Pain, tenderness and weakness near your outer elbow may indicate lateral epicondylitis, commonly known as tennis elbow. The condition is an overuse injury affecting the tendons that attach your forearm muscles to your elbow. It can occur from incorrect form when playing tennis or other racquet sports. or from other types of repetitive overuse during sports, or from everyday activities like using tools.
In addition to overuse of tendons and muscles, lateral epicondyle pain can be caused by compression of the posterior interosseous nerve inside the radial tunnel, or by instability of the lateral collateral elbow ligaments. Accurate diagnosis that differentiates the underlying cause of your elbow pain is key to successful treatment.
or
Clinical director & DC RMSK
Dr. Kalika, clinical director of NYDNRehab, is one of the world’s foremost experts in musculoskeletal ultrasonography and has published peer-reviewed research on the topic. High resolution diagnostic ultrasonography is considered to be the best tool for diagnosing and differentiating the source of lateral elbow pain. Dr. Kalika’s expertise in ultrasonography makes him one of the most sought-after specialists in NYC for diagnosing and treating tennis elbow.
At NYDNRehab, we never base our treatment protocols on symptoms alone. We use high resolution diagnostic ultrasound to image your elbow in real time, to precisely pinpoint the underlying mechanisms of your lateral elbow pain. Once the cause of your elbow pain has been accurately identified, we devise a personalized treatment plan based on your unique diagnostic results.
Run-of-the-mill physical therapy clinics often take a one-size-fits-all approach to lateral elbow pain, treating all patients with routine therapies and exercises that do not always promote healing. In some cases, inaccurate diagnosis can lead to treatment that aggravates your condition, prolonging the healing process. If you want to eliminate your lateral epicondylar pain for good, in the shortest time possible, NYDNRehab is your clinic of choice for tennis elbow treatment in NYC.
Tenderness, burning and outer elbow pain
Pain that spreads to your forearm and wrist
Pain while gripping small objects
Pain while carrying loads with the elbow extended
Weakened grip
Improper grip during tennis or racquet sport
Poor trunk rotation when striking
Poor backhand form
Frequent use of tools like jackhammers or chainsaws
Occupational overuse among dentists, musicians, butchers and carpenters
Being out of shape for your activity
Using improper technique during racquet sports
Not being properly fitted for a racquet
Engaging in an occupation that overloads the arm
Being middle aged
Because multiple structures converge at the elbow, it is impossible to know, based on symptoms alone, if your lateral elbow pain is caused by damage to the tendons that connect your forearm muscles to your elbow, or if other structural damage has taken place. Pain may be due to posterior interosseous nerve compression, or to instability of the lateral collateral elbow ligaments. In severe cases, multiple structures involving the elbow and forearm may be affected.
At NYDNRehab, we use the highest resolution diagnostic ultrasonography available, to closely examine the elbow and its surrounding structures. Ultrasound enables us to view the tissues in real time, with the elbow in motion, to rule out all possible causes of lateral epicondylar pain. With a precise and accurate diagnosis, we are able to provide the best condition-specific elbow pain treatment, to speed up the healing process.
The human body has its own innate healing mechanisms, but it sometimes needs a nudge to accelerate the healing process. Regenerative technologies help to jump-start healing by stimulating tissue repair at the cellular level. Our outpatient regenerative therapies expedite recovery with minimal discomfort for the patient.
Focused ESWT is used as a regenerative treatment for damaged tendon, muscle and bone tissue. This technology produces high frequency sound waves to stimulate the body’s own reparative mechanisms. It is especially effective for chronic degenerative tendon disorders and myofascial pain syndrome.
EMTT is a fairly new technology that transmits high energy magnetic pulses to targeted tissues. The magnetic waves synchronize with the body’s own magnetic fields, causing a disturbance that triggers a regenerative response. EMTT waves can penetrate deep tissues up to 18 cm beneath the skin’s surface, to target difficult-to-reach tendons, muscles, bones and nerves.
Extracorporeal Pulse Activation Technology (EPAT)
EPAT, also known as defocused shock wave therapy, uses acoustic pressure waves to enhance blood circulation to targeted tissues. This speeds up the delivery of oxygen and nutrients to damaged tissues and stimulates cellular metabolism, to accelerate the healing process.
HEIT uses electromagnetic fields to penetrate cells, tissues, organs and bones, to reactivate the electrochemical function of cells and cell membranes. HEIT generates a magnetic field 600 times stronger than the field of a normal magnet, to stimulate healing of nerves, muscles and blood vessels.
Injection therapies use natural/neutral solutions that stimulate cellular repair by either nourishing or irritating the targeted cells. Guidance by ultrasound ensures that the injected substances hit their mark, for maximum effectiveness.
PRP therapy uses a sample of the patient’s own whole blood, which is spun in a centrifuge to extract a high concentration of platelets. When injected into damaged tissues, PRP initiates tissue repair by releasing biologically active factors such as growth factors, cytokines, lysosomes and adhesion proteins. The injected solution stimulates the synthesis of new connective tissues and blood vessels. PRP can help to jump-start healing in chronic injuries and accelerate repair in acute injuries.
Prolotherapy uses a biologically neutral solution, often containing dextrose, saline or lidocaine. The solution irritates the affected connective tissue, stimulating the body’s own natural healing mechanisms to encourage growth of new normal ligament or tendon fibers.
The following tips will help you avoid lateral epicondylitis:
Without proper treatment, tennis elbow pain can take months to heal on its own, taking you away from the sports or activities that caused it. The sports medicine professionals at NYDNRehab are equipped to help speed up healing with accurate diagnosis, regenerative therapies, chiropractic care and physical therapy. You don’t have to live with tennis elbow pain. Contact NYDNRehab today, and start healing so you can get back out there!
Lateral epicondylitis, commonly called tennis elbow, is a painful inflammatory condition felt at the outside of the elbow. While the condition is often associated with tennis, it can also occur from occupational overuse from repetitive twisting motions.
Tennis elbow is marked by pain, burning and tenderness at the outside of the elbow, usually on the doorknob.
There are four subcategories of lateral epicondylitis:
Clinical diagnosis begins with a health histo confirm diagnosis and rule out other causes of elbow pain.
Some conditions that mimic tennis elbow include:
A 48 year old female writer presented at our clinic with pain in her lateral elbow. She had been diagnosed with lateral epicondylitis, and treated with steroid injections. When her sympto another practitioner who treated her elbow with extracorporeal shock wave therapy (ESWT) and five months of physical therapy. Nine months later, she was still in pain.
We used diagnostic ultrasonography to the nature and cause of the patient’s elbow pain. Early diagnosis with ultrasound can spare the patient ineffective conservative treatment approaches, and unnecessary surgery.
There are several risk facto tennis elbow:
Poor grip strength associated with disrupted coordination of the shoulder-elbow-wrist connection is a primary dysfunction of people with tennis elbow, which in turn leads to have a high rate of success in treating lateral epicondylitis.
At NYDNR, we use a holistic and comprehensive approach to treat our patients with tennis elbow pain. After diagnosis using real-time ultrasound, we follow up with innovative therapeutic treatments, including:
For the best elbow pain treatment to treat tennis elbow in NYC.