Tennis elbow, or lateral epicondylitis, is a painful condition caused by overuse of the forearm muscles and tendons. It occurs due to repetitive strain and microtears in the tendons that attach to the lateral epicondyle (outer part of the elbow). Despite its name, this condition affects not just athletes but also individuals engaged in repetitive wrist and arm movements, such as painters, carpenters, and office workers.
Tennis elbow results from repetitive motions like gripping, twisting, and lifting that put excessive strain on the forearm tendons. It is commonly seen in individuals who perform activities involving repetitive wrist extension and forearm rotation, leading to degeneration and inflammation of the tendons. Poor technique, overuse, or lack of proper rest can increase the risk of developing this condition.
The primary symptoms of tennis elbow include pain and tenderness on the outer part of the elbow, which can radiate down the forearm. Individuals may experience weakness in grip strength, making it difficult to perform everyday tasks like shaking hands, holding objects, or turning doorknobs. The pain typically worsens with lifting, gripping, or twisting motions.
A combination of non-surgical treatments is effective in managing tennis elbow. Extracorporeal Shock Wave Therapy (ESWT) helps stimulate healing, reduce pain, and improve blood flow to the affected tendons, promoting faster recovery. Physiotherapy plays a crucial role in strengthening the forearm muscles and improving flexibility through targeted exercises, stretching, and manual therapy to prevent further strain.
For chronic cases, Platelet-Rich Plasma (PRP) therapy is a regenerative treatment that accelerates healing by injecting concentrated growth factors into the damaged tendon, reducing inflammation, and stimulating tissue repair. Along with these treatments, activity modification, proper ergonomics, and gradual strengthening exercises are essential to prevent recurrence.
By combining ESWT, physiotherapy, PRP therapy, and lifestyle adjustments, individuals can achieve long-term pain relief, improved tendon healing, and restored forearm strength without the need for surgical intervention.