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TENNIS ELBOW

TENNIS ELBOW. LATERAL EPICONDYLITIS Radio humeral Bursitis. Definition Tennis elbow is an inflammation of the tendons that join the forearm muscles on the outside of the elbow. Most commonly affecting men and women from the ages of 40-50 years of age . Etiology. Overuse:

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TENNIS ELBOW

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  1. TENNIS ELBOW

  2. LATERAL EPICONDYLITIS Radio humeral Bursitis

  3. Definition Tennis elbow is an inflammation of the tendons that join the forearm muscles on the outside of the elbow. Most commonly affecting men and women from the ages of 40-50 years of age.

  4. Etiology Overuse: repeating the same motions again and again.

  5. Etiology Activities: Athletes: * commonly found in tennis and golf players. * weight lifting . Other workers: * Excessive computer mouse use. * Painters . * carpenters. * butchers .

  6. Symptoms: 1- pain when twisting your forearm. 2- pain and stiffness when fully extending your forearm 3- Tenderness (and sometimes swelling) over the bone on the outer side of the elbow. 4- Pain worse when grasping or holding an object. 5- soreness in the forearm.

  7. Investigation: Tennis Elbow is can usually by diagnosed after being seen by your doctor. Your doctor will feel and press around your elbow, and ask you to perform movements of your elbow and wrist to find which movements aggravate your pain.

  8. X ray An X-ray can help your doctor rule out other possible causes of elbow pain, such as arthritis or a fracture. Ultrasound and MRI An Ultrasound and MRI can also help diagnose Tennis Elbow, but is not necessary in every case.

  9. Physical 1- avoidance of recurrence that are largely speculative including : - stretches strengthening exercises- progressive to prevent re-irritation of the tendon and other exercise measures.

  10. 2- joint mobilization with movement directed in pain at the elbow resulted in reduction and improved function. 3- manipulative therapy directed at the cervical spine, although data regarding long-term effects were limited.

  11. 4- Low level laser therapy administered at to specific doses and wavelengths directly the lateral elbow tendon insertions offers short-term pain relief and less disability in LET, both alone and in conjunction with an exercise.

  12. Medication

  13. non-steroidal anti-inflammatory drugs (NSAIDs) to relieve lateral elbow pain in the short term ,however there were no improvements found in functional outcomes. Injected NSAIDs were suggested to be better than oral NSAIDs.

  14. Corticosteroid injection are effective in the short term, however are of little benefit after a year compared to a wait and see approach. Complications from repeated steroid injections Include: skin problems such as hypopigmentation fat atrophy leading to indentation of the skin around the injection site.

  15. Botulinum toxin type A injection Injection of botulinum toxin into muscles in the forearm has been shown to be an effective treatment for tennis elbow. Injection of botulinum toxin may be considered if symptoms are severe enough for surgery to be considered.

  16. Surgery symptoms persist for some time and are really troublesome, then a specialist may advise an operation. The common operation to ease symptoms is to remove the damaged part of the tendon. Only a small number of people require surgery to relieve symptoms.

  17. Rest and painkillers is all that most people with tennis elbow need. Pain from tennis elbow usually lasts for 6 to 12 weeks. In some people it can go after as little time as 3 weeks. However, in other people, pain can last for longer (for between 6 months to 2 years).

  18. Unfortunately, once you have had tennis elbow, it may return. Elbow pain may get better without surgery. However, most people who have surgery have full use of their elbow forearm afterwards.

  19. References http://orthoinfo.aaos.org/topic.cfm?topic=a00068 http://www.mayoclinic.com/health/tennis-elbow/DS00469/DSECTION=causes http://www.emedicinehealth.com/tennis_elbow/page3_em.htm http://www.nhs.uk/Conditions/Tennis-elbow/Pages/Symptoms.aspx http://orthoanswer.org/shoulder-arm-elbow/tennis-elbow/investigations.html http://en.wikipedia.org/wiki/Tennis_elbow http://www.patient.co.uk/health/Tennis-Elbow.htm http://www.nlm.nih.gov/medlineplus/ency/article/000449.htm

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