Conditions We Treat
Lateral Epicondylitis (Tennis Elbow)
What Is It?
Lateral epicondylitis, commonly known as tennis elbow, is a degenerative condition involving the tendons that attach to the outer part of the elbow. It most often affects the extensor carpi radialis brevis tendon, which plays a key role in wrist extension and grip stability.
The condition develops from repetitive overuse, leading to microtears and tendon degeneration rather than true inflammation. It commonly affects individuals who perform repetitive gripping or wrist extension, such as athletes, mechanics, manual laborers, and computer users.
Symptoms
- Pain and tenderness on the outside of the elbow
- Pain worsened by gripping, lifting, or wrist movements
- Weak grip strength
- Pain radiating down the forearm
- Morning stiffness or stiffness after activity
Diagnosis
- Clinical examination including Cozen’s and Mill’s tests
- Review of occupational or recreational repetitive use
- Imaging (X-ray, ultrasound, or MRI) if symptoms persist or diagnosis is unclear
Treatment
Conservative Options:
- Activity modification and rest
- NSAIDs for pain relief
- Forearm counterforce bracing
- Physical therapy focusing on stretching, eccentric loading, and manual therapy
Interventional Options:
- Shockwave therapy
- Corticosteroid injections
- Prolotherapy or platelet-rich plasma (PRP) injections
Surgical Options:
- Tendon debridement or repair for cases unresponsive after 6–12 months
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