Cause and effects of Tennis Elbow
Lateral epicondylitis (Tennis Elbow) is descriptive of an elbow injury resulting in elbow pain and swelling. Don’t let the term confuse you, tennis elbow (lateral epicondylitis) can happen to anyone. Yes, you don’t have to be a tennis player to get tennis elbow. Tennis elbow is related to the term “Lawn Tennis Arm,” which was coined by Henry Morris in the “late 1880’s.
Over time for the sake of simplicity and convenience, the term “Tennis Elbow” became popular. The mechanism of injury in tennis elbow (lateral epicondylitis) is supination coupled with extension.
Supination occurs when you rotate the wrist, and the forearm, bringing the palm side up (forward). Extension movement is self-explanatory. However, the combined supination and extension motions can place excessive stress on the outer soft tissues of the elbow. Repeated supination and extension movements can injure or irritate the lateral collateral ligaments of the elbow. The lateral collateral ligaments of an elbow are the soft tissues (ligaments) that connect the elbow forearm to the arm.
When talking about tennis elbow, it’s hard not to mention “Golfer’s Elbow.” In this article, we will address both to make things clearer. Far too often we have had patient referring to their golfer‘s elbow as a tennis elbow and vice versa. It may not be their fault, golfers are now developing tennis elbow, and that has confused the athletes, and surprisingly some in healthcare have had their fair share of errors.
So, it behooves a sufferer to learn as much as possible about their condition before embarking on a therapy program.
We launched this section, after finding clinicians and therapists that have mediocre clinical expertise rendering care and advice. Tennis elbow is a condition that could lead to years of agony and pain if neglected. Therefore, it is best to get help anytime you have pain in your elbow.
Elbow pain can occur on the inside (golfers elbow) or the outside (tennis elbow), regardless of location or type, urgent care is needed to avoid degenerative changes that prevent you enjoying life or your favorite pass time.
Chiropractic Specialty Centers have the best non-operative team of research-based chiropractors and clinical physiotherapists backed by therapy technology to treat even the most severe spine or joint condition. Our team only treats spine, joint, and sports injuries. And we treat without surgery, medication or injection.
So, we are extremely well versed in all the non-surgical intervention methods: it is what we do day in and day out. Whenever you have pain or injury, you should try your best to find that perfect team. That is if you want full recovery in shortest time. We have the clinical teams you need.
There has been a dramatic rise in both the “tennis elbow” (lateral epicondylitis) the “golfer‘s elbow.” Ironically, most of the elbow pain sufferers of today are not golfers or tennis players. Tennis elbow, like golfer’s elbow, involves the osseous, soft tissues and nerves that control the elbow.
To complicate matters, you may not have any issues with the elbow and still experience the symptoms of tennis elbow or golfers elbow.
There are millions of tennis and golfer elbow sufferers with perfect elbows. Today neck pain is on the rise, and one of the most common complaints associated with neck pain is spondylosis or a “slip disc” problem in the neck that compresses the nerve. Nerve compression in the neck (spondylosis or slip disc) or the shoulder (entrapment) can also cause pain in either the medial (inside) or lateral (outside) aspects of the elbow.
So when you visit your doctor be sure to tell them about other symptoms as some physicians and therapists may not have the knowledge, focus or time to ask important questions before treatment or diagnosis when it comes to a tennis elbow treatment in Malaysia.
We have always said that the hardest thing in healthcare is the diagnosis. It is for this particular reason why we have all our chiropractors and physiotherapist go through a mandatory training, regardless of the level of experience or expertise. Training and continuing education are essential to our successes in the field of spine and joint.
Tennis elbow (lateral epicondylitis) and golfer‘s elbow (medial epicondylitis) are one of our most researched on and trained on subjects. So rest assured, when you visit a Chiropractic Specialty Center you will be getting therapy from an expert team, well familiar with spine, joint, and sports injury treatments.
Who is at risk of developing a “Tennis Elbow”?
Tennis players are not the only athletes that would have to worry about this condition. Other racquet sports can cause this condition. In fact, many other activities could cause a tennis elbow: activities or sports like javelin or discus.
Tennis elbow (lateral epicondylitis) the term used to descript symptoms in the outer aspect of an elbow. Golfer’s elbow is the used to describe soreness and pain along the inside of the elbow. But now tennis players get golfers elbow, and the golfers are getting tennis elbow.
Many golfers are baffled when they developed tennis elbow, and the same holds true for the tennis players that develop golfer’s elbow. This unexpected change is a recent phenomenon, and its’ development is due to the recent shifts in both golf and tennis techniques. Both the golfers and tennis players are now utilizing more dynamic motions. All is good until you make a small mistake, and these errors can cause serious injury or at the very least irritate the sensitive tissues either on the inside or outside of an elbow, leading to a tennis elbow.
Telltale signs of Tennis elbow:
- Pain on the outside of an elbow.
