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Ear Elbow Tips

TENNIS ELBOW

Dr. N C Gupta 91% (16211 ratings)
MBBS, MS - Orthopaedics
Orthopedist, Delhi
TENNIS ELBOW
(Syn. Lateral, Epicondylitis)
Technically Tennis Elbow is a misnomer, since most often it occurs in non tennis players. Less than 5% of patients of tennis elbow play tennis (Ludwig Ombregt et al)
Tennis elbow is a clinical condition where patient feels pain on the outer side of elbow while attempting to lift any object with palm facing downwards but the same act can be done with the palm facing upwards. Pain is also produced in any rotatory movement at the wrist e.g. opening a tap or wringing the clothes.
This is due to the internal swelling (inflammation) on the outside (Lateral Side) of the lower end of arm bone (Humerus, Lateral Epicondyle). It is at this place that all the muscles of the fore arm that lift the wrist upwards (Common Extensors) are attached. Any attempt to move these muscles cause pain.
Tennis Elbow is usually caused by a direct hit on the lateral epicondyle. Other diseases like Koch’s or metastatic deposits should be ruled out. Sometimes Cervical Spondylosis may present as tennis elbow. It is more common in diabetic and obese people.
Treatment is simple.
Diabetes must be ruled out and controlled.
Avoid painful acts and activities.
Fomentation with warm water or paraffin wax bath helps.
Pressure bandage during the day gives relief; it should be avoided at night as it can cause swelling of the fore arm.
Non steroid, anti inflammatory drugs (NSAIDS) have a definite role to play in the management of tennis elbow they take away pain and swelling at the common extensor origin. There is effect is potentiated by anti oxidants like omega three fatty acids, methyl, cobalamine and other vitamin supplements.
1 person found this helpful

Pulled Elbow

Dr. N C Gupta 91% (16211 ratings)
MBBS, MS - Orthopaedics
Orthopedist, Delhi
Pulled Elbow
(syn. Subluxation of superior/inferior radio ulnar joint)
This is a painful condition of the elbow affecting children below the age of 5 years. It is caused by a pull on the arm with the forearm in a state of internal rotation. It is not the fall but the prevention of fall that causes the problem. Usually it occurs when the mother pulls the child by arm to put him on the other side while turning in bed. Sometimes when the child has a tendency to fall from the bed he, holds the bed sheet to prevent the fall, the whole body weight gives the momentum to internal rotation at the elbow joint and the upper/lower radio ulnar joint is partly dislocated.
It is a very painful condition the affected limb appears to be paralyzed
It is an orthopaedic emergency and the child should be taken to an orthopaedic surgeon or to the casualty department of a hospital immediately.
The x-ray usually does not show any abnormality.
Reduction of the joint displacement is easy. A cuff and collar sling is usually adequate.
If the condition becomes recurrent, a plaster may have to be applied for 2-3 weeks.
No medicine is required.
A chocolate is usually sufficient to bring a smile on the face of the child and parents.

Pain Of Elbow

Dr. Mukesh Vyas 90% (603 ratings)
BPTh/BPT
Physiotherapist, Pune
Pain Of Elbow

All tennis elbow and golfer’s elbow are both injuries to the elbow joint that are caused due to overuse. Technically, they are both considered to be forms of epicondylitis. This refers to an inflammation of the tendons attached to the elbow. Another similarity between them is that they are not restricted to athletes. However, they are not synonymous. The main difference between the two conditions lies in the part of the elbow that is affected.

Tennis elbow:
This condition is also known as lateral epicondylitis. It is most commonly diagnosed amongst patients between the age of 30 to 50 years. The tendons affected by this condition are located on the lateral or outer side of the elbow. Thus, it is marked by inflammation of the outer areas of the forearm and elbow due to repetitive actions by the wrist and forearm. The condition is commonly known as tennis elbow because a forehand or backhand stroke exerts the muscles that cause this inflammation. Cooks, carpenters, plumbers and painters are most susceptible to this condition. Seasonal activities such as gardening or raking can also trigger tennis elbow.

Symptoms of tennis elbow:
A pain that radiates from the outer elbow to the wrist and forearm is a characteristic symptom of this condition. This pain may be felt as a constant ache or only experienced while performing certain activities. In addition, the forearm might feel weak and patients may complain of having a weak grip.

Golfer’s elbow:
Golfer’s elbow is also known as medial epicondylitis. This condition affects the tendons on the medial or inside of the elbow. It is characterized by pain and irritation on the inside elbow and arm. Any action that requires repetitive flexing and twisting of the wrist can cause this condition. Thus, golfers are at a high risk of suffering from it. Medial epicondylitis can also be caused by shovelling, gardening or throwing a ball. Carpenters, weightlifters and painters often find themselves experiencing pain associated with this condition.

