Tennis Elbow: Symptoms, Causes, and Prevention Tips - Orthopedics

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Questions about tennis elbow?


Several years ago, I sustained a strain in my entire right arm, but at that time, I did not experience any discomfort or soreness.
Recently, due to work requiring me to frequently lift heavy objects, I have developed a feeling of weakness in my right hand, particularly in the area around the thenar eminence, which also experiences occasional pain.
After consulting a doctor, I was diagnosed with lateral epicondylitis, commonly known as tennis elbow.
Isn't the pain associated with tennis elbow localized at the elbow joint? Why does it radiate to the hand? I am puzzled as to why the discomfort in my hand is more severe than that in my elbow joint.
Additionally, I would like to inquire about any potential long-term effects from my previous strain.
Does tennis elbow count as one of them? What protective measures should I take when lifting heavy objects in the future?

Xinni, 20~29 year old female. Ask Date: 2004/10/10

Dr. Hong Ximing reply Orthopedics


Xinyi: Hello! The pain you mentioned in your left and right palms seems less like tennis elbow and should be considered as carpal tunnel syndrome.
It often occurs after lifting heavy objects.
The pain point for tennis elbow is typically on the outer side of the elbow joint.
Past strains, if properly managed, should not leave any residual effects.
I recommend that you see a neurologist for a nerve conduction study for further evaluation.
Thank you!

Reply Date: 2004/10/10

More Info


Tennis elbow, medically known as lateral epicondylitis, is a condition characterized by pain on the outer part of the elbow. It results from overuse of the forearm muscles and tendons, leading to inflammation and micro-tears in the tendons that attach to the lateral epicondyle of the humerus. While the pain is primarily localized around the elbow, it can radiate down the forearm and into the wrist and hand, which may explain the symptoms you are experiencing.

In your case, the pain and weakness in your hand, particularly at the base of your thumb (the "thenar" area), can be attributed to the interconnected nature of the muscles and tendons in the forearm. The forearm muscles that extend the wrist and fingers originate from the elbow region. When these muscles are strained due to repetitive activities, such as lifting heavy objects, the pain can manifest not only at the elbow but also in the hand. This phenomenon is known as referred pain, where discomfort is felt in a location different from the source of the problem. The severity of the discomfort in your hand compared to your elbow could be due to the specific muscles involved, the extent of inflammation, or even the way your body perceives pain.

Regarding your previous arm injury, if it was treated appropriately and did not result in significant structural damage, it is unlikely to have left lasting effects. However, if the injury involved the tendons or ligaments, it could predispose you to conditions like tennis elbow later on, especially if you engage in activities that put stress on those areas.
To prevent further issues while lifting heavy objects, consider the following protective measures:
1. Proper Technique: Ensure that you are using proper lifting techniques. Bend at the knees and keep the load close to your body to minimize strain on your arms and back.

2. Strengthening Exercises: Engage in exercises that strengthen the forearm muscles. This can help improve endurance and reduce the risk of injury. Focus on both the flexor and extensor muscles.

3. Stretching: Incorporate stretching exercises for your forearm muscles before and after activities. This can help maintain flexibility and reduce tension.

4. Ergonomic Tools: If your work involves repetitive motions, consider using ergonomic tools that reduce strain on your arms and wrists.

5. Rest and Recovery: Allow adequate rest between activities that require heavy lifting or repetitive motions. If you start to feel discomfort, take a break to prevent exacerbating the condition.

6. Use of Supports: Consider using elbow braces or supports during activities that may strain your elbow. These can provide additional stability and reduce the risk of injury.

7. Consult a Professional: If symptoms persist or worsen, it is advisable to consult a healthcare professional, such as a physical therapist or orthopedic specialist, who can provide tailored advice and treatment options.

In summary, tennis elbow can cause pain that radiates beyond the elbow due to the interconnected nature of the forearm muscles. While previous injuries may not directly cause tennis elbow, they can increase susceptibility to it. Implementing preventive measures during activities that involve heavy lifting can help mitigate the risk of developing this condition. If you have ongoing concerns or symptoms, seeking professional medical advice is essential for proper diagnosis and treatment.

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