Tennis Elbow

13 min read

Tennis elbow, also known as lateral epicondylitis, is a condition that causes pain in the elbow and arm. It is caused by overuse of the muscles and tendons in the forearm, which attach to the elbow. Tennis elbow is most common in people who play racquet sports, such as tennis, but it can also occur in people who do not play sports. It is most common in adults between the ages of 30 and 50.

Take the Tennis Elbow Assessment

Causes of Tennis Elbow

Tennis elbow is caused by repetitive motions of the wrist and arm, such as those used in racquet sports. It can also be caused by activities that involve gripping, such as using a screwdriver or hammer. Other activities that can cause tennis elbow include painting, using a computer mouse, and playing a musical instrument.

Diagnosis of Tennis Elbow

Tennis elbow is usually diagnosed based on a physical examination and a review of the patient’s medical history. The doctor may also order imaging tests, such as an X-ray or MRI, to rule out other conditions. In some cases, a doctor may also perform a nerve conduction study to check for nerve damage.

Prevention of Tennis Elbow

The best way to prevent tennis elbow is to avoid activities that involve repetitive motions of the wrist and arm. If you do participate in activities that involve these motions, it is important to take frequent breaks and use proper technique. Wearing an elbow brace can also help to reduce the risk of developing tennis elbow.

Symptoms

Pain and Tenderness

The most common symptom of tennis elbow is pain and tenderness on the outside of the elbow. This pain can range from mild to severe and can be aggravated by activities such as gripping, lifting, or extending the wrist. The pain may also be felt when the elbow is bent or straightened.

Weak Grip Strength

Another symptom of tennis elbow is a weakened grip strength. This can make it difficult to hold onto objects or perform activities that require a strong grip. This can be especially noticeable when trying to open jars or lift heavy objects.

Pain When Extending the Wrist

Pain when extending the wrist is another symptom of tennis elbow. This pain can be felt when straightening the wrist or when trying to make a fist. It can also be felt when trying to lift or grip objects.

Swelling and Stiffness

Swelling and stiffness around the elbow joint can also be a symptom of tennis elbow. This can make it difficult to move the elbow joint and can cause pain when trying to do so.

Treatment

Treatment for tennis elbow includes rest, ice, and anti-inflammatory medications. Physical therapy can also be used to help strengthen the muscles and tendons of the forearm. In some cases, surgery may be necessary to repair the damaged tissue.

Causes

Repetitive Motion

The most common cause of tennis elbow is repetitive motion of the forearm. This can include activities such as painting, using a screwdriver, playing a musical instrument, or even typing on a computer. Any activity that involves repetitive motions of the forearm can lead to tennis elbow.

Poor Technique

Poor technique can also lead to tennis elbow. This can include using improper form when playing tennis, or using a grip that is too tight. Poor technique can put extra strain on the muscles and tendons of the forearm, leading to inflammation and pain.

Weak Muscles

Weak muscles in the forearm can also lead to tennis elbow. Weak muscles can be caused by lack of exercise, or by not stretching properly before and after physical activity. Weak muscles can be more prone to injury, and can lead to inflammation and pain in the elbow and forearm.

Age

Age can also be a factor in developing tennis elbow. As we age, our muscles and tendons become less flexible and more prone to injury. This can make it more likely to develop tennis elbow, especially if the person is engaging in activities that involve repetitive motions of the forearm.

Getting a Diagnosis

Symptoms of Tennis Elbow

The most common symptom of tennis elbow is pain on the outside of the elbow. This pain may be felt when lifting or gripping objects, or when extending the wrist. Other symptoms may include tenderness, weakness, and stiffness in the elbow joint. Pain may also radiate down the forearm.

Diagnosing Tennis Elbow

Your doctor will begin by asking about your symptoms and medical history. They may also perform a physical examination of your elbow, looking for tenderness and weakness. Imaging tests such as X-rays or MRIs may be used to rule out other conditions. Your doctor may also order blood tests to check for inflammation.

