Tennis Elbow

Recently I’ve had quite a few patients come in with elbow pain. The most common presentation so far has been lateral epicondylitis or tennis elbow. Pain on the other side of the elbow can be associated with medial epicondylitis or golfer’s elbow.

You do not have to play tennis to get tennis elbow. Tennis elbow is most commonly a repetitive type stress injury, meaning repeating the same motion or stressful event over and over again. This leads to chronic stress at the elbow.

That leads me to my next point, this process is very rarely acute! This means that it had to be building up for a long period of time. It is highly likely that this results in no major tearing in the tendons at the elbow. Sure there is micro damage that occurs but that happens in any stress to the body.

Tennis elbow involves overuse of the arm extensor muscles, usually leading to pain, tightness, and restriction at the outside of the elbow joint. These symptoms can travel up or down the arm as well depending upon the presentation. These patients will often feel pain when shaking hands, picking up items, unscrewing lids, and any contraction of the extensor muscles.

The most common mechanisms of injury are things like using a mouse for work all day, painting, playing guitar, cooking, racket sports, golf, and crafting. All of these require grasping an object and mostly in a palm down direction, leading to direct overuse of the extensor muscles.

There are many treatment options available. Medication and injections can temporarily reduce pain leaving the problem to get worse while damaging the tissues. Soon after they wear off, the pain will return and possibly be worse. Surgery should be reserved as a last resort option. As a patient, you need to treat the source of the issue and correct the reasons why it got there in the first place.

Through chiropractic treatment in my office, I start with examining the biomechanical chain. Everything from the neck, shoulder, elbow, and wrist needs to be evaluated. Oftentimes, issues can arise due to weak links somewhere along this chain, causing a compensation at the elbow. I will adjust the elbow and specifically the radial head to restore normal joint motion. Next I focus on treating the tissues directly with Active Release Technique and instrument assisted soft tissue scraping. Once the joints are functioning properly and the tissues are free of adhesions the patient may begin rehabilitating with a special tool.

If you think you have similar symptoms and would like to see if you qualify for chiropractic care, please call my office and ask for an appointment with me. I look forward to helping you achieve your health goals.

Yours in health,

Dr. Glenn Ezell

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