Tennis Elbow

Tennis Elbow? Arise Motion Furniture can help….

Tennis elbow diagram for adjustable beds chairsTennis elbow is an overuse injury occurring in the lateral side of the elbow region, but more specifically it occurs at the common extensor tendon that originates from the lateral epicondyle. The acute pain that a person might feel occurs when they fully extend their arm.

In one study, data were collected from 113 patients who had tennis elbow, and the main factor common to them all was overexertion. Sports persons as well as those who used the same repetitive motion for many years, especially in their profession, suffered from tennis elbow. It was also common in individuals who performed motions they were unaccustomed to. In the same study, it was mentioned that the majority of patients suffered tennis elbow in their right arms.

Signs and symptoms

  • Pain on the outer part of the elbow (lateral epicondyle)
  • Point tenderness over the lateral epicondyle—a prominent part of the bone on the outside of the elbow
  • Pain from gripping and movements of the wrist, especially wrist extension[citation needed] and lifting movements
  • Pain from activities that use the muscles that extend[citation needed] the wrist (e.g., pouring a container of liquid, lifting with the palm down)
  • Morning stiffness

Treatment

Evidence for the treatment of lateral epicondylitis before 2010 was poor. There were clinical trials addressing many proposed treatments, but the quality of the trials was poor.

A 2009 study looked at using eccentric exercise with a rubber bar in addition to standard treatment, the trial was stopped after 8 weeks because the improvement using the bar for therapy was so significant. Based on small sample size, and only a 7 week follow-up from commencement of treatment, the study shows short term improvements; long term results are yet to be determined.

In some cases, severity of tennis elbow symptoms mend without any treatment within six to twenty-four months. However, Tennis elbow left untreated can lead to chronic pain that degrades quality of daily living.

There are several recommendations regarding prevention, treatment, and avoidance of recurrence that are largely speculative including stretches and progressive strengthening exercises to prevent re-irritation of the tendon and other exercise measures.

Moderate evidence exists demonstrating that joint manipulation directed at the elbow and wrist and spinal manipulation directed at the cervical and thoracic spinal regions results in clinical changes to pain and function. There is also moderate evidence for short-term and mid-term effectiveness of cervical and thoracic spine manipulation as an add-on therapy to concentric and eccentric stretching plus mobilisation of wrist and forearm.

Low level laser therapy administered at specific doses and wavelengths directly to the lateral elbow tendon insertions offers short-term pain relief and less disability in tennis elbow, both alone and in conjunction with an exercise regimen.