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Tennis Elbow
Alternate Names : Lateral Epicondylitis, Elbow Tendonitis OR Tendinosis
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What are the treatments for the condition?
Tennis elbow often goes away when the activity that caused it is stopped. It
may help to lessen the frequency or intensity of the activity. Taking periodic
breaks in the action may also help. Resting the elbow and using ice on it can
speed recovery. Physical therapy consists of stretching and strengthening the
muscles that straighten the wrist and fingers. Non-steroidal anti-inflammatory
drugs (NSAIDs), such as naproxen or ibuprofen may be given for pain. Injections of
cortisone may also be used to relieve the pain. A tennis elbow band
may be advised. This can be worn around the upper forearm to help stop the
muscle forces from being carried up to the elbow. Rarely, an operation on the
elbow is needed when other treatments do not work.
What are the side effects of the treatments?
NSAIDs, especially if taken for a long time, can affect the stomach, kidneys,
blood or liver.
Cortisone injections carry a very small risk of causing infection.
Cortisone injections may also weaken the tissues if used too often
or cause the skin over the elbow to become pink, shiny, and thin.
If surgery is performed, there is a risk of bleeding, infection, and damage to
the nearby tissues. For example, nerve damage may rarely occur. This could
cause numbness in part of the arm.
What happens after treatment for the condition?
People are usually advised to slowly increase activities. Many
people have a full recovery and can return to their normal activities. Regular
strengthening or stretching exercises may help prevent tennis elbow from
returning. Reducing the intensity of the activity that caused the injury may be
advised.
How is the condition monitored?
Tennis elbow is monitored by the affected person, who can notice the comfort
level during physical activity.
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Author: John A.K. Davies, MD Reviewer: Adam Brochert, MD Date Reviewed: 05/04/01
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