Best Practice Case Studies-Tennis Elbow

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Tennis elbow, medically known as lateral epicondylitis or lateral elbow tendinopathy, is a common condition that causes pain on the outside of the elbow. It involves the extensor tendons that are responsible for wrist and finger extension. The condition is often triggered by repetitive wrist movements, gripping activities, or elbow trauma and typically occurs between the ages of 45 and 54, affecting 1-3% of the population. Common activities that can lead to tennis elbow include sports like tennis and squash, and other repetitive tasks such as carpentry, sewing, or computer use.<br /><br />Initially, tennis elbow may involve inflammation, but if the condition persists, it can develop into a degenerative process. Symptoms include pain exacerbated by gripping or wrist extension, with possible sudden or gradual onset. Those at higher risk include smokers, individuals performing repetitive motions for over two hours a day, those lifting heavy weights, and people within the highest age-risk bracket.<br /><br />Tennis elbow is primarily diagnosed via physical examination, though imaging might be employed in specific cases to rule out fractures or other issues. Without treatment, it may last from six months to two years. Treatment includes activity modification, rest, non-steroidal anti-inflammatory drugs, ice, physical therapy, and bracing. Physical therapy focusing on eccentric strengthening has shown effectiveness. Should symptoms persist, options like corticosteroid or platelet-rich plasma (PRP) injections and dry needling may be considered. Surgery is rarely needed.<br /><br />Preventive measures include adjusting activities, using ergonomic tools, or learning proper techniques for specific sports to avoid exacerbating the condition. Return to activity should only occur once pain subsides and normal movement resumes, with adjustments made as necessary to avoid painful activities during recovery.

Meta Tag

Edition 3rd Edition

Related Case 3rd Edition, CASE 13

Topic Elbow and Forearm

Keywords

3rd Edition, CASE 13

3rd Edition

Elbow and Forearm

tennis elbow

lateral epicondylitis

elbow pain

extensor tendons

repetitive movements

physical therapy

corticosteroid injections

preventive measures

degenerative process

ergonomic tools