Tennis elbow is commonly a degenerative condition of the tendon on the outside of the elbow. It is also known as ‘lateral epicondylitis’.
Extensor Carpi Radialis (ECRB) tendon is most commonly affected in Tennis elbow. The cause for precipitation is repetitive strain. This tendon plays an active role when extending the wrist joint and is also active when gripping with the wrist extended (as in tennis). Any activity that twists the forearm and extends the wrist can lead to strain on the tendon origins resulting in tennis elbow.
Pain is presented generally on the outside of elbow. Pain is also present when the wrist or hand is straightened (wrist extension) or on lifting.
Pain is typically localised over the bony bump on the outside of the elbow (lateral epicondyle) and may extend down to the hand. This area is usually very painful to touch.
The type and duration of the treatment depends on the severity of the tennis elbow –
Elimination of the activities that cause the pain (tennis, golf, Gym), Pain killers medications relieve the pain and Orthosis to limit the strain on the ECRB tendon.
Physiotherapy focussed on the eccentric exercises of the forearm helps in most cases. Injections can also be used. I advocate to avoid steroid injections if possible, as they have a risk of detrimental overall effect on the tendon.
A more recent technique of use of Platelet Rich Plasma (PRP) injections have shown to be more effective than steroid injections. Surgery is advocated for very severe cases and those that fail to improve after injections therapy. This surgery is usually performed as day case surgery and is performed arthroscopically (Arthroscopic Tennis Elbow Release).
Dr Tawari is one of best trained elbow surgeon in Mumbai, India. He has trained in the UK with the best Shoulder & Elbow Surgeons and has consultant experience from the UK in treating Upper limb (Shoulder, Elbow & Hand) and sports Injuries. He is also an accomplished arthroscopy surgeon in Mumbai.
Dr Tawari offers a comprehensive evaluation, diagnosis and treatment of Tennis elbow and other elbow conditions, and routinely undertakes the arthroscopic tennis elbow release.
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To prevent tennis elbow from reoccurring, it is important to make sure the muscles are kept strong by exercise, warming up before starting to use the muscle may also help to prevent the condition.