Olympics Tennis

Medically known as lateral epicondylitis, tennis elbow is the inflammation of the ouside of the elbow.

This elbow pain is due to tendonitis and periostitis (inflammation of the outer layer of the bone) where the tendon for the common wrist extensor muscles attaches to the humerus. This results in pain with any activity involving the contraction or moderate stretching of the wrist extensor muscles.

Tension on these muscles can be caused by all sorts of activities such as typing, writing, lifting objects with the palm turned down, or using a screwdriver. Even though there is inflammation, there is rarely any swelling. Stiffness and pain in the elbow can usually occur after prolonged periods of rest.

One of the tests for tennis elbow is to attempt to hold on to the top of a book with the palm turned downward. If this proves to be painful in the outside of the elbow, you likely have tennis elbow.

As you can see, tennis elbow is ultimately caused by overuse of the wrist extensor (straightening) muscles which, by means of the tendons, connect to the elbow. Classically this is caused by the tennis backhand but, as we have seen, can also be caused by other types of repetitive activity.

Too much tension in the muscle group can also cause a decrease in the joint space in the elbow and actual inflammation of the joint. In time this can cause not just the typical pain from the epicondylitis, but also from the elbow joint itself.

Conventional treatment of this condition may involve the use of anti-inflammatory medication and muscle relaxants along with temporary lifestyle modification. Physiotherapy modalities that may be employed include laser therapy, TENS, interferential current, or ultrasound.

Since the elbow joint can get involved, chiropractic manipulation of the joint, for instance using Graston, active release, cross-fiber massage or other soft-tissue therapies, can be very helpful.

With adjusting, the two joint surfaces are spread apart an estimated one to three millimeters momentarily. This leads to an increase in volume and decrease in pressure in the joint. This will assist in the decrease in pain from the pressure built up in the joint from the condition of lateral epicondylitis. Adjusting of the wrist may be of some benefit as well.

As we have seen, it is tight muscles that cause the elbow pain. But if the wrist tightens up, the muscles have to work harder, thus putting more tension on that lateral epicondyle. So keeping the wrist supple and flexible should help to ease the condition.

The use of a tennis elbow band may also prove effective in decreasing symptoms. This works by forming an artificial origin for the muscle before it crosses the elbow. This allows a decrease in tension of the wrist extensor muscles as they cross the elbow which eases tension on the lateral epicondyle and decreases pressure on the elbow.

Rest would, of course, be ideal. But sometimes some lifting has to be done. In that case , be careful to make sure that you only lift with the palm of the hand turned upward. This causes the wrist flexors to be used more than the wrist extensors.

You can also try supplementing with Vitamin B6 and limiting your salt intake as it helps to reduce the amount of water taken in by the body.

In closing, if you feel that you may have this ailment, the best course of action is to have it looked at by your medical doctor or chiropractor so that the best treatment plans can be started to assist in recovery.