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4abul.gif (193 bytes)   Epicondylitis: Tennis Elbow
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EPICONDYLITIS
TENNIS ELBOW
By Steve Questell RPTA, APTA

Tennis Elbow PainEpicondylitis 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 golfer’s 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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