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TENNIS ELBOW (Management (The NHS conditions patient information on Tennis…
TENNIS ELBOW
Management
The NHS conditions patient information on Tennis elbow.
The Arthritis Research UK patient leaflet on Tennis elbow which includes simple exercises which may help.
Avoid heavy lifting, forceful gripping or twisting.
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Corticosteroid injection — may provide short-term relief for severe pain, especially if function is affected, but is unlikely to affect long-term outcome, and relapses are common.
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Assessment
Red flags such as a history of trauma, joint swelling, or systemic symptoms, which may suggest an alternative diagnosis.
Assess - onset, duration, exacerbating features.
Examination
Look for typical features:Localized point tenderness on palpation over and/or distal to the lateral epicondyle and along the common extensor tendon.
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Dorsiflex the wrist against resistance with the elbow flexed at 90 degrees — extending the elbow increases pain further.
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Assess the neck and shoulder to exclude an alternative diagnosis, such as referred pain.
Definition
Tennis elbow or lateral epicondylitis describes a tendinosis that affects the common attachment of the tendons of the extensor muscles of the forearm to the lateral epicondyle of the humerus.
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◦t is characterized by pain in the lateral elbow, pain with wrist extension, and reduced grip strength. It is exacerbated by activities that involve excessive
and repetitive use of the extensor muscles of the forearm, for example strong gripping and repetitive wrist movements.
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Referral
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Symptoms persist despite 6–12 months of optimal management in primary care.Surgical treatments such as open or arthroscopic debridement of tendinosis and/or release or repair of the damaged extensor tendon insertion may be considered.