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Tennis Elbow (Lateral Epicondylalgia)

Definition
Lateral epicondylalgia is an extremely common condition amongst sports players, office workers and those involved in repetitive manual work. It is commonly caused by repetitive actions of the wrist. Historically thought to be an inflammatory condition of the tendons, now its source is known to be collagen disarray. It is common in adults between the age of 35 and 50 years, with no gender preference. The impact of lateral epicondylalgia on work disability and physical function is substantial.

Signs & Symptoms

  • Pain on the outside of the elbow
  • Occasional pain referring into the forearm and down to the wrist
  • Pain can be aggravated from minor activities such as picking up a cup to more loaded activities such as playing tennis or bricklaying

Management
A thorough assessment, from your Physiotherapist at Advantage Healthcare and Physiotherapy, will help determine the factors contributing to your pain, and the extent of your injury. It is important to look at the neck, shoulder, elbow and wrist in this condition as they can be interrelated. Treatment may have to be widespread to achieve a good end result. Your physiotherapist will provide pain relief, advice on injury management and rest from the aggravating activities, as well as a structured rehabilitation program.

Golfer's Elbow (Medial Epicondylalgia)

Definition
Golfer's elbow is a condition that causes pain on the inner side of your elbow, similar to that of tennis elbow on the outer side. Although commonly seen in Golfers, it is not restricted to the golfing population. Commonly, it is an overuse injury of the muscles attaching to the inner side of the elbow.

Signs & Symptoms

  • Pain on the inner side of the elbow.
  • Pain extending along the inner side of the forearm into the fingers
  • Numbness and tingling along the inner side of the forearm radiating into the fingers
  • Pain associated with swinging a golf club or racket, squeezing a ball, shaking hands, turning a doorknob, lifting weights, picking up objects with palm down and so on.

Management
At Advantage Healthcare and Physiotherapy, your physiotherapist will perform a thorough assessment to determine the cause of the pain. Like Tennis Elbow, it is important to look at the neck, shoulder, elbow and wrist in this condition as they can be interrelated. Treatment may have to be widespread to achieve a good end result. Your physiotherapist will provide pain relief, advice on injury management and rest from the aggravating activities, as well as a structured rehabilitation program. Rehabilitation is an important part of this condition as it can be persistent if not management adequately.

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