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Tennis elbow



Elbow - side view
Elbow - side view
Superficial anterior muscles
Superficial anterior muscles


Tennis elbow

Alternative Names:

Epitrochlear bursitis; Lateral epicondylitis; Epicondylitis - lateral
Treatment:

Treatment is aimed at pain relief and reducing inflammation. Treatment methods include:

  • Nonsteroidal anti-inflammatory medications (such as ibuprofen, naproxen or aspirin)
  • Local injection of cortisone and a local anesthetic into the affected area
  • Immobilization of the forearm and elbow with a splint for 2 to 3 weeks
  • Heat therapy
  • Physical therapy


To prevent the recurrence of the injury, a splint may be worn during aggravating activities, or the activities may need to be modified. If the pain persists despite these nonoperative treatments, surgery may be necessary.


Expectations (prognosis):

Over 90% of people improve with non-surgical treatment. Of the 10% that need surgery, 90% of these experience subsequent relief.


Complications:
  • Recurrence of the injury with overuse
  • Rupture of the tendon with repeated steroid injections
  • Failure to improve with nonoperative or operative treatment; these may be due to nerve entrapment in the forearm

Calling your health care provider:

Apply home treatment (over-the-counter anti-inflammatory analgesics and immobilization) if symptoms are mild or if you have had this disorder before and you know this is what you have.

Call for an appointment with your health care provider if this is the first time you have had these symptoms, or if home treatment does not relieve the symptoms.




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