Treatment for Tennis Elbow

Treatment for tennis elbow typically involves rest, ice, and over-the-counter pain medications. Your doctor may also recommend physical therapy or steroid injections. In some cases, surgery may be necessary to repair the damaged tendon.

Preventing Tennis Elbow

The best way to prevent tennis elbow is to avoid activities that put strain on the elbow joint. If you do engage in activities that may cause tennis elbow, be sure to take frequent breaks and use proper form. Wearing an elbow brace can also help to reduce strain on the joint.

Questions for Your Doctor

Symptoms

Describe your symptoms to your doctor. This includes any pain, swelling, or tenderness in the elbow joint. Also, let your doctor know if you have any difficulty with gripping objects or if you experience any numbness or tingling in your arm or hand.

Activities

Discuss any activities that may be causing your elbow pain. This includes any sports or activities that involve repetitive motions of the wrist and arm. It is also important to let your doctor know if you have recently changed your activity level or if you have recently started a new activity.

Treatment Options

Your doctor may recommend a variety of treatments for tennis elbow. These may include rest, ice, physical therapy, medications, or even surgery. Discuss the pros and cons of each treatment option with your doctor to determine which one is best for you.

Prevention

Discuss ways to prevent tennis elbow from occurring or recurring. This may include stretching and strengthening exercises, using proper technique when playing sports, and using proper equipment. Your doctor may also recommend wearing a brace or splint to support the elbow joint.

Treatment

Rest

Rest is one of the most important treatments for tennis elbow. It is important to give the elbow time to heal and to avoid activities that may aggravate the condition. This may include avoiding activities that involve repetitive motions of the wrist and arm, such as tennis or golf.

Ice

Applying ice to the affected area can help reduce inflammation and pain. Ice should be applied for 15-20 minutes at a time, several times a day. It is important to wrap the ice in a towel or cloth to avoid damaging the skin.

Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

NSAIDs, such as ibuprofen or naproxen, can help reduce inflammation and pain. It is important to follow the instructions on the package and to talk to a doctor before taking any medication.

Physical Therapy

Physical therapy can help strengthen the muscles and tendons in the elbow. A physical therapist can also provide exercises to help improve flexibility and range of motion. It is important to follow the instructions of the physical therapist to ensure the best results.

Corticosteroid Injections

Corticosteroid injections can help reduce inflammation and pain. The injections are usually given directly into the affected area. It is important to talk to a doctor before getting a corticosteroid injection.

Surgery

In some cases, surgery may be necessary to treat tennis elbow. Surgery can help repair damaged tendons and reduce pain. It is important to talk to a doctor to determine if surgery is the best option.

Tennis elbow can be a painful and debilitating condition. Fortunately, there are a variety of treatments available to help relieve the pain and discomfort associated with tennis elbow. It is important to talk to a doctor to determine the best treatment for your individual situation.

Drugs & Medications

Nonsteroidal Anti-Inflammatory Drugs (NSAIDs)

Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most commonly prescribed medications for tennis elbow. These drugs work by reducing inflammation and pain. Commonly used NSAIDs include ibuprofen, naproxen, and aspirin. These medications can be taken orally or applied topically.

Corticosteroids

Corticosteroids are powerful anti-inflammatory drugs that can be injected directly into the affected area. These injections can provide quick relief from pain and inflammation. However, they should only be used in severe cases, as they can have serious side effects.

Muscle Relaxants

Muscle relaxants are drugs that can help reduce muscle spasms and pain. These medications can be taken orally or injected directly into the affected area. Commonly used muscle relaxants include cyclobenzaprine and carisoprodol.

Other Medications

Other medications that may be used to treat tennis elbow include topical creams and gels, such as capsaicin and lidocaine. These medications can help reduce pain and inflammation. In addition, some doctors may recommend the use of supplements, such as glucosamine and chondroitin, to help reduce pain and inflammation.

Conclusion

Tennis elbow can be a painful and debilitating condition. Fortunately, there are a variety of medications that can be used to treat it. Nonsteroidal anti-inflammatory drugs, corticosteroids, muscle relaxants, and topical creams and gels are all commonly used to treat tennis elbow. In addition, some doctors may recommend the use of supplements to help reduce pain and inflammation.

