Tennis Elbow: Symptoms, Treatment, and Proper Brace Use - Rehabilitation

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Tennis elbow


Hello Director Chen! When playing tennis, I always wear a tennis elbow brace on my right elbow, but recently I have been experiencing frequent soreness and pain, making it difficult to lift heavy objects or exert force with my right hand.
Could this be tennis elbow? Also, is it correct to wear the elbow brace close to the wrist area? Thank you for your response! Lee

Li, 20~29 year old female. Ask Date: 2006/11/18

Dr. Chen Xianchang reply Rehabilitation


1.
The elbow sleeve should be worn up to the elbow joint, which may slightly limit joint movement.
2.
If there is soreness, it is advisable to refrain from vigorous exercise and lifting heavy objects.
3.
You may visit the rehabilitation department for treatments such as paraffin therapy, interferential current therapy, and ultrasound therapy.

Reply Date: 2006/11/18

More Info


Tennis elbow, medically known as lateral epicondylitis, is a common condition that arises from repetitive strain on the elbow, particularly from activities that involve gripping or twisting motions, such as playing tennis. The symptoms typically include pain and tenderness on the outer part of the elbow, which may radiate down the forearm. Patients often report difficulty in lifting objects, gripping, or performing everyday tasks due to pain and weakness.

In your case, the symptoms you describe—persistent pain in the right elbow, especially when lifting or applying force—are indeed indicative of tennis elbow. The discomfort you experience while using the elbow, particularly during activities that involve gripping, is a classic sign of this condition.
Regarding the use of a brace, it is crucial to ensure that it is applied correctly for optimal support. The brace should ideally be positioned about 2-3 inches below the elbow joint, which helps to alleviate strain on the tendons that are affected. If you are wearing the brace too close to the wrist, it may not provide the necessary support to the elbow area, potentially leading to continued discomfort. The purpose of the brace is to stabilize the forearm muscles and reduce the strain on the elbow joint during activities.

Treatment for tennis elbow typically involves a combination of rest, ice therapy, and physical rehabilitation. Here are some recommended approaches:
1. Rest and Activity Modification: It is essential to avoid activities that exacerbate the pain. This may mean taking a break from tennis or any other repetitive activities that involve the elbow.

2. Ice Therapy: Applying ice to the affected area for 15-20 minutes several times a day can help reduce inflammation and alleviate pain.

3. Physical Therapy: Engaging in a structured rehabilitation program with a physical therapist can be beneficial. They can guide you through exercises designed to strengthen the forearm muscles and improve flexibility. Modalities such as ultrasound therapy or electrical stimulation may also be employed to promote healing.

4. Medications: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help manage pain and reduce inflammation.

5. Bracing: As mentioned earlier, using a forearm brace can help reduce strain on the elbow during activities. Ensure that it is fitted correctly.

6. Corticosteroid Injections: In some cases, if conservative treatments do not provide relief, a healthcare provider may recommend corticosteroid injections to reduce inflammation.

7. Surgery: Although rare, if symptoms persist despite extensive conservative treatment, surgical options may be considered to remove degenerated tissue or repair the tendons.

Recovery time can vary significantly based on the severity of the condition and adherence to treatment protocols. Many individuals experience improvement within a few weeks to several months with appropriate management. However, it is crucial to be patient and allow adequate time for healing to prevent recurrence.

In summary, your symptoms are consistent with tennis elbow, and proper brace application is essential for effective treatment. It is advisable to consult with a healthcare professional for a thorough evaluation and personalized treatment plan. Engaging in physical therapy and modifying activities will significantly aid in your recovery.

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