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Sadiq Sulaiman

 

Tennis elbow and what you need to know
Sep 2004


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At the outset, let me mention that the term ‘Tennis Elbow’ is a complete misnomer. Though called Tennis Elbow this condition arises from non tennis related activities as well. Apart from tennis, this condition is also caused by use of heavy tools like electric hammers and even the humble screw driver. Even drivers of heavy vehicles have sometimes experienced a form of tennis elbow. It is medically accepted that most complaints of this condition come from non-tennis related activities, which is why I called it a misnomer in the first place.

Medically this condition is called Lateral Epicondylitis and can arise from any activity that places a repetitive stress on the outside (lateral) of the elbow. It is basically an injury to the muscles and tendons on the outside (lateral) of the elbow because of overuse or repetitive stress.

Unfortunately, tennis elbow is misunderstood and very often misinterpreted. So much so, that any sort of pain on the forearm muscles leading to the wrist or above the forearm leading to the shoulder is considered Tennis elbow. Nearly 50% of tennis players have at some point of time experienced this condition and is therefore is something that cannot be ignored by either by a professional or recreational player.
The symptoms of tennis elbow are easy to read. Pain or tenderness on the outer side of the elbow, pain that shoots from the elbow down into the forearm or up into the upper arm, insufficient elbow and hand movement, forearm muscle tightness and insufficient forearm functional strength. The onset of pain is generally gradual, and can then heighten to more serious pain. The pain will be felt when you straighten or raise your wrist and hand, or while lifting a heavy object. Pain can also be felt when you make a fist, grip an object, shake hands, or even turn door handles.
For a tennis player though, the causes are generally because of an improper stroke technique, especially in a one-handed backhand or a late snappy forehand, change in equipment (Rackets, Balls) and also a change in racket strings or the string tension. If you have been experiencing this pain recently, first of all determine if there has been change in your stroke technique or in your equipment.

Once you experience pain, consult a physician, who can then recommend the appropriate prescription. Follow the RICE principle. As a first step try and decrease inflammation and pain and promote tissue healing. Continue to use the muscle to the maximum extent possible to retard muscle atrophy. The second step would be to improve flexibility, increase strength and endurance, increase functional activities and return to function. It is best to avoid physical activities that make the condition worse until the symptoms disappear. Usually the symptoms go away a week or two after you begin treatment.

This condition can certainly be prevented. For instance, be sure your tennis stroke is correct and that your tennis racket has the proper grip size. Warm up before playing tennis or doing other activities that involve your elbow or arm muscles. Gently stretch your elbow and arm muscles before and after exercise. Ice is recommended after exercise or a workout.
To prevent a relapse, discontinue or modify the action that is causing the strain on your elbow joint. If you must continue, be sure to warm up for 10 minutes or more before any activity involving your arm, and apply ice to it afterward. Frequent breaks might be necessary.
For a serious player Tennis Elbow is a frustrating condition, because it severely affects and inhibits stroke play. But, if noticed early and treated correctly this condition can be completely reversed.

There are a lot of support systems, equipment like straps, bands and creams available in the market, but make sure they are used under proper guidance and after consultation with a specialist.

 

 

 

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