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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. |