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EPICONDYLITIS
TENNIS ELBOW
By Steve Questell RPTA, APTA
Epicondylitis is usually due to an inflamed or frayed elbow tendon. One may
develop either lateral (outside) or medial (inside) conditions, in more common terms,
tennis or golfers elbow. Either kind of epicondylitis can result from movement of
the elbow (or even hand) improperly and repetitively, or just plain too much.
For example, weekend tennis players who use an incorrect backhand
technique and regular players who just overdo it may both experience this problem.
Whatever the cause, physical therapy treatment is required and the first step in resolving
the condition as well as preventing recurrence.
Lateral epicondylitis is a gradual inflammation or tearing of the
muscle tendons attached at the condyle--the bony knob on your outer elbow. The extensor
carpi radialis brevis muscle tendon, involved in extending your wrist and supinating your
hand, seems to be most vulnerable to this condition.
Medial epicondylitis is the same condition only on the opposite side
of your elbow. It can be caused by a movement that pronates the arm and flexes the wrist,
such as a golf swing.
Specific elbow, wrist stretching and exercises are recommended to
start the healing process. Wrist curls, wrist extensions, supination/pronation movements,
reverse curls and tricep extensions are part of the protocol for recovery. Ice massage and
ultrasound are also part of the physical therapy approach. If the exercises cause you pain
while doing them, then the weight is to heavy or your mechanics are improper (consult your
therapist or personal trainer for proper technique).
Prevention is the best insurance against new injury or a return of
an old one. Alternating the use of your hands with your activities will share the workload
and decrease risk of exacerbation. Changing your grip, keeping your elbow close to your
body during exercise and avoid over reaching as well as a proper warm up with stretching
and cool down are some modifications to consider.
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