Symptoms of golfer’s elbow:
A pain on the inner side of the elbow is the main symptom associated with golfer’s elbow. This pain usually radiates downwards to the forearm. It may be experienced when lifting the hand or when twisting the forearm, such as when making a fist. The elbow may also be slightly swollen and feel tender. In addition, patients may experience a tingling sensation in the ring and little finger. If left untreated for a long time, it could cause elbow stiffness as well as weakness in the wrist.

Tennis Elbow

Dr. Kulwinder Singh Shah 88% (28 ratings)
DNB, MBBS, Fellowship in Joint Replacement
Orthopedist, Zirakpur
Tennis  Elbow

Tennis Elbow (Lateral Epicondylitis)

Anyone can get tennis elbow if they have the risk factors but common age group is 30 to 60.In racquet sports like tennis, improper stroke technique and improper equipment may be risk factors.Tennis Elbow can also occur without any recognized repetitive injury. This occurence is called "insidious" or of an unknown cause.

Symptoms

The symptoms of tennis elbow develop gradually. In most cases, the pain begins as mild and slowly worsens over weeks and months. There is usually no specific injury associated with the start of symptoms.

Common signs and symptoms of tennis elbow include:

  • Pain or burning on the outer part of your elbow
  • Weak grip strength
  • The symptoms are often worsened with forearm activity, such as holding a racquet, turning a wrench, or shaking hands. Your dominant arm is most often affected; however both arms can be affected.
3 people found this helpful

Tennis Elbow

Dr. Prof.M.Anand 90% (157 ratings)
T.M.M.F, pain management, T.M.M.F.,
Physiotherapist, Madurai
Tennis Elbow

Tennis elbow is a broad umbrella which includes, injury to radial nerve/lateral ligament /trigger points/lateral epicondylitis. Manual physiotherapy gives permanent cure.

Tennis Elbow

Dr. Kanika Goel 88% (277 ratings)
MPT - Orthopedic Physiotherapy
Physiotherapist, Delhi
Tennis Elbow

Tennis elbow is caused by a strain to the tendons in your forearm. You may feel pain in your arm and tenderness in your elbow.Try the exercises suggested here to help ease pain and prevent future symptoms. 

Tennis elbow treatment: Treatment involves reducing symptoms of pain and inflammation through rest and applying ice or cold therapy, then gradually increasing the load through the elbow through exercises to a point where normal training and competition can be resumed.Ice & compression - In the first 72 hours post injury, you should apply the principles of P.R.I.C.E. (Protection, Rest, Ice, Compression and Elevation). 

Apply a cold compression wrap for no more than 15 minutes as the injured tissues are very close to the skin and do not need longer.Protection - Wear a specialist elbow brace or support can help reduce the strain on the tendon enabling healing to take place. This works by applying compression around the upper arm which puts pressure on the injured tendon, changing the way forces are transmitted through it allowing the injured tissues to rest.

Rest - This is probably the most impotant part of treatment and is often difficult to do. If you continue to use the painful elbow then it will not recover as quickly and may become chronic and very difficult to treat. Avoid gripping heavy things, opening heavy doors, using a screw driver and of course playing a backhand in tennis.

Sports massage can be a useful treatment for tennis elbow, particularly more chronic conditions. In particular cross friction massage of the tendon insertion but only once the initial inflammation has settled (after 5 day) is done. Place the 2nd finger of your opposite hand on the outside of the elbow and rub across the tendon (painful area) for 5 minutes. Do not press too hard but there may be some mild pain whilst having the area 'frictioned'. Repeat once a day. Do not carry on with this exercise if the pain worsens after the treatment.

A professional therapist or doctor may prescribe medication such as Ibuprofen to help reduce symptoms in the early stages, however the effectiveness of this long term is disputed. In addition electrotherapy such as ultrasound, laser, extracorporeal shock wave therapy, acupuncture, corticosteroid injections, nitric oxide donor therapy patches, botox injections and autologogous blood injection are all treatments available for treating medial epicondylitis.Read more on these and tennis elbow treatments.

Exercises: Both stretching and strengthening exercises are important and provide the foundation of a rehabilitation program. The exercises should be performed as soon as pain allows and then continued until and after full fitness has been achieved.Wrist extension stretches and exercises are the most important with the aim of gradually increasing the load transmitted through the tendon and its attachment whilst also being within the limits of pain. Isometric (also known as static exercises) are done first and involve contracting the muscles without actually moving the wrist. They should only be started once the initial pain and inflammation has settled down.

Tennis Elbow vs. Golfer's Elbow: Causes and Symptoms You Must Not Ignore!

Dr. Shantanu Kundgir 92% (96 ratings)
MBBS, D.Ortho, FCPS
Orthopedist, Mumbai
Tennis Elbow vs. Golfer's Elbow: Causes and Symptoms You Must Not Ignore!

