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A.D.A.M. Medical Encyclopedia.

Tennis elbow

Epitrochlear bursitis; Lateral epicondylitis; Epicondylitis - lateral

Last reviewed: August 11, 2012.

Tennis elbow is soreness or pain on the outside (lateral) side of the upper arm near the elbow.

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Causes, incidence, and risk factors

The part of the muscle that attaches to a bone is called a tendon. Some of the muscles in your forearm attach to the bone on the outside of your elbow.

When you use these muscles over and over again, small tears develop in the tendon. Over time, this leads to irritation and pain where the tendon is attached to the bone.

This injury is common in people who play a lot of tennis or other racquet sports, hence the name "tennis elbow." Backhand is the most common stroke to cause symptoms.

However, any activity that involves repetitive twisting of the wrist (like using a screwdriver) can lead to this condition. Therefore, painters, plumbers, construction workers, cooks, and butchers are all more likely to develop tennis elbow.

This condition may also be due to constant computer keyboard and mouse use.


Symptoms





  • Elbow pain that gradually worsens



  • Pain radiating from the outside of the elbow to the forearm and back of the hand when grasping or twisting


  • Weak grasp


Signs and tests

Your doctor or nurse will examine you. The exam may show:







  • Pain or tenderness when the tendon is gently pressed near where it attaches to the upper arm bone, over the outside of the elbow.



  • Pain near the elbow when the wrist is bent backwards.


X-rays may be done.

Treatment

The first step is to rest your arm and avoid the activity that causes your symptoms for at least 2 - 3 weeks. You may also want to:







  • Put ice on the outside of your elbow 2 - 3 times a day.



  • Take nonsteroidal anti-inflammatory medications (such as ibuprofen, naproxen, or aspirin).


If your tennis elbow is due to sports activity, you may want to:




  • Ask about any changes you can make in your technique.


  • Check any sports equipment you are using to see if any changes may help. If you play tennis, changing your grip size of the racket may help.


  • Think about how often you have been playing and whether you should cut back.


If your symptoms are related to working on a computer, ask your manager about making changes to your work station or have someone look at how you chair, desk, and computer are set up.

An occupational therapist can show you exercises to stretch and strengthen the muscles of your forearm.

You can buy a special brace for tennis elbow at most drug stores. It wraps around the upper part of your forearm and takes some of the pressure off the muscles.

Your doctor may also inject cortisone and a numbing medicine around the area where the tendon attaches to the bone. This may help decrease the swelling and pain.

If the pain continues after 6 - 12 months of rest and treatment, surgery may be recommended. Talk with your orthopedic surgeon about the risks, and whether surgery might help.

Expectations (prognosis)

Elbow pain may get better without surgery. However, most people who have surgery have full use of their elbow forearm afterwards.

Aug 30, 2014 | Health & Beauty

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I have been playing tennis for a few years now in Mississauga and Toronto. Are there any tips on how I could improve my endurance and court coverage? Should I change my training program to a tennis...


If you are undergoing coaching, then you already are following a tennis specific program. But the intensity of your training depends on the level of tennis you play. To further improve your fitness, you could try to go to some tennis coaching centre or clinic of repute that provides a tennis specific training regimen. They would have a program that would help improve your technique, breathing, endurance, etc. Depending on their quality, they might have trainers who could work with you individually to help identify your strengths and weaknesses. As far as improving your court coverage is concerned, a good training centre apart from the normal training might provide separate athlete agility training programs that can be custom suited to your needs. There could be several such centers in Mississauga and Toronto.

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Go to a good sports shop and they will advise you what kind of size is suitable for your kids.

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What is paddle tennis?


Paddle tennis is one of my favorite games! It is similar to regular tennis except for a few factors. Paddle tennis uses solid paddles instead of a strung racquet. Also, the court is smaller, there are no double's lanes and the net is lower than regular tennis. It is usually played in doubles on an enclosed court.

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I'm in my 50's, can I start playing table tennis?


Definitely! You should know that Table tennis is asport for all ages, and it is never too late to get started. You should know that in the year 2008, Olympic table tennis canbe called the Veteran Year as 38 year old Gao Jun and34 year old **** Chendirectly qualified for the 2008 Beijing Olympic Games on the women's side. Andon the men's side, 45 year old David Zhuangwon the right to attend the Olympic Games as the USA' sole male representative.

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My altec lansing ATP3 right satellite speaker cannot operate...


Speaker is bad or the cable may have come loose. Has it been knocked around? If so it may have pulled the cable loose inside the speaker, try playing a song and wiggle the wire and push the wire in gently to see if it starts to play if it does you have found your problem. If not then the speaker is bad and I don't remember if you can pull it apart and buy a new speaker to install in it. Thanks for using Fix-ya and if this helps please rate this free question.
Avid101

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Altec Lansing ATP 3W Computer speakers


I am also experiencing the same problem as yours...

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