases, surgery may also be needed.

Fracture or Dislocation
Falling on the elbow can lead to a bone being dislocated or a fracture in the joint. In such cases, the pain will be accompanied by swelling, discoloration and difficulty in moving the elbow. Fractures and dislocated bones need medical attention. Your doctor may advise you to wear a brace or a cast depending on the severity of the issue.

Sprains and Strains
Repeated stress or a trauma can result in a sprained or strained ligament. In such cases, the joint will feel unstable. Pain caused by these ligament conditions can be relieved by resting the elbow, applying a cold pack and wearing a brace to support the elbow. Sometimes, a doctor may also advise physiotherapy.

Panner s Disease
This condition is caused by dislodged pieces of bone and cartilage that could be the result of an injury. Young men are the most affected by it. Resting the joint and abstaining from lifting any weights can help relieve pain caused by Panner s disease. In some cases, physical therapy may also be recommended.

Elbow pain can be tricky to treat. Sometimes, it can just go away with rest or with the application of cold packs or rehabilitation exercises. The most important thing is to be patient and get the treatment process started. Make sure to consult with a doctor before treating any kind of elbow pain. Home remedies are best avoided when it's the elbow at stake.
4154 people found this helpful

Elbow Pain - Symptoms & Treatment

MBBS, MS - Orthopaedics, Hand Surgery Fellowship
Orthopedist, Delhi
Elbow Pain - Symptoms & Treatment
Elbow pain and discomfort can be an outcome of a myriad of reasons. Thus, the symptoms of an elbow pain may differ depending on the factor or the medical condition causing the pain. In most of the cases, an elbow pain restricts the movement of the arm affecting a person's ability to lift things or to hold onto something.

The elbow pain may also be associated with stiffness, and swelling in the elbow joints (often seen in people with Arthritis of the Elbow).
In some, the elbow pain may be such that a person is unable to open a door, straighten the wrist. They face difficulties in even making a fist, (common in people with a Tennis Elbow).
In the case of Cubital Tunnel Syndrome, in addition to the elbow pain, there may be weakened hand grip and muscle wastings. The weakness may also affect the ring finger as well as the little finger. In extreme cases, there may be a claw-like deformity affecting the hand.
In people with the Ulnar Collateral Ligament (UCL) injury, the associated symptoms may include pain mainly concentrated in the inside of the elbow. Further, there may be irritation of the ulnar nerve resulting in numbness in the little as well as the ring finger. The elbow may also appear to be unstable.
Like the UCL injury, the Little League Elbow may cause pain, swelling, and stiffness on the pinky side of the elbow (inside of the elbow).
Diagnosis
To evaluate and determine the exact cause of the elbow pain, a doctor may carry out the following diagnostic tests.

Blood tests: In the case of arthritis, a blood test may help in a more accurate diagnosis.
A doctor may also perform some imaging tests such as
An X-ray of the elbow.
A CT Scan and an MRI to see if there are any damages or injury to the ligaments, cartilages or tendons.
A bone scan may come in handy in the case of stress fractures.
Treatment
The treatment for elbow pain primarily depends on the condition that triggers it.

In the case of arthritis of the elbow which causes pain and inflammation, the use of Nonsteroidal anti-inflammatory drugs (NSAID), analgesics and corticosteroids provide great relief from the associated symptoms.
Many people with elbow stiffness (there is a weakness, with people unable to even bend or straighten the elbow) benefit from physiotherapy which goes a long way to relieve the pain and strengthen the elbow.
PRP (Platelet-rich plasma) injections may be used to treat elbow pain. The blood of the affected person is collected and centrifuged to obtain the platelet-rich plasma. The platelets are then injected into the affected site to speed up the recovery process.
The use of cold compress and painkillers can also help to reduce the pain and the swelling. For better results, follow this with a hot compress.
In extreme cases, a person may need an elbow surgery to treat the diseased condition.
4023 people found this helpful

Tennis Elbow - Who Is At Risk?

MS - Orthopaedics
Orthopedist, Bathinda
Tennis Elbow - Who Is At Risk?
Lateral epicondylitis, which is the medical name for tennis elbow, is a condition wherein the tendon in the upper arm develops a tear due to repeated motions. This is a very painful condition and can make your daily life difficult. It usually tends to affect your dominant arm i.e. the arm that you use the most.

Who does it affect and why does it happen?
As mentioned earlier, tennis elbow occurs due to repetitive similar movements of the elbows, forearms and wrists over a prolonged period. The common name for this condition came due to repeated occurrences with tennis players although it can happen to players of other sports as well as people in other profession too. Some of the people who are most susceptible to this could be from the following fields:

Sporting activities such as squash, tennis, fencing, cricket and many other sports where repeated arms movements are required.
Carpenters
Painters
Musicians playing certain instruments
Typing
Knitting work
Chefs and waiters
Cleaning
Road and construction workers
Symptoms

A slow exacerbation of pain over a period and gradual worsening can be a major symptom.
In certain cases, the pain may manifest suddenly which will make any movement very difficult.
Moving your arm may become very difficult, especially during any up or down movement of the arm.
In some cases, the pain may be experienced only when shaking objects or actions wherein squeezing or hard gripping is required.
Performing daily activities such as a tooth brush, trying to open jars or even trying to use a knife or fork can get extremely difficult.
How it can be treated?
Most treatment methods include keeping the elbow in a resting position and giving it time to heal automatically. However, some medication may also be given to relieve pain and quicken healing. Some of these are mentioned below.

