Tennis Elbow - Treatment, exercise, Cure and surgery for Tennis Elbow

Tennis Elbow is also known as Lateral Epicondylitis.

Tennis Elbow is inflammation of the tendon on the outside of the bony lump at the back of the elbow (olecranon).

Tennis Elbow Causes

Overstraining of the extensor tendon at the outer back of the elbow due to excessive bending and twisting movements of the arm.

In tennis, the injury is more likely if the backhand action is faulty, with excessive wrist action and insufficient follow-through. Being unfit, having a tautly strung racquet, a heavy racquet and wet balls all add to the elbow strain.

This leads to tears of the minute fibers in the tendon, scar tissue forms which is then broken down again by further strains. May also occur in tradesmen who undertake repetitive tasks, housewives, musicians and many others who may put excessive strain on their elbows.

Symptoms of Tennis Elbow

Painful inflammation occurs, which can be constant or may only occur when the elbow is moved or stressed. The whole forearm can ache in some patients, especially when trying to grip or twist with the hand.

Investigations of Tennis Elbow

None usually necessary.

Tennis Elbow Treatment and Cure

Prolonged rest is most important. Exercises to strengthen the elbow and anti-inflammatory drugs may also be used. Cortisone injections may be given in resistant cases.

The strengthening exercises are done under the supervision of a physiotherapist and involve using the wrist to raise and lower a weight with the palm facing down. Some patients find pressure pads over the tendon, or elbow guards (elastic tubes around the elbow) help relieve the symptoms and prevent recurrences by adding extra support.

Complications: Not easy to treat and can easily become chronic.

Prognosis: No matter what form of treatment is used, most cases seem to last for about 18 months and then settle spontaneously.

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