Diet

Foods to Eat

Eating a healthy, balanced diet is important for overall health, and it can also help reduce inflammation and promote healing in people with tennis elbow. Here are some of the best foods to include in your diet:

  • Fruits and vegetables: Fruits and vegetables are rich in antioxidants, which can help reduce inflammation. Aim to eat a variety of colorful fruits and vegetables every day.
  • Whole grains: Whole grains are a great source of fiber and other nutrients that can help reduce inflammation. Choose whole grain breads, pastas, and cereals.
  • Fatty fish: Fatty fish, such as salmon, mackerel, and sardines, are rich in omega-3 fatty acids, which can help reduce inflammation. Aim to eat fatty fish at least twice a week.
  • Nuts and seeds: Nuts and seeds are a great source of healthy fats, which can help reduce inflammation. Choose unsalted nuts and seeds, such as almonds, walnuts, and sunflower seeds.
  • Extra virgin olive oil: Extra virgin olive oil is a great source of healthy fats, which can help reduce inflammation. Use it in place of other oils when cooking.

Foods to Avoid

In addition to eating the right foods, it is also important to avoid certain foods that can increase inflammation. Here are some of the foods to avoid if you have tennis elbow:

  • Processed foods: Processed foods are often high in sugar, salt, and unhealthy fats, which can increase inflammation. Avoid processed foods such as chips, crackers, and cookies.
  • Refined carbohydrates: Refined carbohydrates, such as white bread and white rice, can increase inflammation. Choose whole grain alternatives instead.
  • Sugary drinks: Sugary drinks, such as soda and fruit juice, are high in sugar, which can increase inflammation. Choose water or unsweetened tea instead.
  • Red meat: Red meat is high in saturated fat, which can increase inflammation. Choose leaner proteins, such as chicken, fish, and beans.
  • Trans fats: Trans fats, which are found in some processed foods, can increase inflammation. Avoid foods that contain partially hydrogenated oils.

Eating a healthy, balanced diet is important for overall health, and it can also help reduce inflammation and promote healing in people with tennis elbow. Eating the right foods and avoiding those that can increase inflammation can help reduce pain and improve recovery.

Lifestyle

Rest

Resting your arm is one of the most important steps you can take to reduce the pain of tennis elbow. Avoid activities that involve repetitive motions of the wrist and arm, such as tennis, golf, and racquetball. If you must use your arm for activities, take frequent breaks and switch to activities that don’t involve the same motions.

Ice

Applying ice to the affected area can help reduce inflammation and pain. Ice the area for 15 minutes at a time, several times a day. You can also use a cold pack or a bag of frozen vegetables.

Stretching and Strengthening Exercises

Stretching and strengthening exercises can help reduce the pain of tennis elbow. Start with gentle stretching exercises, such as wrist flexion and extension. As your pain decreases, you can move on to more challenging exercises, such as wrist curls and reverse wrist curls. You can also use resistance bands to strengthen the muscles in your forearm.

Bracing

Wearing a brace or splint can help reduce the pain of tennis elbow. The brace should be worn during activities that involve repetitive motions of the wrist and arm. It should be snug but not too tight, and it should be removed when you’re not using your arm.

Over-the-Counter Medications

Over-the-counter medications, such as ibuprofen and acetaminophen, can help reduce the pain of tennis elbow. Be sure to follow the instructions on the package and talk to your doctor before taking any medication.

Alternative Treatments

Alternative treatments, such as acupuncture and massage, can also help reduce the pain of tennis elbow. Talk to your doctor about which treatments might be right for you.

Conclusion

Tennis elbow can be a painful and debilitating condition, but there are lifestyle changes you can make to help reduce the pain and discomfort. Resting your arm, applying ice, doing stretching and strengthening exercises, wearing a brace, and taking over-the-counter medications can all help. You can also try alternative treatments, such as acupuncture and massage. Talk to your doctor about which treatments might be right for you.