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Tennis Elbow

Treating Tennis Elbow: What You Need To Know

Dr.Smita Gulati

Dr.Smita Gulati

Tennis elbow, medically known as lateral epicondylitis, is a common overuse injury affecting the tendons in the outer part of the elbow. Despite its name, tennis elbow can occur in anyone who engages in repetitive arm movements, not just tennis players. Even though severe cases may call for surgery, many people can find relief with non-surgical therapy. In this article, we’ll explore the various non-surgical treatment options available for tennis elbow, providing insights into what you need to know to effectively manage and alleviate symptoms.

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Understanding Tennis Elbow:

Tennis elbow typically develops gradually over time due to repetitive stress on the tendons that attach to the lateral epicondyle, a bony prominence on the outside of the elbow. Tennis elbow can develop as a result of repetitive lifting, painting, gardening, tennis, typing, and other activities. The condition is characterized by pain and tenderness on the outer side of the elbow, which may radiate down the forearm and worsen with gripping or lifting objects.

Rest and Activity Modification:

The first step in treating tennis elbow is to rest the affected arm and avoid activities that exacerbate symptoms. This may involve temporarily modifying or avoiding repetitive movements that strain the tendons, such as gripping, lifting heavy objects, or using tools that vibrate. Rest allows the injured tendons to heal and reduces further irritation, helping to alleviate pain and promote recovery.

Ice Therapy:

Applying ice to the affected area can help reduce inflammation, swelling, and pain associated with tennis elbow. Ice therapy can be performed by applying a cold pack or ice wrapped in a cloth to the elbow for 15-20 minutes several times a day. It’s important to avoid applying ice directly to the skin to prevent ice burns and to use a barrier such as a cloth or towel.

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs):

Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin) or naproxen (Aleve) can help reduce pain and inflammation associated with tennis elbow. These medications work by inhibiting the production of prostaglandins, chemicals that promote inflammation and pain. It’s essential to follow the recommended dosage and precautions when taking NSAIDs, as prolonged or excessive use can lead to side effects such as gastrointestinal irritation and kidney damage.

Bracing or Splinting:

Wearing a brace or splint can provide support and stability to the affected elbow, reducing strain on the injured tendons and alleviating pain. A tennis elbow brace, also known as a counterforce brace, is worn around the forearm just below the elbow and helps distribute forces away from the injured tendons. Splints may be worn during activities that aggravate symptoms or during periods of rest to provide immobilization and support.

Physical Therapy:

Physical therapy is a cornerstone of treatment for tennis elbow, focusing on strengthening and stretching exercises to improve flexibility, range of motion, and muscle strength in the forearm and elbow. A physical therapist can design a personalized exercise program tailored to the individual’s needs and goals, incorporating techniques such as eccentric strengthening, massage, ultrasound therapy, and manual therapy to promote healing and recovery.

Extracorporeal Shock Wave Therapy

Extracorporeal Shock Wave Therapy (ESWT) is a non-invasive treatment that uses high-energy shock waves to stimulate the body’s natural healing response and promote tissue regeneration. It is commonly used to treat conditions such as tennis elbow, plantar fasciitis, and calcific tendonitis. During ESWT, shock waves are delivered to the affected area, breaking up scar tissue, increasing blood flow, and reducing pain and inflammation. ESWT is typically performed on an outpatient basis and may require multiple sessions for optimal results. It offers a safe and effective alternative for individuals seeking non-surgical treatment options for various musculoskeletal conditions.

Corticosteroid Injections:

Corticosteroid injections may be recommended for individuals with severe or persistent symptoms of tennis elbow who do not respond to conservative treatments. These injections deliver powerful anti-inflammatory medication directly to the affected area, providing rapid relief of pain and inflammation. However, corticosteroid injections are not without risks and may cause side effects such as temporary pain at the injection site, skin discoloration, or tendon weakening with repeated use.

Extracorporeal Shock Wave Therapy (ESWT):

Extracorporeal shock wave therapy (ESWT) is a non-invasive treatment option that uses high-energy shock waves to stimulate the body’s natural healing response and promote tissue regeneration. ESWT has been shown to be effective in reducing pain and improving function in individuals with tennis elbow, particularly those who have not responded to other conservative treatments. The procedure is typically performed on an outpatient basis and may require multiple sessions for optimal results.

Platelet-Rich Plasma (PRP) Therapy:

Platelet-rich plasma (PRP) therapy is a regenerative treatment that involves injecting concentrated platelets from the patient’s own blood into the injured tendon to promote healing and tissue repair. PRP therapy has shown promising results in the treatment of tennis elbow, with studies demonstrating improvements in pain, function, and quality of life. While more research is needed to fully understand the long-term benefits of PRP therapy for tennis elbow, it offers a promising alternative for individuals seeking non-surgical treatment options.

Conclusion:

Tennis elbow can be a debilitating condition that affects daily activities and quality of life. Fortunately, many individuals can find relief through non-surgical treatment options aimed at reducing pain, and inflammation, and promoting healing of the injured tendons. By incorporating rest, ice therapy, NSAIDs, bracing, physical therapy, and other conservative measures, individuals with tennis elbow can effectively manage symptoms and prevent recurrence. It’s essential to work closely with a healthcare professional, such as a general physician or orthopedic specialist, to develop a comprehensive treatment plan tailored to your specific needs and goals. With the right approach, most individuals can successfully recover from tennis elbow and return to their normal activities pain-free.

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