- Discomfort or soreness outside the elbow when lifting objects
- A weak or painful grip when turning a doorknob or using a screwdriver
- Pain that starts at the elbow and runs down to the wrist
- Pain upon extending the wrist or when shaking another person’s hand
- Soreness in the elbow
- Stiffness in the elbow especially in the morning
- Soreness and suffering after an athletic activity
Neglect of any condition especially one that involves the elbows can lead to a permanent health condition with significant pain. Many stop their favorite pass time activity or cease their active participations as a result of pain that comes from a tennis elbow. Our advice to everyone outer with this condition is to seek professional help immediately.
If you are near one of our centers, call us, and we will get you back to a healthier you. Ignoring tennis elbow can lead to degenerative changes in muscles, ligaments, joints and even muscles. Some, the condition has worsened to the point where they are unable to lift a cup of coffee.
We can help you regardless of how far your tennis elbow pain has progressed, but we prefer to see you early on. The earlier we see you, the faster you recover. Late stage care can be helpful, and we have done it many times. We have succeeded when others have failed. The long-term effects an elbow injury can be minimized, and the damage sustained corrected; when therapy is targeted and given at a frequency recommended by our clinical chiropractors. We can get you better if you let us. Call us and live better today.
The Damaged Tissues in Tennis Elbow?
There are layers and layers of tissue that surround the elbow. The lateral part of the elbow has attachment points for tendons that extend the wrist. Also, there is also a series of ligaments that form connections between the bones of the elbow. Furthermore, there are nerves, veins, and arteries that pass through the elbow and these too can be damaged as the result of injury or irritation.
Elbow injury is often related to a small tear in either the tendon or ligament, but can also involve the bone and the nerve. As with any damage, the body starts the healing process even if you do nothing. So, for some, the initial injury heals, only to reoccur over and over. A flare-up occurs each time they partake in activities that are aggravating. With each flare-up ( an episode of pain), there is an associated hemorrhagic event, which often leads to the formation of rough, granulated tissue known as scar tissue. To combat the scar tissue, the body releases collagen. Collagen is a protein; the body releases it around the injured area.
The presence of collagen triggers an inflammatory reaction that could result in a pressure change resulting cutting off or decrease in the flow of blood. With reduced blood (nutrients) recovery and even sustenance care impaired, leading to premature degeneration. Of course, we can fix and repair the damage: if the injured heeds the warning of pain and gets the care, they need fast.
Elbow problems that complicate recovery of a Tennis Elbow
We do not recommend “the wait and see attitude” of more than three days at the very most. Most of the time the more you wait, the more problems you end up having. Call us now and let us prevent this vicious cycle of pain. Elbow problems are mainly an issue that affects the tendons for the most part, at least in the beginning. Tendons and muscles require blood to survive, and they need lots more blood when injured. This is a great and most important point to remember. Blood carries nutrients; these nutrients are needed to repair tears for recovery.
The point here is that tendons have a lower supply of blood than do muscles. So when injured your doctor and therapist must have the skills, knowledge, and technology to increase blood flow to the wounded area effectively: this is why we are better! We offer a holistic system of care for all spine, joint, and sports injuries, the elbow included.
How to avoid the Tennis Elbow?
Our Founder has always said that an ounce of prevention is better than a pound of cure. The best treatment for tennis elbow is avoidance. Don’t wait until the pain comes to you. Before any activity make sure that you sufficiently warm-up and cool down. If you use a racquet, try stretching the extensor muscles of both wrists and elbows before and after each game. Start the game light and progressively increase the intensity. Also, ice after each tennis match, even if you do not have a tennis elbow.
Stretching exercise for Tennis Elbow
Prayer Stretch: An Effective Tennis Elbow Exercise
- initiate the exercise by putting your palms together in front of your chest, just below your chin.
- Slowly lower your hands towards your waistline, keeping your hands close to your stomach and your palms together until your feel a mild to moderate stretch under your forearms.
- Hold for 20 seconds, Repeat four times.
Reverse Prayer Stretch: Another Great Exercise For Tennis Elbow
- Start with the backs of your hands together in front of your waistline.
- Slowly bring your wrists up toward your face by bending your elbows until you feel a mild to moderate stretch in your forearms. Keep the backs of your hands together in your hands close to your body.
- Hold for 20 seconds. Repeat four times.
Thumb Stretch Helps Tennis Elbow Pain
- Place your forearm on the table with your thumb pointing upward and your hand hanging over the edge of the table.
- Lower your thumb toward the base of your little finger and close your hand into a list.
- Slowly lower your hand so your little finger mover toward the floor (aks if you‘re shaking hands).
- Hold for 20 seconds. Repeat four times.
Wrist Flexor Stretch for Tenis Elbow
- Extend your arm in front fo you with your palm up.
- Bend your wrist, pointing your hand toward the floor.
- With your other hand, gently bend your wrist further until you feel a mild to moderate stretch in your forearm.
- Hold for 20 seconds. Repeat four times.
