Lateral Epicondylitis (Tennis Elbow): Comprehensive Treatment at Palms Physiotherapy & Allied Health

Understanding Lateral Epicondylitis

Tennis elbow occurs when the extensor carpi radialis brevis (ECRB) tendon becomes irritated or develops tiny tears due to repetitive strain or overloading. This condition typically results from repetitive wrist and arm movements.

Symptoms of Tennis Elbow

• Pain: Localized on the outer part of the elbow, often radiating down the forearm.

• Weakness: Difficulty gripping or lifting objects, such as a cup or a bag.

• Tenderness: Around the lateral epicondyle.

• Stiffness: Especially in the morning or after periods of inactivity.

• Exacerbation: Pain worsens with gripping, twisting, or lifting motions.

Causes and Risk Factors

Common Causes

• Repetitive Strain: Overuse of the forearm muscles, common in sports and manual work.

• Improper Technique: Using poor mechanics during activities like tennis, weightlifting, or even typing.

Risk Factors

• Age: Most common in individuals aged 30–50.

• Occupation: Jobs requiring repetitive wrist and arm motions (e.g., carpenters, painters).

• Hobbies: Activities like gardening, racket sports, or knitting.

Diagnosing Lateral Epicondylitis

Our team performs a thorough assessment to confirm the diagnosis:

• Physical Examination: Testing grip strength, assessing tenderness, and performing specific maneuvers like the Cozen's Test or Mill’s Test.

• Imaging:

  • Ultrasound: To identify tendon damage.

  • MRI: In chronic or severe cases, to rule out other conditions.

Treatment Options for Tennis Elbow

Non-Surgical Management

1. Rest and Activity Modification

   • Avoid activities that aggravate symptoms.

2. Pain Management

   • NSAIDs for inflammation relief.

   • Topical anti-inflammatory gels or creams.

3. Physiotherapy

   • Stretching: Gentle exercises to reduce tension in the forearm muscles.

   • Strengthening: Focused on forearm extensors to build resilience.

   • Manual Therapy: Techniques to improve joint and soft tissue mobility.

4. Occupational Therapy

   • Ergonomic advice to optimize posture and tool use.

5. Bracing and Support

   • Counterforce braces to offload stress on the tendon.

6. Shockwave Therapy

   • A non-invasive option to promote tendon healing.

7. Injections

   • Corticosteroid or platelet-rich plasma (PRP) injections for pain relief and tendon repair.

Surgical Treatment

Reserved for chronic or severe cases that fail to respond to conservative treatment. Surgery involves removing damaged tendon tissue and reattaching healthy tendons.

Rehabilitation at Palms Physiotherapy & Allied Health

Our personalised approach ensures you recover quickly and effectively:

• Therapeutic Exercises: Designed to restore strength and flexibility.

• Manual Therapy: Focused on improving forearm mobility.

• Functional Training: Retraining movements to prevent recurrence.

• Education: Teaching proper technique and injury prevention strategies.

Prognosis and Long-Term Management

Most cases of tennis elbow improve with early treatment and consistent rehabilitation. Recovery timelines vary, but with proper care, most individuals regain full function within weeks to months.

Why Choose Palms Physiotherapy & Allied Health?

Our team is committed to delivering evidence-based care tailored to your unique needs. Whether you’re dealing with a new injury or a chronic condition, we’ll help you return to peak performance and daily activities.

Contact Us Today

If you’re experiencing symptoms of tennis elbow, let our expert team at Palms Physiotherapy & Allied Health guide you toward relief and recovery. Contact us at our Malaga, Dayton or Noranda locations to book an appointment today!