Tennis Elbow / Golfer’s Elbow

Tennis Elbow is the most common cause of pain in the elbow. It is known as Lateral Epicondylitis, and causes pain on the outside of the elbow. The pain may radiate down the back of the forearm toward the wrist. When the pain is on the inside of the elbow, it is known as Golfer’s Elbow, or Medial Epicondylitis.

How does this happen?

Tennis Elbow and Golfer’s Elbow usually result from overuse or repetitive activities, such as lifting things at home or at work. You do not need to play tennis or golf for it to occur. It is very common when beginning a new exercise regimen or weight-lifting program. It may begin slowly over time with no identifiable cause. Tiny microscopic tears occur in the tissue where the tendon attaches to the bone. These areas fail to heal and become inflamed and painful.

How will we know that this is your problem?

The diagnosis of tennis elbow is made by your physician, using a combination of history (when the elbow hurts, what makes it worse, and what makes it better) and exam of the elbow. Often one spot on the outside of the elbow will be painful to the touch, and certain maneuvers will make the pain worse. Your physician may also obtain X-rays and MRI to confirm the diagnosis.

How can this be treated?

Dr. O’Brien treats elbow pain of all varieties, including tennis elbow. The initial treatment often involves rest, avoiding activities that hurt, ice, and anti-inflammatory medications (NSAID’s) to decrease the pain and inflammation. Cortisone injections may help when the pain is severe. Sometimes bracing, neoprene sleeves, or tennis elbow straps may be helpful. Physical therapy and home exercises help to decrease pain and improve range of motion and strength. When non-operative treatment fails to provide relief, surgery may be an option. Surgery for tennis elbow release and repair can be performed arthroscopically, or through a small incision.