Elbow straps: These fix the elbow in a comfortable position and don t allow it to move helping it heal on its own.
Ice treatment : This is the most common home treatment prescribed to relieve pain. You can use homemade icepacks or even buy gel pack, which can then be held against the area to relieve pain.
Painkillers: Ibuprofen and aspirin can be used to lessen the pain, although it is advisable to consult your doctors first.
Various physical therapies: Physiotherapy, acupuncture or specific doctor recommended exercises could be done to not only relieve pain but also quicken healing and to strengthen the tendons and the muscles of that area.
3981 people found this helpful

Elbow pain - Role Of Exercise Along With Medication

MBBS, DNB - Orthopedics, MNAMS - Orthopaedics
Orthopedist, Pune
Elbow pain - Role Of Exercise Along With Medication
When simple activities like opening the door or lifting a bag of groceries tend to cause pain in the elbow, it can be a cause for concern. Taken for granted, the elbows assist in various movements and when pain limits their movement, it can be very distressful. That is what happened to John who had issues picking up his laptop. Trying to tightly close the water bottle would leave his elbows hurting. When he sought medical help, the doctor helped identify the exact location and cause of pain. What followed was a multi-pronged approach with medication and exercise. In about 3 months, the pain was almost gone and then it improved to a state where there is an absolutely painless movement now.

Most people with elbow pain (or any joint pain for that matter) also experience a reduced range of motion. While as a short-term measure, exercises can definitely reduce the pain and take care of the inflammation, the long-term approach should be to work on the overall health of the joints and bones.

The elbow is hinge joint with bones in between arm and forearm that move with the help of fibrous tendons and ligaments. Elbow pain can be due to the following reasons:

Overuse or repetitive stress injuries (RSI) causing either tennis elbow or golfer s elbow. In either tennis or golf, the elbow joint is repeatedly subjected to a movement that causes strain on that muscle.
An Infection: This could reach the elbow joint from the skin or develop within.
Conditions like rheumatoid arthritis which affect the elbows and have no identified trigger.
Whatever the cause, pain medications provide immediate but temporary relief from pain and improve movement. Long-term requires exercises which will improve circulation, sensation, and restore movement to as close to normal as possible.

The following 4 steps help in managing elbow pain:

Apply heat: A moist, warm towel or pad helps in improving circulation and helps in healing.
Rest: While exercise is necessary for keeping the joints agile, rest after overuse is equally important. This along with heat allows the tissues to recover so they can jump back to optimal functional levels.
Stretching: Repeat stretching for about 10 to 15 minutes 3 to 5 times per day will greatly help in restoring normal elbow movement. Of note, stretching should be done only after the initial pain is gone.
Braces: To provide complete rest to the ligaments, a brace may be used which can also be applied for counter-traction and helps in healing.
Ignoring elbow pain in the early stages can lead to progression, so early intervention is advisable.
3683 people found this helpful

Tennis Elbow - Know The Most Common Causes Of It!

MS - Orthopaedics, MBBS
Orthopedist, Delhi
Tennis Elbow - Know The Most Common Causes Of It!
Tennis elbow is a type of tendinitis. It is usually the swelling of certain ligaments. It causes pain in the elbow as well as the arm. These ligaments are bands of strong and stretchable tissues that connect the muscles of your lower arm to your elbow. In spite of its name, you can in any case get tennis elbow regardless of the possibility that you have never been close to a tennis court. This is merely a name for the condition and has little to do with the sport. It can affect anyone who indulges in a swinging motion.

Any repetitive exercises that require a tight grip, particularly in cases where the thumb and the initial two fingers are used frequently, may cause tennis elbow. Tennis elbow is the most common reason for patients to see their doctors for elbow torment. It can occur in individuals of all ages; however, it is most common and normal at about the age of forty.

This condition is usually caused when there are repeated contractions of the lower arm muscles that you use to raise your hand and wrist as well as to straighten it. The repetitive movements and pressure to the tissue may bring about a series of little tears in the ligaments that connect the lower arm muscles to the hard surface on the outside of the elbow.

Tennis elbow ordinarily occurs after some time. Dull movements such as holding a racket during a swing can strain the muscles and put a lot of weight on the ligaments. That consistent pulling can cause a small amount of tears in the tissue. Tennis elbow may be caused because of the following reasons:

Playing tennis
Playing racquetball
Playing squash
Fencing
Weight lifting or any other stressful exercises involving the muscles
In tennis, the following moves can lead to tennis elbow:

One-handed backstroke with a poor stance or lose hand
A late forehand swing bringing a bend in the wrist altogether
Snapping and turning the wrist while hitting with full power
As the name suggests, playing tennis, particularly repeated use of the backhand stroke with poor strategy, is a conceivable reason for tennis elbow.
However, a number of other basic arm movements can also cause tennis elbow. It can also affect individuals with particular occupations or while performing leisure activities that require heavy arm movements or gripping, for example, the following:

Carpentry
Excessive writing
Painting
Raking
Weaving or knitting
Utilising plumbing devices
Driving screws
Chopping cooking ingredients or vegetables, especially meat
Repetitive computer mouse utilisation
Lifting heavy materials or even grocery bags
There are a number of ways to treat a tennis elbow. These include certain over-the-counter (OTC) medicines. If those do not work, seek the help of a specialist or physiotherapist. He or she can recommend you the right kind of medicines as well as exercises needed for the recovery.
3557 people found this helpful