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Epicondylitis

Health Plus Physical Therapy Center

Physical Therapy center located at 2114 Oak Tree Rd, Edison, NJ 08820

At Health Plus, we provide tailored therapy services to address various conditions and injuries. Our goal is to help you regain mobility, alleviate pain, and enhance your well-being. With advanced techniques and compassionate care, we’re here to support your journey to recovery.

732- 494 -5999
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Epicondylitis: Causes, Symptoms, Diagnosis, and Treatment

Epicondylitis, commonly known as tennis or golfer’s elbow, is a condition characterized by inflammation and pain in the tendons around the elbow. Understanding the anatomy, causes, symptoms, diagnosis, and treatment options is essential for effectively managing this condition.

Anatomy:

Epicondylitis typically involves the lateral epicondyle (tennis elbow) or medial epicondyle (golfer’s elbow). These bony protrusions are attachment sites for the forearm muscles’ tendons, playing a crucial role in arm movement and stability.

Causes:

  1. Overuse: Repetitive and forceful use of the forearm muscles and tendons, common in sports like tennis, golf, and activities involving gripping and lifting.
  2. Age: The condition is more prevalent in individuals aged 30 to 50.
  3. Poor Technique: Improper form during sports or activities can contribute to increased stress on the tendons.

Symptoms:

  1. Pain: Gradual onset of pain on the outer (tennis elbow) or inner (golfer’s elbow) side of the elbow.
  2. Weak Grip: Difficulty in gripping or holding objects.
  3. Stiffness: Stiffness in the elbow joint, especially in the morning.
  4. Tenderness: Tenderness around the affected epicondyle.
  5. Radiating Pain: Pain may radiate down the forearm.

Diagnosis:

  1. Clinical Examination: Assessment of symptoms, physical examination, and evaluation of grip strength.
  2. Imaging Studies: X-rays or MRI to rule out other conditions and assess the severity of the inflammation.

Treatment Options:

  1. Conservative Management:

    a. Rest: Avoiding activities that exacerbate symptoms. b. Ice: Applying ice to reduce pain and inflammation. c. Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Over-the-counter or prescription medications for pain and inflammation. d. Brace or Splint: Providing support to the affected forearm to reduce strain.

  2. Physical Therapy:

    a. Stretching Exercises: Specific exercises to improve flexibility. b. Strengthening Exercises: Gradual introduction of exercises to strengthen forearm muscles. c. Technique Correction: Guidance on proper form during activities to prevent recurrence.

  3. Corticosteroid Injections: In cases of severe inflammation, corticosteroid injections may be considered for short-term relief.

  4. Extracorporeal Shock Wave Therapy (ESWT): Sound waves are used to stimulate healing and reduce inflammation.

Rehabilitation:

Surgery is rarely needed but may be considered for persistent cases that do not respond to conservative measures.

Prevention:

  1. Proper Technique: Ensuring proper form during activities to minimize stress on the tendons.
  2. Gradual Progression: Avoiding sudden increases in intensity or duration of activities.
  3. Strength Training: Regular exercises to strengthen forearm muscles.

Conclusion:

Epicondylitis requires a comprehensive approach to management, including conservative measures, physical therapy, and, in some cases, medical interventions. Early intervention, proper rest, and adherence to rehabilitation programs are crucial for successful recovery. Individuals experiencing persistent elbow pain or functional limitations should seek medical attention for accurate diagnosis and appropriate treatment.

Related Conditions:

Medial Epicondylitis (Golfer's Elbow)

Shoulder Impingement Syndrome

Rotator Cuff Tear

Bicipital Tendinitis

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