Tennis elbow also known as lateral epicondylitis
is by far the commonest elbow condition that I see in my practise. It is a condition that
involves pain on the outer aspect of the elbow as well as swelling and tenderness. Paradoxically,
less than 10% of people who suffer from tennis elbow have actually played tennis. In medical
terms, it is a chronic recurring condition called tendinosis which involves microtrauma
and repetitive injury to the area of the lateral epicondyle. Before our muscles called the
forearm extensors attach to a common extensor origin tendon that attaches on that Loney
point, this is the main tendon involved in tennis elbow disease. Tennis elbow is incredibly common in office
workers. We sit at a desk all day typing on the computer or work with their mouse, they
get pain and tenderness as well as swelling in the forearm muscles especially pain on
the outer aspect of the elbow. This can be debilitating and sometimes people are unable
to open a door or shake someone’s hand. There is also morning stiffness that people can
experience and the inability or disability to grasp objects at a distance. This obviously
becomes a nuisance after some time because people cannot go about doing their activities
of daily living including their sports and hobbies. If this persistent dull ache carries
on for the first three weeks and you find you’re unable to complete your activities
of daily living at work, in the office or even at home, you should not hesitate to go
and see your general practitioner and see a specialist. Physiotherapy is crucial and an integral part
of the pathway in tennis elbow treatment. Physiotherapy involves stretching the extensor
tendon along the lateral epicondyle. Performing stretches in the first four to six weeks is
highly beneficial for tennis elbow treatment. Thereafter, patients can do strengthening
activities which will indeed cure the problem long term. There are ways and means to get
to the physiotherapy and as far as injections are concerned, I do not recommend steroid
injections. There is some recent literature that has shown that steroids can be harmful
in the long term for tennis elbow. However, new information has come to light with regards
to platelet-rich plasma injections otherwise known as PRP. What PRP involves is taking
blood out of the patient’s arm, then putting that sample in a special machine called a
centrifuge machine. The blood spins for five to ten minutes and then we re-inject the blood
back onto the affected area. The platelet-rich plasma protein is indeed the blood that has
been gone around the machine, has been enriched with cells that we all have in our own body
called platelets. The platelets contain a significant and different growth factors that
are involved in dealing with inflammation and dealing with the pain and sometimes even
can promote healing to the damaged tissue. I strongly recommend platelet-rich plasma
protein treatment to patients that come and see me in the acute stages of tennis elbow.
Surgery is reserved for those very resistant cases that fail to respond to non-operative
management, such as injections and physiotherapy. Surgery involves a general anaesthetic and
in a small incision along the lateral epicondyle of the elbow releasing the diseased portion
of the tissue that is inflamed and reattaching the healthy tissue back on the bone with special
anchors. This can be done either by open surgery, like I said, with a small incision or sometimes
via arthroscopic elbow surgery as well depending on the severity of the condition. It is rare
that I advocate surgery because in the vast majority of cases, non-operative management
works very well. In reality, in most cases, tennis elbow is
a self-limiting condition and variably it will settle without any additional treatment.
However, this may take a few months and up to two years in a lot of cases. It is not
uncommon for this to become very chronic and for people to be very debilitated by this.
That is exactly the reason why I do not want most individuals to wait that long for this
to happen. They should seek treatment early and specifically and come and see us to have
a special treatment plan with regards to platelet-rich plasma injections, physiotherapy. That way
their quality of life will improve much quicker.

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Dennis Veasley

10 thoughts on “Tennis elbow: what is it and how can it be treated?”

  1. I'm not sure but ,if anyone else wants to discover how to treat tennis elbow naturally try Sovallo Elbow Formula Fixer (do a search on google ) ? Ive heard some awesome things about it and my buddy got cool success with it.

  2. I'm not sure but ,if anyone else wants to uncover how to treat tennis elbow naturally try Pycanta Elbow Relief Protocol (do a google search ) ? Ive heard some super things about it and my cousin got cool success with it.

  3. interesting points ,if anyone else is searching for cure tennis elbow naturally try Jaffacter Elbow Treater Coach (Have a quick look on google cant remember the place now ) ? Ive heard some decent things about it and my friend got great results with it.

  4. Honestly what's worked best for me is this chin up protocol by Mark Rippetoe. You basically do 20 sets of 5 reps chin ups. What that's going to do is both bring blood to the area and make those weaker muscles around your forearms stronger.

    You also want to do it every 4 days or so and if you do other exercises stop doing them for a bit if they cause pain that area.

    If you can't do 5 reps, do them assisted and/or go on top of a box and only do the negative part of the movement (coming down).

    I've tried a lot of things and this is what worked best for me. What will happen is typically it gets better after the first day then "worse" and finally will feel a lot better. It should take anywhere from 3-4 weeks.

  5. The fact that this guys tie isn't on properly at all has me slightly concerned for his credibility. Is this an ad?

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