tennis elbow

The lateral epicondyle of the humerus is a common origin point for the forearm extensors. The tendons of the forearm extensors are often considered in combination as the extensor tendon. 

"Tennis elbow" refers to lateral epicondylitis, and is a condition in which the common extensor tendon has microtears or is inflamed, often resulting from overuse. This condition is named after its prevalence in tennis athletes, who repetitively and forcefully contract the extensor muscles during tennis. However, this condition is not exclusive to tennis players, and can occur in other scenarios as well.

symptoms

  • Pain or burning sensations
  • Weakness (or pain) during the following movements
    • Shaking hands
    • Gripping or holding objects
    • Forearm supination (ex. turning a doorknob)
  • Tenderness on the lateral side (outside) of the elbow

causes

  • Overuse of the extensor muscles of the forearm
    • Especially extensor carpi radialis brevis (ECRB)
  • Occupations with increased prevalence of Tennis elbow::
    • Painters
    • Tennis players
    • Carpenters
    • Plumbers

treatment

  • Rest
  • Ice
  • Elbow brace
  • Physiotherapy
    • Shockwave therapy is an especially useful treatment modality

How does physiotherapy help?

Different physiotherapy modalities can be used to help treat symptoms and aid recovery. Specific stretches and exercises are incorporated into a customized treatment plan to help strengthen surrounding musculature. Strengthening other extensor muscles will relieve the amount of force required from the inflamed extensor muscle (often ECRB), to allow for improved healing and recovery. Additionally, electrical stimulation (IMS; intramuscular stimulation), ultrasound, and/or heat/ice can help decrease swelling, improve pain, and aid recovery. For more information on these modalities and how they work, click here.

*Shockwave therapy is a particularly helpful option for individuals with Tennis Elbow. This is because shockwaves aggravate the injured tissues which promotes natural healing processes of the body. This helps with enhancing recovery and reducing pain. For more information of the mechanism behind the effectiveness of shockwave therapy, click here or visit ​www.shockwavetherapyvancouver.ca.