Tennis Elbow, medically known as Lateral Epicondylitis, is a condition characterized by pain and tenderness on the outer aspect of the elbow, specifically at the lateral epicondyle of the humerus. It occurs due to inflammation, microtears, or degeneration of the extensor muscles of the forearm, particularly the Extensor Carpi Radialis Brevis (ECRB) tendon, at their origin. Despite the name, this condition is not limited to tennis players and can affect anyone engaging in repetitive wrist extension, gripping, or forearm activities.
Causes and Risk Factors
- Repetitive movements such as lifting, typing, painting, or using tools.
- Sports involving racquet use or repetitive arm motions.
- Occupational activities requiring frequent forearm and wrist use.
- Improper technique in sports or physical tasks.
Symptoms
- Pain or burning sensation on the outer elbow that may radiate down the forearm.
- Weak grip strength.
- Discomfort exacerbated by activities like shaking hands, lifting objects, or twisting motions.
Physiotherapy Management
Our physiotherapy approach aims to alleviate pain, promote healing, and restore function. Treatment may include:
- Pain Relief Modalities: Application of ice, ultrasound therapy, or TENS to manage pain and inflammation.
- Manual Therapy: Soft tissue mobilization and joint manipulations to relieve tension and improve mobility.
- Exercise Therapy: Eccentric strengthening and stretching of the forearm extensor muscles.
- Ergonomic Advice: Modifications to workplace or sports techniques to prevent recurrence.
- Bracing: Use of counterforce braces to offload stress from the affected tendons.
- Education: Guidance on activity modification and gradual return to activities.
Goals of Physiotherapy
- Reduce pain and inflammation.
- Improve forearm strength and flexibility.
- Enhance functional use of the arm in daily and sports activities.
- Prevent recurrence through proper technique and conditioning.