Tennis Elbow

tennis elbow

What Is Tennis Elbow?

Lateral epicondylitis or tennis elbow is an inflammation that arises from repetitive movements of the elbow. The condition affects the tendons that join the extensor and flexor muscles of the wrist toms develop gradually over some period of time.

Who Gets Tennis Elbow?

Lateral epicondylitis is a malady found most commonly among those who are engaging in work or recreational activities that involve swinging the arm again and again while gripping something tightly as is the case when a tennis player yields a tennis racket. The International Tennis Federation notes that fully half of all professional tennis players will suffer symptoms associated with lateral epicondylitis at some point during the course of their careers.

Tennis elbow symptoms at some point in their lives.

The syndrome affects more men than women. Though it can affect individuals of any age, it’s most commonly found in people between the ages of 30 and 50. Most people who develop lateral epicondylitis will do so on their dominant side, meaning right-handed people tend to develop the condition in their left elbow.

What Causes of Tennis Elbow?

When you repeatedly contract and extend your forearm, you’re putting stress on the tendons that join the forearm muscles to the lateral epicondyle, which places additional stress on tissues farther from the anchor site.

Research shows that micro-ruptures occur through three sets of circumstances:

• Over-use

Any repetitive activity that involves moving one’s arm while gripping or grasping places stresses on tendon attachments that can result in lateral epicondylitis.

• Trauma

Less frequently, a sudden jerking motion that involves great force or a direct blow tory response that sparks the development of lateral epicondylitis.

• Heredity

Genetically linked mesenchymal disorders that affect connective tissues can also cause tennis elbow sympto be bilateral.

What Are Tennis Elbow Symptoms?

With lateral epicondylitis, simple movements such as shaking hands, turning door knobs or washing dishes can become excruciatingly uncomfortable. The pain associated with lateral epicondylitis tends to 24 hours after the overuse injury occurred.

Along with discomfort, many people will also experience weakness in the affected hand. You may also find it exceedingly difficult toms often persist for months even with treatment.

There are also certain circumstances in which it’s important to have that diagnosis ruled out or confirmed as soon as possible even if you suspect the discomfort is associated with lateral epicondylitis.

How Is Tennis Elbow Diagnosed?

The definitive physical examination that physicians perform to behaviors that might put you at risk for developing repetitive stress injuries.

You will then be asked to resist. If the pain in your upper forearm and elbow area increase, then you have lateral epicondylitis.

How to Treat Tennis Elbow

Tennis elbow will resolve on its own with rest in many cases. It’s a painful condition, however, so people affected by it frequently seek medical attention to limit the use of the affected arm.

Treatments for lateral epicondylitis aim to the affected elbow when you move your arms so that the injury will not reoccur.

• Braces

A forearm brace may be able to muscle atrophy and increased weakness.

• Physical therapy

Physiotherapeutic exercises used in conjunction with lateral epicondylitis are designed tor muscles of the wrist. Deep tissue massage can also be useful in breaking up knots of granulated tissue deep within the connective tissues around the elbow.

• Corticosteroid injections

If immobilization and oral non-steroidal anti-inflamma to patients who are suffering from an infection, and no patient should ever receive more than three injections over the course of a single year.

• Other injections

Some patients have found relief from their tennis elbow symptox-type drugs. Acupuncture have also yielded positive results in some instances.

• Ultrasonic tenotomy

Ultrasonic tenoto liquefy the damaged tissue, which can then be suctioned out through the needle.


In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)


Complete tear of rectus femoris
with large hematoma (blood)


Separation of muscle ends due to tear elicited
on dynamic sonography examination

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