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Overview

Tennis Elbow - Symptom, Treatment And Causes

What is Tennis Elbow?

Lateral epicondylitis or as it is commonly called tennis elbow is a condition by which the outer part of the elbow becomes tender and sore. It affects the part of the elbow known as lateral epicondyle. This happens because of repetitive overuse of the tendons and muscles of the forearm.

Tennis elbow leads to tenderness and pain on the site of the illness.Any activity, which also involves playing tennis that involves repetitive use of the extensor muscles of the forearm can cause chronic tendonitis at the lateral epicondyle of the elbow. This condition is also very common among laborers who swings hammer, and carpenters, which affects the medial epicondyle on the inside part of the elbow. Also sometimes known as lawn-tennis elbow and washer women’s elbow, continued activity after onset of the condition can lead excruciating pain which is only treatable via surgery. So mandatory rest is advised by doctors once you are diagnosed of this disease.

Medication and Diagnosis :

For people who are keen to know more about the non-invasive therapeutic treatments of tennis elbow, occupational therapy or physical therapy, which employ stretching-exercises, massage techniques, moist heat and ice pack therapy and use of low wave ultrasound can alleviate the pain factor of this disease.Sometimes anti-inflammatory medications are prescribed to the tennis elbow patients, if the disease has been diagnosed at an early stage. Doctors also prescribe the patients suffering from this disease to wear an elbow brace for four to six weeks.

Many patients suffering from tennis elbow have also found relief from this condition by undergoing acupuncture therapy. In general acupuncture therapy is done for two days a week for a period of one month. Medical practitioners even prescribe the use of corticosteroid injections for alleviating the pain when someone is suffering from this malady. For diagnosis of this disease, doctors performs a battery of tests, during which the physician places pressure on the affected area, while asking the patient to move the arm. X-ray is also done to at times to eliminate other causes of pain, such as fracture or arthritis.

However medical ultrasonography and MRI are the best diagnostic tools for determining this disease. Athletes who are affected with tennis elbow, should continue to work out in a smart and effective manner. Sport’s doctors often helps the athletes not only to be aware of their body, but also prescribe cross training adjustments to their exercise regime, to add diversity and avoid further injuries.

Treatable by medical professional Require medical diagnosis Lab test sometimes required Short-term: resolves within days to weeks Non communicable
Symptoms
Pain in elbow or muscles Swelling in elbow or muscles

Popular Health Tips

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

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?

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

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:

  1. 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.

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

  3. 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.

  4. 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.

  5. 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. Consult an Expert & get answers to your questions!

4730 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:

  1. Try to stay in good shape physically.
  2. Use proper technique when you are carrying out any activity that involves the elbow.
  3. Avoid overstressing the elbow joint with repetitive movements as it can cause injury to the tendon.
  4. The muscles of the shoulder, arm and the upper back should be strengthened to prevent tennis elbow.
  5. 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. If you wish to discuss about any specific problem, you can consult an Orthopedist.
4534 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:

  1. Playing tennis
  2. Playing racquetball
  3. Playing squash
  4. Fencing
  5. Weight lifting or any other stressful exercises involving the muscles

In tennis, the following moves can lead to tennis elbow:

  1. One-handed back stroke with a poor stance or lose hand
  2. A late forehand swing bringing a bend in the wrist altogether
  3. Snapping and turning the wrist while hitting with full power
  4. 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:

  1. Carpentry
  2. Excessive writing
  3. Painting
  4. Raking
  5. Weaving or knitting
  6. Utilising plumbing devices
  7. Driving screws
  8. Chopping cooking ingredients or vegetables, especially meat
  9. Repetitive computer mouse utilisation
  10. 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 Orthopaedist. He or she can recommend you the right kind of medicines as well as exercises needed for the recovery.

4164 people found this helpful

Popular Questions & Answers

Recently from 3-4 months I got olecranon bursitis. I believe it occurred due to my desk when I put my elbow. What will be best treatment for it. please suggest Thanks.

ms orthopaedics, mbbs
Orthopedist, Noida
1. Avoid placing elbow over table or against rough surfaces. 2. Apply ice packs locally. 3. Medications like Enzomac and Tendocare will help. 4. Intralesional steroid injection offer great help if the problem is recurring.

