Tennis elbow, also known as lateral epicondylitis, is a common condition that causes pain and inflammation in the tendons that connect the extensor muscles of the forearm to the elbow. This group of muscles have what is known as a common extensor origin, meaning that the small individual muscles as a group originate from the same location just above the outside of the elbow. Despite its name, tennis elbow can affect anyone, not just tennis players. It is typically caused by overuse of the forearm muscles and tendons, leading to tightness, small tears and inflammation.
There are several factors that can contribute to the development of tennis elbow, including repetitive gripping and twisting motions, improper technique during physical activities, and poor conditioning of the forearm muscles. People who participate in activities that require repetitive arm movements, such as tennis, golf, or gardening, are at a higher risk of developing tennis elbow. Additionally, individuals who perform tasks that involve repetitive gripping, such as using a screwdriver or typing on a keyboard, may also be susceptible to developing this condition.
The symptoms of tennis elbow can vary from mild discomfort to severe pain that radiates from the elbow to the forearm and wrist. Other common symptoms include weakness in the affected arm, stiffness in the elbow joint, and difficulty performing daily tasks that require gripping or lifting objects.
Osteopathy and Physiotherapy can help with focuses on exercises both stretching and strengthening the forearm muscles to reduce pain and improve function. Hands on treatment can help with the aim to improve joint mobility and reduce pain and inflammation using various manual therapy techniques including dry needling.
In the UK, the National Institute for Health and Care Excellence (NICE) provides up-to-date guidance on the management of tennis elbow. According to NICE guidelines, physiotherapy/osteopathy should be offered as a first-line treatment for individuals with tennis elbow.
In some cases, more invasive treatments, such as corticosteroid injections or surgery, may be recommended for severe or persistent cases of tennis elbow but this is rare.
Prevention is key when it comes to managing tennis elbow. Individuals should be mindful of their technique during physical activities, take regular breaks to rest the forearm muscles, and perform proper warm-up and cool-down exercises before and after engaging in activities that involve repetitive arm movements.
Physiotherapy and osteopathy are effective treatment options for individuals with tennis elbow, as they can help improve symptoms and restore function in the affected arm. By following the latest guidance from NICE and taking preventative measures, individuals can effectively manage and prevent tennis elbow.
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