General Information on Tennis Elbow
Disease Details and Frequently Asked Questions
It is a chronic tendinopathy resulting in painful inflammation and micro-tearing of the forearm tendons (specifically the extensor carpi radialis brevis tendon) precisely at the point where they anchor to the bony prominence on the outside of the elbow (lateral epicondyle).
No. Despite its colloquial nomenclature, it rarely occurs in actual tennis players. It predominantly afflicts individuals engaging in repetitive wrist and arm motions, such as mechanics constantly turning screwdrivers, homemakers wringing out cleaning cloths, office workers intensively using mice and keyboards, and painters.
Focal tenderness upon palpation of the outer (lateral) aspect of the elbow. The hallmark symptom is a sharp, debilitating, knife-like pain that radiates from the elbow down into the forearm when performing routine gripping activities, such as lifting a teapot, turning a doorknob, shaking hands, or holding a heavy pitcher of water.
Tennis elbow (lateral epicondylitis) affects the tendinous insertions on the outer bony prominence of the elbow. Conversely, Golfer's elbow (medial epicondylitis) is the identical pathophysiological process occurring on the inner bony prominence (the side facing the body) of the elbow joint.
Diagnosis is primarily clinical. The physician will perform physical provocation tests, asking the patient to extend their wrist upward against resistance. The immediate provocation of sharp pain at the lateral epicondyle confirms the diagnosis. An X-ray may be ordered solely to exclude occult fractures or severe osteoarthritis.
The initial phase demands the cessation of the repetitive offending activities. An 'Epicondylitis Clasp' or brace is prescribed to redistribute mechanical stress away from the inflamed bony insertion. To actively heal the micro-tears, localized Corticosteroid injections, PRP (Platelet-Rich Plasma derived from the patient's own healing cells), or ESWT (Extracorporeal Shock Wave Therapy) are utilized. If the condition remains entirely refractory to all conservative modalities, a minor surgical release is available for stubborn cases.
Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.