Tennis elbow and golfer’s elbow are both injuries to the elbow joint that are caused due to overuse. Technically, they are both considered to be forms of epicondylitis. This refers to an inflammation of the tendons attached to the elbow. Another similarity between them is that they are not restricted to athletes. However, they are not synonymous. The main difference between the two conditions lies in the part of the elbow that is affected.

Tennis elbow
This condition is also known as lateral epicondylitis. It is most commonly diagnosed amongst patients between the age of 30 to 50 years. The tendons affected by this condition are located on the lateral or outer side of the elbow. Thus, it is marked by inflammation of the outer areas of the forearm and elbow due to repetitive actions by the wrist and forearm. The condition is commonly known as tennis elbow because a forehand or backhand stroke exerts the muscles that cause this inflammation. Cooks, carpenters, plumbers and painters are most susceptible to this condition. Seasonal activities such as gardening or raking can also trigger tennis elbow.

Symptoms of tennis elbow
A pain that radiates from the outer elbow to the wrist and forearm is a characteristic symptom of this condition. This pain may be felt as a constant ache or only experienced while performing certain activities. In addition, the forearm might feel weak and patients may complain of having a weak grip.

Golfer’s elbow
Golfer’s elbow is also known as medial epicondylitis. This condition affects the tendons on the medial or inside of the elbow. It is characterized by pain and irritation on the inside elbow and arm. Any action that requires repetitive flexing and twisting of the wrist can cause this condition. Thus, golfers are at a high risk of suffering from it. Medial epicondylitis can also be caused by shovelling, gardening or throwing a ball. Carpenters, weightlifters and painters often find themselves experiencing pain associated with this condition.

Symptoms of golfer’s elbow
A pain on the inner side of the elbow is the main symptom associated with golfer’s elbow. This pain usually radiates downwards to the forearm. It may be experienced when lifting the hand or when twisting the forearm, such as when making a fist. The elbow may also be slightly swollen and feel tender. In addition, patients may experience a tingling sensation in the ring and little finger. If left untreated for a long time, it could cause elbow stiffness as well as weakness in the wrist.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2447 people found this helpful

Tennis Elbow - Who Is At Risk?

Dr. Nitin Bansal 85% (11 ratings)
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:

  1. Sporting activities such as squash, tennis, fencing, cricket and many other sports where repeated arms movements are required.
  2. Carpenters
  3. Painters
  4. Musicians playing certain instruments
  5. Typing
  6. Knitting work
  7. Chefs and waiters
  8. Cleaning
  9. Road and construction workers

Symptoms

  1. A slow exacerbation of pain over a period and gradual worsening can be a major symptom.
  2. In certain cases, the pain may manifest suddenly which will make any movement very difficult.
  3. Moving your arm may become very difficult, especially during any up or down movement of the arm.
  4. In some cases, the pain may be experienced only when shaking objects or actions wherein squeezing or hard gripping is required.
  5. 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.

  1. Elbow straps: These fix the elbow in a comfortable position and don’t allow it to move helping it heal on its own.
  2. 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.
  3. Painkillers: Ibuprofen and aspirin can be used to lessen the pain, although it is advisable to consult your doctors first.
  4. 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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3981 people found this helpful

Elbow Pain - Know The Causes!

Dr. Vikas Gupta 89% (18 ratings)
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:

  1. Ulnar-Collateral Ligament or the Medial Collateral Ligament.
  2. Lateral Collateral Ligament or the Radial Collateral Ligament.
  3. 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:

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4468 people found this helpful

Tennis Elbow: How Does it Affect and Why Does it Happen?

Dr. Sameer Desai 87% (10 ratings)
MBBS, MS - Orthopaedics, DNB - Orthopaedics
Orthopedist, Pune
Tennis Elbow: How Does it Affect and Why Does it Happen?

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:

  1. Sporting activities such as squash, tennis, fencing, cricket and many other sports where repeated arms movements are required.
  2. Carpenters
  3. Painters
  4. Musicians playing certain instruments
  5. Typing
  6. Knitting work
  7. Chefs and waiters
  8. Cleaning
  9. Road and construction workers

Symptoms

  1. A slow exacerbation of pain over a period and gradual worsening can be a major symptom.
  2. In certain cases, the pain may manifest suddenly which will make any movement very difficult.
  3. Moving your arm may become very difficult, especially during any up or down movement of the arm.
  4. In some cases, the pain may be experienced only when shaking objects or actions wherein squeezing or hard gripping is required.
  5. 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.

  1. Elbow straps: These fix the elbow in a comfortable position and don’t allow it to move helping it heal on its own.
  2. 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.
  3. Painkillers: Ibuprofen and aspirin can be used to lessen the pain, although it is advisable to consult your doctors first.
  4. 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.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2271 people found this helpful
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