Tennis elbow

What is it?

Tennis elbow (lateral epicondylitis) is a painful, inflammatory condition affecting the outside of the elbow.  It is a common injury but it is not only caused by playing tennis (despite the name).  It can be caused by any repeated wrist movements, such as gardening, painting or using tools.

What does it feel like and how does it affect people?

Pain is felt where the tendons from the forearm muscles attach to the bony knob on the outside of the elbow (the lateral epicondyle).  Symptoms inlcude pain on the outside of the elbow, which can radiate into the forearm and wrist.  It can make it uncomfortable to do simple things such as opening doors or even lifting very light objects (such as a cup of coffee).

How can physiotherapy help?

Following diagnosis, treatment usually includes manual therapy to restore movement to the elbow, as well as soft tissue techniques, specific stretching exercises and progressive strengthening.  Eccentric exercises (when a muscle is forced to lengthen while it contracts) and acupuncture are often beneficial.  Your physiotherapist may recommend wearing a brace.  Radiated pain can be addressed by correcting bad neck, back and arm posture to reduce the strain on the elbow.  The physiotherapist may also teach you to adapt your activities to avoid straining your elbow.