ESWT is a technique thought to trigger the healing process by sending sound waves to the elbow. Heat therapy, low-level laser therapy, occupational therapy, and trigger point therapy are other options.
A newly available therapy is an injection of platelet-rich plasma PRP , prepared from the blood of the patient. PRP contains proteins that encourage healing.
Surgery: This may be needed to remove the damaged part of the tendon and relieve the pain in the rare cases where nonsurgical treatment does not resolve symptoms in 6 to 12 months. Between 80 and 95 percent of patients recover without surgery. To prevent further damage to the tendons, it may be useful to wear an arm brace or a wrist splint when using the arm. It can be taken off while resting or sleeping.
A physician or physiotherapist can advise about the best type of brace or splint. Stretches and progressive strengthening exercises involving the use of weights or elastic bands can be helpful. They can increase pain-free grip strength and forearm strength. An article published by the Canadian Family Physician recommends a number of exercises using dumbbells that have helped muscle conditioning in patients with tennis elbow.
Exercising during a case of tennis elbow is vital for regaining muscle strength and reducing pain. Despite painful sensations, it is possible to ease into an exercise routine through initial stretching. The most important part of managing tennis elbow is persisting with a daily regimen of stretches and lifts. Start with lower weights and increase the difficulty of the motions until it is only possible to complete ten lifts.
Here is an example of a simple exercise to improve tennis elbow symptoms. Find a long, thin object you can grip comfortably with both hands.
It is preferable to use a flexible item that still provides resistance while being twisted. A rolled up towel can work. People practising the Tyler Twist often often use an exercise tool called a FlexBar. There are other exercises available. Speak to a physical therapist about the best routine for your body. Dean Mark S. Duffield Donald E. Fowler Eric I. Francke Timothy N. Ghattas Matthew B. Jaffe Richard B. Johnston Virginia M. Jones Susan S. Jordan Douglas B. Kasow Keith A.
Lamberson Yong S. Lee William J. Lichtenfeld Ryan W. Lirette Travis W. Littleton Richard R. Maguire J. Ryan Mahoney M. If conservative treatments don't help or if symptoms are disabling, your doctor might suggest surgery.
Tennis elbow care at Mayo Clinic. The pain associated with tennis elbow may radiate from the outside of your elbow into your forearm and wrist. Pain and weakness may make it difficult to:. Talk to your doctor if self-care steps such as rest, ice and use of over-the-counter pain relievers don't ease your elbow pain and tenderness.
Tennis elbow is an overuse and muscle strain injury. The cause is repeated contraction of the forearm muscles that you use to straighten and raise your hand and wrist. The repeated motions and stress to the tissue may result in a series of tiny tears in the tendons that attach the forearm muscles to the bony prominence at the outside of your elbow.
As the name suggests, playing tennis — especially repeated use of the backhand stroke with poor technique — is one possible cause of tennis elbow. However, many other common arm motions can cause tennis elbow, including:.
Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. Your healthcare provider can usually diagnosis your tennis elbow by a physical exam. In some cases, you may certain tests, such as:. Magnetic resonance imaging MRI can show your tendons and how severe the damage is.
An MRI of your neck can show if arthritis in your neck, or disk problems in your spine are causing your arm pain. Electromyography EMG of your elbow may show if you have any nerve problems that may be causing your pain.
Treatment may include:. A special type of ultrasound that can help break up scar tissue, increase blood flow, and promote healing. Lateral epicondylitis, or tennis elbow, is swelling or tearing of the tendons that bend your wrist backward away from your palm. The muscles and tendons become sore from excessive strain.
Symptoms include pain, burning, or an ache along the outside of the forearm and elbow. It gets worse and may spread down to the wrist if the person continues the activity that causes the condition. The grip may become weak. Lateral epicondylitis is diagnosed by an exam of the elbow joint.
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