Tennis elbow, what is Tennis elbow and why it hurts ? Tennis elbow symptoms, causes and treatment.

Dr. Ebraheim’s educational video describes the condition of tennis elbow - lateral epicondylitis.it also describe the causes, the symptoms, diagnosis and the treatment of tennis elbow.
Tennis elbow is called lateral epicondylitis. Tennis elbow is an overuse injury that causes inflammation, tendinosis, and lateral elbow pain at the origin of a small muscle called the extensor carpi radialis brevis (ECRB.) This is the location of pain on the outer side of the elbow. The pain may interfere with sleep and activities, or even carrying groceries. When this muscle (ECRB) is overloaded by repetitive activities, it causes pain on the outer side of the elbow
It is the most common cause of elbow pain. 50% of tennis players developed tennis elbow due to many technical reasons and risk factors such as incorrect grip size or poor swing technique. This condition also affects workers to do heavy lifting, repetitive gripping, or using heavy tools. The pathology of the tendon shows disorganized collagen and angiofibroblastic hyperplasia. The condition usually starts by microtears of the origin of the extensor carpi radialis brevis due to eccentric overload, which is precipitated and aggravated by repetitive wrist extension and forearm pronation. The patient with tennis elbow will complain of pain with gripping, decreased grip strength, pain with repetitive wrist extension, and will have tenderness around the lateral elbow. Here is the area of pain for tennis elbow and here is the area of pain for radial tunnel syndrome. Radial tunnel syndrome should be in the differential diagnosis of tennis elbow, especially if the patient is not recovering as expected from tennis elbow treatment (suspect that the patient has radial tunnel syndrome). The radial tunnel syndrome gives pain about 3–4cm distal and anterior to the lateral epicondyle. Radial tunnel syndrome occurs in about 5% of the patients due to compression of the posterior intraosseous nerve. You also need to rule out cervical disc problems and tricep tendonitis. Basically, the diagnosis of tennis elbow was based on the symptoms and physical examination. The provocative test, which will increase the pain at the lateral epicondyle, is resisted wrist extension with the elbow fully extended. You can get x-rays of the elbow, but the x-rays are basically normal and rarely do you find some calcification.

Treatment of tennis elbow:

- Activity modification

- Nonsteroidal anti-inflammatory medication

-Physical therapy (especially eccentric exercises)
-Injection (frequently used)
-Steroid injection
-May use PRP

(Ultrasound guidance may be helpful)
-Bracing



There is a 95% success rate with nonoperative treatment to relieve the pain. It may take up to 6-12 months to improve the condition.

Surgery is a last resort for release and debridement of the extensor carpi radialis brevis muscle origin. Excessive debridement and release of the tendon can lead to injury of the lateral collateral ligament, and that may lead to the posterolateral rotatory instability of the elbow.
special thanks for NATHAN ELKINS FOR HIS CONTRIBUTION TO THIS VIDEO

Видео Tennis elbow, what is Tennis elbow and why it hurts ? Tennis elbow symptoms, causes and treatment. канала nabil ebraheim