Tennis Elbow

Tennis Elbow & Golfer’s Elbow

Tennis elbow (lateral epicondylitis) and golfers elbow (medial epicondylitis) are issues that effect a large percentage of the population whether they are active or not.

The most Common causes of this injury believe it or not is an increase in tennis and golf, however, it can be caused by manual labour, repetitive desk work, DIY or gardening. Tennis elbow effects the tendons on the outside of the elbow, where as golfers elbow effects the tendons on the inside of the elbow.

What is tennis and golfers elbow?

It is characterised by pain on the outside of the elbow and is often caused by repetitive movements of the wrist and elbow. Why the wrist and elbow? Because the muscles used cross both the elbow and the wrist joints. As a result the stretching action of the muscle pulls on the tendons that attach at the elbow, eventually resulting in micro-tears of the tendon.

Symptoms of Tennis Elbow

Symptoms for tennis and golfers elbow include but are not limited to:

  • Pain on the outer or inner part of the elbow
  • Pinpoint tenderness on the outside or inside of the elbow
  • Pain picking up a kettle or turning a door handle
  • Pain with gripping and twisting the wrist
  • Stiffness in the morning, and pain after activity

Treatment for Tennis Elbow

Tennis and golfers elbow are usually caused by a sudden increase in repetitive activities, so it can be resolved quickly with rest and soft tissue techniques. However, often the injury is left untreated and turns into a chronic tendinopathy, which often takes longer to resolve. We will use manual therapy techniques such as soft tissue massage, myofascial release, dry needling and joint manipulation to try and improve the function of the elbow and decrease

soft tissue tightness. An exercise plan and take home advice will also be provided to enable you to get on top of your injury and prevent re-occurrence.

On occasion manual therapy isn’t always successful, usually in tendons that are left untreated for a period of time. Treatment is usually non-operative, however a small proportion require surgery, which is discussed and referred with your practitioner.

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