What is the best medicine for tennis elbow, its confirmed by my doctor but they have different operation on same say relax same say do routine work. Hot & cold size is also suggests So what is medicine for it,

ms orthopaedics, mbbs
Orthopedist, Noida
1. Hot water compression. 2. Ultrasound/ Laser therapy for lateral epicondylitis. 3. Medications like Enzomac, Tendocare will help. 4. Tennis elbow band can be worn. Rest to elbow for 3-4 weeks is the mainstay of treatment. Intralesional steroid injection offer great help.
3 people found this helpful

I have pain in my elbow may be tennis elbow. I ask so many time but no doctor suggest any tablet. All are suggest ice ,pain relief ointment or physiotherapy please suggests any medicine. Ice pain relief ointment, braces on elbow I all try. Please suggest specific tablets for elbow pain. There is no fracture in x-ray. Please help me.

MBBS, D'Ortho, DNB (Orthopedics)
Orthopedist, Mumbai
Hi lybrate-user if you have tennis elbow and no relief with ice, rest, anti-inflammatory or brace then you may require steriod injection or release but before tht make sure you worn brace properly becoz most of time brace provide good relief.

I have pain on my right hand shoulder to elbow & also tennis elbow problem for nearly 3 months. I do physiotherapy and at times it aggravates the pain. I cannot sleep on my right side or bring my right hand to my back. Now the pain is radiating towards the neck. Kindly suggest me some way out. Thank you

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
It's rotator cuff problem most likely. Get mri of shoulder if you want to confirm diagnosis. Visit a shoulder specialist or consult me privately.

tennis elbow. Pain in left elbow at the time of lifting some weight. Pain also while twisting a cap or knob.

BHMS, Diploma in Dermatology
Homeopath, Hyderabad
Sit in a chair holding a 2-pound dumbbell in your hand with your palm facing up and elbow resting comfortably on your knee. Keeping your palm facing up, flex your wrist by curling it towards your body. Return to starting position and repeat 10 times on each side.
1 person found this helpful

Table of Content

What is Tennis Elbow?

Medication and Diagnosis :

Play video
Sports Injuries - Causes & Treatment!
Hi!

I am Dr. Shrish Dutt Mishra. I am a senior orthopedic surgeon, sports injury specialist. And I am attached with Indraprastha Apollo Hospitals, New Delhi and also functioned from my center Southend Orthopaedic Centre for sports injury in Greater Kailash Part-2, New Delhi. So, today we are going to talk about sports injury. Again this part of the orthopedics is not elaborately understood and in terms of evaluation of the injury. The causes of injuries and the treatment of the injury. Not all sports injuries require a treatment and surgery. Most of the injuries are treated consecutively. They are treated starting from the first evaluation of the injury. Each sport has certain bio-mechanics. Like in football the anterior crucial ligament injury is very common. It is because that the dynamics of the sport, player and how the game goes about it. Similarly, in all the swing sport it is the shoulder, elbow, wrist injuries are very common. But the causes of these injuries are very very different.

Whenever you are treating sports injuries, the treatment of a professional sportsperson and a ledger sports person, club level sportsperson is very different. The causes, evaluation and the treatment are very different. To put it in very small terms, professionally these are the over injuries. The club level player, it is the poor conditioning and the poor technique which contribute to the injuries. So, I always said that the sports injuries are dynamic injuries. Unless you correct the dynamics, the injuries going to recur, eventually become a chronic recurrent injury and unable to the conservative treatment and the frustration of the player comes in. So, the first time the injury has to be handled where the doctor knows the dynamics of your sport.

What I mean the dynamics of sports is how you play that game. Every swing has certain mechanics attached. if those mechanics are not rightly followed, leads vague concentration of energy to a particular point. Like tennis elbow, shoulder pains, wrist pains, ligament injuries, these are very common injuries. I am personally myself sportsperson. I have played the majority of the sports. Right now I am a very low handicap golf player. So, when I handle golf injuries, it is entirely a different scenario. Fortunately, I am also attached with cricket. Right now I and my team are handling Afghanistan International Team. Where we take care of the evaluation of the players and prediction of the injuries. So, friends the bottom line in this short video is that whenever there is any pain following your sports or the pain happening during the sports or after the sports, you can obviously wait for 5-6 days, put an ice, put an anti-inflammatory gel and rest to the part. And if it becomes OK, that's Ok.

it can happen to anybody. What if your pain is persisting, if you are unable to play, please do not push yourself beyond a certain limit because that is where your injury gives it too much. Consult a sports injury specialist. He will help you with right evaluation and treatment of that injury. Point of this talk was to enlighten that remember all sports are associated with injury. There is nothing to be afraid of. Play any sport. Functionality is the prime thing of the life. So, play all the sports. Injuries do happen but if they are treated well, they are cured and you play a better sport.

Thank you very much.
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