Tennis Elbow Physiotherapy Treatment
Tennis Elbow is defined as pain and tenderness in the lateral side of the elbow.
Tennis players (SERVE, BACKHAND STROKE)
May be occupational.
Other activities include: tightening a screw. Using a wrench, wringing washed cloths, vigorous hand shake
Painful elbow syndrome divided in following varieties :-
- Classical tennis elbow: lateral tennis elbow
- Other varieties
- Medial painful elbow(Golfer’s elbow)
- Posterior painful elbow around the margins of the olecranon process.
Causes of Tennis Elbow
Epicondylitis: due to single or multiple tears in common extensor origin, periosteitis, angiofibroblastic proliferation of extensor carpi radialis brevis.
Inflammation of adventitious bursa: between common extensor origin and radio humeral joint
Calcified deposits: within the common extensor tendon
Painful annular ligament: Due to hypertrophy of synovial fringe between radial head and the capitulum.
Pain of neurological origin: e.g. cervical spine affection, radial nerve entrapment, etc.
Symptoms of Tennis Elbow
Stage 1: acute inflammation but no angioplasty invasion patient complains of pain during activity.
Stage 2: chronic inflammation followed by some angioplasty invasion patient complains of pain both during rest and activity.
Stage 3: chronic inflammation with extensive angioplasty invasion patient complains of pain at rest, night and pain during activity.
Tennis Elbow Physiotherapy Measures
During Acute Phase
- Rest: above elbow pop splint with elbow in 90 0 flexion and supination with wrist in slight dorsiflexion
- Thermotherapy: heat modality like TENS, ultrasound, SWD in reducing pain.
- Cryotherapy: ice cold packs on tender area for 15-20 min is very effective.
- Electrical stimulation: done for 15-20 min with arm elevated to reduce pain and inflammation
- Massaging: gentle massing for next 10 days followed by frictional massage for the next 15 days
- Exercises: active exercises for shoulder, elbow, wrist and hand. Isometric exercise helpful followed by pre in later stages
Post Acute Phase
- Patient instructed to avoid repeated wrist extension and supination movements.
- Strengthening exercises for extensor carpi radialis after a period of rest and support in acute phase.