You don’t have to be a tennis player to develop tennis elbow as ONLY 5% OF PEOPLE WITH TENNIS ELBOW RELATE THE INJURY TO TENNIS.
Tennis elbow, also known as lateral epicondylalgia, is an overuse injury to a tendon within the forearm. A tendon is what connects muscle to bone (looks a bit stringy in the picture)
. The forearm extensors all originate on the lateral epicondyle, which is the distal humerus. Tennis elbow stems from performing upper extremity activities that require repeated contractions of the wrist extensor muscles. Repetitive microtrauma causes maladaptations to the tendon structure creating an imbalance between normal breakdown of the tendon and the repair following over-use, resulting in increased pain.
An appointment with a physiotherapist is required in order for an assessment to be performed to determine an accurate diagnosis to help tailor the best treatment to recover. There has been extensive research conducted on tendon rehabilitation and how they should be loaded. In tendon rehabilitation, especially tennis elbow, there is a specific framework to follow for strengthening exercises in order to desensitize and reduce their symptoms but also improve the capacity and strength of the tendon.
There are other numerous treatment methods to assist with tennis elbow rehabilitation, these are as follows:
Tendon management is an interesting area of research, and our ability to manage these injuries and gradually rehabilitate them has improved dramatically over the last ten years. The most important this is that you listen carefully and understand that improvement will be gradual, and not linear (two steps forward one step back at times).
If you do require tailored information around tennis elbow or need a physiotherapy assessment, feel free to book in with me or any of our qualified physiotherapists at The Healthy Body Company.
Cook, J., Rio, E., Purdam, C. and Docking, S., 2016. Revisiting the continuum model of tendon pathology: what is its merit in clinical practice and research?. British Journal of Sports Medicine, 50(19), pp.1187-1191. doi: 10.1136/bjsports-2015-095422
Lapner, P., Alfonso, A., Hebert-Davies, J., Pollock, J., Marsh, J. and King, G., 2022. Nonoperative treatment of lateral epicondylitis: a systematic review and meta-analysis. JSES International, 6(2), pp.321-330. doi: 10.1016/j.jseint.2021.11.010
Physiopedia. 2022. Lateral Epicondylitis. [online] Available at: <https://www.physio-pedia.com/Lateral_Epicondylitis> [Accessed 7 August 2022].
Sims, S., Miller, K., Elfar, J. and Hammert, W., 2014. Non-Surgical Treatment of Lateral Epicondylitis: A Aystematic Review of Randomized Controlled Trials. HAND, 9(4), pp.419-446.
doi: 10.1007/s11552-014-9642-x
https://www.sciencedirect.com/science/article/pii/S2666638321002590
https://www.physio-pedia.com/Lateral_Epicondylitishttps://www.physio-pedia.com/Tennis_Elbow_Management
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4235906/pdf/11552_2014_Article_9642.pdf
https://www.thehealthybodycompany.com.au/tennis-elbow/