Summary about Disease
Lateral epicondylitis, commonly known as tennis elbow, is a painful condition affecting the tendons that attach the forearm muscles to the bony bump on the outside of the elbow (lateral epicondyle). It's characterized by pain and tenderness on the outer side of the elbow, often radiating down the forearm. Despite its name, it's not exclusive to tennis players and can result from repetitive motions or overuse of the forearm muscles.
Symptoms
Pain or burning on the outer side of the elbow
Weak grip strength
Pain that radiates down the forearm and wrist
Tenderness to the touch over the lateral epicondyle
Pain worsens with activities that involve gripping or lifting
Stiffness in the elbow
Pain when extending the wrist against resistance
Causes
Lateral epicondylitis is primarily caused by overuse and repetitive motions that strain the forearm muscles and tendons. Specific causes include:
Repetitive gripping and wrist extension activities (e.g., tennis, painting, carpentry, typing)
Poor technique during sports or activities
Weak forearm muscles
Sudden increase in activity level
Prolonged or excessive computer use
Direct blow to the elbow
Any activity that causes repetitive stress on the elbow joint
Medicine Used
4. Medicine used
Pain relievers: Over-the-counter pain relievers like ibuprofen or naproxen can help reduce pain and inflammation.
Corticosteroid injections: Corticosteroids can be injected into the affected area to reduce inflammation and pain.
Topical NSAIDs: Topical nonsteroidal anti-inflammatory drugs can be applied to the skin over the elbow to provide pain relief.
Platelet-rich plasma (PRP) injections: PRP involves injecting a concentration of the patient's own platelets into the affected area to promote healing.
Is Communicable
No, lateral epicondylitis is not a communicable disease. It is not caused by an infection and cannot be transmitted from person to person.
Precautions
Use proper technique when performing repetitive activities.
Strengthen forearm muscles with exercises.
Take frequent breaks during activities that strain the elbow.
Use appropriate equipment for activities (e.g., tennis racket grip size).
Avoid activities that aggravate the pain.
Use a counterforce brace or elbow strap to support the forearm muscles.
Maintain good posture.
Gradual increase in activity levels
How long does an outbreak last?
The duration of lateral epicondylitis varies depending on the severity of the condition and the individual's response to treatment. With conservative treatment, symptoms may improve within several weeks to a few months. However, in some cases, it can take longer, up to a year or more, for the pain to fully resolve. Chronic cases may persist for extended periods with fluctuating symptoms.
How is it diagnosed?
Lateral epicondylitis is typically diagnosed based on a physical examination and medical history.
Physical Examination: The doctor will assess the elbow for tenderness, pain with wrist extension against resistance, and grip strength.
Medical History: The doctor will ask about activities that may have contributed to the condition.
Imaging Tests: X-rays may be performed to rule out other conditions, such as arthritis. In some cases, MRI may be used to evaluate the tendons and soft tissues in more detail, but usually not required.
Timeline of Symptoms
9. Timeline of symptoms The timeline of symptoms can vary, but a general progression might look like this:
Early Stage: Mild pain on the outer elbow after activity.
Progressive Stage: Pain becomes more frequent and intense, radiating down the forearm. Grip strength weakens.
Chronic Stage: Persistent pain, even at rest. Daily activities become difficult due to pain. The pain may come and go depending on activity.
Important Considerations
Early diagnosis and treatment are important to prevent the condition from becoming chronic.
Rest and activity modification are crucial for recovery.
Physical therapy can help strengthen forearm muscles and improve range of motion.
Surgery is rarely needed, but may be considered in severe cases that do not respond to conservative treatment.
Addressing the underlying cause of the condition is essential to prevent recurrence.
Proper ergonomics and technique are important for preventing lateral epicondylitis.