Tennis elbow also known as lateral epicondylitis is a painful condition that occurs when tendons in your elbow are overloaded, usually by repetitive movements of the wrist and or arm.
Unlike the name suggests this is not just a condition felt by athletes and tennis players. People whose jobs feature the types of motions that can lead to tennis elbow include plumbers, painters, carpenters and butchers. We also see those people who hold certain sustained positions also suffer regularly from tennis elbow.
The pain of tennis elbow occurs primarily where the tendons of your forearm muscles attach to a bony bump on the outside of your elbow. Pain can also spread into your forearm and wrist.
Symptoms:
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:
- Shake hands or grip an object
- grip large pots
- swiftly moving the sheets at night
- holding a cup
Causes:
Tennis elbow is an overuse and muscle strain injury. Many just relate tennis elbow to the 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.
However a new theory is starting to become prominent. The blood supply to tendons is not as good as other areas of the body. It is agreed that tennis elbow is a deterioration or breakdown of the tendon at the common extensor origin. It is now felt in gripping dominated activities the flexor / pronator muscle group becomes too powerful for the extensor / supinator group and this produces a translation of the radial head creating room unger the extensor muscle fascia for rubbing and compression (which restricts blood flow) to occur. This impacts the tendons ability to keep up with the degeneration process. As a result the tendon begins to deteriorate.
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:
- Using plumbing tools
- Painting
- Cutting up cooking ingredients, particularly meat
- Repetitive computer mouse use
Risk factors include:
- Age.
While tennis elbow affects people of all ages, it's most common in adults between the ages of 30 and 50.
- Occupation.
People who have jobs that involve repetitive motions of the wrist and arm are more likely to develop tennis elbow. Examples include plumbers, painters, carpenters, butchers and cooks.
-Certain sports.
Participating in racket sports increases your risk of tennis elbow, especially if you employ poor stroke technique.
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