The key point is to avoid developing a tennis elbow in the first place:
- Stop if you feel any pain.
- Stretch relevant muscles before beginning a stressful activity by flexing your wrist when your elbow is in a flexed position.
- Lift objects with your palm facing your body. Discontinue or modify the action that is causing the strain on your elbow joint.
- If you must continue, be sure to warm up for 10 minutes or more before any activity involving your arm, and apply ice to it afterward.
- Take more frequent breaks.
Why was it named “Tennis Elbow”?
Tennis elbow or lateral epicondylitis is a set of conditions that refers to discomfort, soreness or pain in the outer part of the elbow. In 1873, Renton wrote a paper about lateral elbow pain resulting from excessive hand use. The good doctor called this condition “writers elbow.” However, the term “writers elbow” did not get much traction and it was not until a few years later when tennis matches started. With the launch of “Lawn Tennis,” the athletes began to complain of persistent soreness and pain along the lateral aspect of their elbows.
The Lawn-tennis Elbow (Tennis Elbow)
In 1883, British researchers Morris and Major published an article: “The Lawn-tennis Elbow.” In this article, they described injury of the lateral (outer) soft-tissues as the main culprit. Soon after the publication, another researcher Dr. Winkworth disagreed with the good doctors and reported that the outer elbow pain is, in fact, due to a trapped nerve and not a soft tissue disorder as reported by Morris and Major.
Not to surprise anyone, in 1894, Remak and Bernhardt disagreed with everyone. They related that the elbow pain along the out portions is due to a periosteal tear. This tear according to their published works due to excessive overuse of the extensor wrist muscles as seen in some occupations. Remak and Bernhardt argued that certain occupations cause irritation of the extensor muscles of the wrist.
They related that the extensor muscles attach to the lateral elbow (the lateral condyle to be specific) and excessive overuse of the extensor muscles will lead to tears at points of attachment, which was confirmed and reported on by Cider in 1896, who called it “rupture of the epicondylar tendon.” In 1897 Fe recalled this “epicondylalgia” and finally in 1910 Franke coined the term “Epicondylitis.”
Elbow Pain (Tennis Elbow)
It was not until 1930 when Cyriax started at associate lateral elbow pain (tennis elbow) with an inflammatory condition. In 1936, the name “Tennis Elbow” fell out of favor with researchers and clinicians. The new term was more descriptive of a state rather than the activity that once thought of as a sole contributor. The term epicondylitis was used to replace tennis elbow.
The medical community started calling it lateral epicondylitis as there is a host of activates that cause this disorder, In fact, the most common cause of what once was thought to be tennis elbow is not tennis but rather associated with occupational hazards.
In 2005, Waugh argued to revive the old term “epicondylalgia.” He related that there are far too many pathophysiological changes that can lead to lateral elbow pain. His research showed etiology and cause of lateral elbow pain are best described as an “alias” (meaning pain over) or “it is,” which denotes an inflammatory origin.
Waugh’s arguments were that there is a host of problems that can cause pain on the outer aspect of an elbow. Pain could be due to inflammation, tears of muscles, tears of tendons, tears of ligaments, tears of periosteal (bone), trapped nerve and even pathology.
What should you do if you suspect you have a “Tennis Elbow”?
If you have tennis elbow, you can ice the affected area for 10 to 20 minutes. Make sure to place a cloth between your skin and the ice pack to prevent freezer burns. Also, you may try strapping a band around your forearm just below your elbow. If the support seems to help you lift objects such as heavy books, then continue with it. Be aware that such bands can cut off circulation and impede healing, so best to used once your tennis elbow pain has disappeared.
The Chiropractors of Chiropractic Specialty Centers are avid researchers and expert clinicians and most important are the fact that a team of clinical physiotherapist backs each chiropractor. We are not chiropractic or a physiotherapy center. We are both and so much more.
Our desire to learn have led to discoveries that we have made, and these findings led to the development of procedures that other do not do. If you have elbow pain, regardless of what the cause may be we can help. Golfers or tennis elbow ‘s not hard to treat. The difficulty is in diagnosing every component of the injured or malfunction part. That is where we shine.
Our chiropractors and clinical physiotherapist are better than others when it comes to Tennis Elbow treatments.
Our chiropractors and clinical physiotherapist will combine their skills, knowledge, and efforts to make sure that your recovery is fast and complete. Unlike another center, we will do our best to identify all injured components. Many centers ONLY treat the muscle or the tendon; as a result, their patients may not fully recover. We know this because we have treated many patients that have had care elsewhere without significant change. Some have even had doctors inject steroids in the hope of fixing the problem.
Our method is simple; identify the problem and ONLY the treat. We will not treat you unless we can determine the cause. We will not guess about your condition or follow a shotgun therapy approach. Call our main office in Kuala Lumpur, Malaysia to get information about our services, locations, and systems. Visit us, and you will see why you should change from your current therapy center to ours. We have helped many Tennis Elbow Pain sufferers without surgery or injections.