Heaith & Fitness Tennis

What is a tennis elbow and how to prevent it?

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Elbow joint

The elbow joint is formed by three bones: the humerus (upper arm), the radius and the ulna.

Complex structure

The elbow joint permits the ulna and radius to be flexed and straightened like a pivot joint. The muscles along the outer border of the forearm are responsible for this.
The tendons transmit the power of the muscles to the bone. They consist of firm, elastic connective tissue. If we repeatedly perform the same movement with a flexed elbow, the tense tendon continually rubs over the elbow bone. This leads to very fine tears and we feel the first twinges of pain in our elbow – at the epicondyle. This is a small bony prominence on the outside of the elbow.

More information

Tennis elbow | medi online shop

Tennis or golfer’s elbow?

What is tennis or golfer’s elbow: Definition of epicondylitis

Tennis elbow is a type of epicondylopathy (also referred to as epicondylitis, epicondylosis or epicondylalgia). This refers to the painful tendon irritation on the outside of the elbow (Epicondylopathia humeri radialis) caused by overuse. If the epicondylitis occurs on the inside of the elbow, this is referred to as golfer’s elbow (Epicondylopathia humeri ulnaris). Tennis elbow is more common than golfer’s elbow.

There are two types of epicondylitis:

Golfer’s elbow (pain on the inside)
Tennis elbow (pain on the outside)

Tennis and golfer’s elbow: Causes and risk factors

All forearm muscles that are required for finger and wrist strength and movement are attached to the two bony prominences (epicondyles) of the humerus by the tendon insertions. If the muscles and tendons are strained, tiny tears and inflammation can develop near the epicondyle on the outside of your elbow.

Both excessive overloading caused by sporting activities, as well as monotonous low strain patterns of movement, can cause epicondylitis: Occupational overloading can lead to epicondylitis just as easily as excessive exercise. For example, people are often affected by straining their forearm muscles by typing on a keyboard, working with a PC mouse, performing manual activities and even practicing the violin.

Symptoms and signs that may indicate epicondylitis

  • Elbow pain that is often worse when you use your arm, particularly twisting movements.
  • Pain on the outside of your upper forearm, just below your elbow
  • Pain when lifting or bending your arm
  • Pain when writing or gripping small objects
  • Pain and stiffness when fully extending your arm
With tennis elbow, the extensor tendons on the outside of the elbow are irritated. With golfer’s elbow, the flexor tendons on the inside of the elbow are affected.

How can tennis/golfer’s elbow be prevented?

Avoid common incorrect strain of the elbow joint:

  • Play tennis with the correct technique and, if necessary, invest in training sessions.
  • Use support pads when working at a computer and use an ergonomically-shaped mouse to relieve   pressure on the forearm.
  • If you do manual work, then tools such as a cordless screwdriver will make your life easier.
  • Lift objects so that the palm of your hand is facing your body.
  • And last but not least: Watch out for signs of overuse and take a break.

Treatment for epicondylitis?

Tennis elbow is self-limiting, which means it will eventually get better without treatment. However, the first advice is to change your usual patterns of movement in the workplace or when playing sports. The most important thing to do is rest the injured arm. Hold a cold compress against your elbow for a few minutes several times a day can help ease pain.
Therapeutic approaches can support the rapid healing of the symptoms:
  • Soft Supports: These can relieve the irritated tendons. Many doctors or physios would recommend an elbow support. The compressive knit structure of these supports help to relieve inflammation and to ease the pain. The tendons are also relieved by the 3D pad and the strap.
  • Operation: Invasive treatments, such as surgery, will only be considered in severe and persistent cases of tennis elbow, where non-surgical approaches have not been effective.
  • Stretching exercises: Your GP may refer you to a physiotherapist is your epicondylitis is causing more severe or persistent pain. They may use manual therapy techniques such as massage and show you exercises that you can do to keep your arm mobile and to strengthen your forearm muscles.
  • Steroid injections: You may be offered a steroid injection when other treatments haven’t worked but these are only likely to offer short-term relief.
  • Shock wave therapy: Short, strong shock waves stimulate the body’s own healing process. It is non-evasive and can relieve pain and promote movement in the affected area.  However it may not work in all cases.
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Physio exercises for epicondylopathy

For medial tendon irritation (golfer’s elbow) or lateral irritation (tennis elbow), both the eccentric strengthening and the stretching of the muscles of the irritated tendons can promote the healing process. To maximise the benefits of the therapeutic exercises, patients should ideally perform the exercises three to four times a week.

Please first consult your doctor or physiotherapist to see whether the exercises are suitable for you.

Strengthening exercises

Stretching exercises

More information

Elbow straps

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Elbow supports

Epicomed | sand | 1

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Achilles tendonitis

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via Tennis elbow | medi online shop     

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