TENNIS ELBOW

What is Tennis Elbow?

Lateral Epicondylitis, otherwise known as tennis elbow, is a type of tendinitis characterized by inflammation with associated pain and tenderness of the tendons on the lateral aspect of the elbow. The tendons can become irritated due to activities stressing the forearm, elbow or wrist. Regardless of its name, tennis elbow can affect you even if you’ve never set foot on a tennis court. Instead, any repetitive gripping, typing or fine-motor activity involving the forearm, wrist, and hand are common culprits causing tennis elbow.

Anatomy of Tennis Elbow Pain Pathology

Circled is the microtrauma associated with lateral epicondylitis, AKA tennis elbow.

What Tennis Elbow isn’t

It’s important to note lateral elbow pain is not always tennis elbow a common misdiagnosis. All of the nerves which control the muscles of the arm come from the spine specifically the neck. So, a neck problem can actually be the cause of elbow pain.

If your elbow pain hasn’t resolved or significantly improved with time and rest, changes the way it feels depending on the activity, and can sometimes even feel it a rest, it’s more than likely pain mimicking tennis elbow.  

How do I know if I have Tennis Elbow?

Stick out the arm with the painful elbow, make a fist, and turn the fist upward like throttling the accelerator of a motorcycle and hold. Now, take your opposite hand try to push that fist down while you resist. Does it recreate your elbow pain? You have “tennis elbow,” but why is it there and where is the source of the problem?

Does your elbow pain change in pain frequency or intensity? Do you have accompanying stiffness or limited range of motion of your neck or elbow? If yes, It’s probably not real tennis elbow, rather elbow pain from a remote source.

What are common causes of Tennis Elbow?

Activities like tennis, racquetball or weightlifting are common causes of tennis elbow. However, job and hobbies requiring repetitive use of the hands and wrists such as gripping, typing, and sewing are the likely culprits of overuse elbow tendonitis.

Elbow pain that is not tennis elbow a neck problem is the result of habitual postures, patterns, and behaviors. As a society, we sit way more than we think we do. As a result of prolonged sitting, our necks adapt to our electronics in a forward posture. Prolonged forward posture puts undue stress on the neck to a point where it irritates the nerves to the elbow, thus sending pain to it.

What are standard treatments for Tennis Elbow?

Standard treatments for tennis elbow include rest, massage, various soft tissue therapies, acupuncture, physical therapies, and icing… Just to name a few. The problem is all these treatments can be a complete waste of time when treating an elbow problem that is not actually a problem with the elbow.

In extreme cases, surgery may be necessary; however, we’re skeptical of how many elbow surgeries for pain relief are unidentified neck problems.

What can I do about my Tennis Elbow?

As with any problem, it’s crucial to understand and address the ‘what’ and the ‘why’.

For true tennis elbow, it’s essential to identify any behavioral patterns driving the problem in the first place. If the pain is from overuse activity, then that activity needs a break.

If you keep breaking the scab, it will never heal.

Further, any functional limitations subjecting the tendons to excessive stress need consideration. Poor shoulder control or stability can submit the elbow to having to do more work than it can handle leading to overuse. Addressing shoulder mechanics will reduce the amount of stress on the elbow by sharing the load.

Elbow pain as the result of a neck problem is an entirely different ball game. First and foremost, postural behaviors need nipping at the butt watch yourself regarding staring electronic screens for several minutes at a time. Secondly, there’s likely an imbalance in the spine which could probably restore balance and resolve pain by applying simple strategies.

A great place to start is here:

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