Abacoa & Alton Neighbors January 2021

J a n u a r y 2 0 2 1 | Abacoa &Alton N E I G H B O R S 25 Elbow pain is common in active individuals. When pain is located on the lateral (outside) or medial (inside) of the elbow, it may be called tennis elbow or golfers’ elbow, respectively. Tennis elbow is the common name for lateral epicondylitis. The epicondyle is the bump on the outside of the elbow and the extensor tendons that extend (bend back) the wrist originate there. This condition is frequently attributed to an overuse injury that causes inflammation and microtears in the extensor tendons of the elbow. Tennis elbow most commonly affects tennis players, hence the name. Risk factors include a heavy racquet, improper grip or tight strings. It can also affect gardeners, musicians, people that hammer or painter as well. In some cases, this injury may be the result of a direct trauma such as a fall, car accident or even a work injury. The pain from tennis elbow gradually worsens, and it is hard for people to grasp objects. Some complain of a weak or painful grip. Often, people complain about the difficulty taking the milk out of the refrigerator or lifting other heavy objects. Similarly, golfers’ elbow is the common name for medial epicondylitis. This bothers people on the medial side of the elbow and affects the flexor tendons. It is commonly seen in golfers with poor technique when hitting the golf ball. In addition, it is seen in fencers, gardeners or pitching sports. Similar to tennis elbow, people complain of a weak grip, and have trouble gripping objects. The pain may radiate down to the wrist. The treatment for both of these elbow injuries is similar. Initially, you should try to limit use of the arm and give it ample rest. Avoid activities that exacerbate the pain. Sometimes this is difficult, however. You may also attempt to decrease the inflammation to the area. Ice is cheap and can be used for 20 minutes at a time to decrease the inflammation. This can also be repeated throughout the day. Topical anti-inflammatory medications can also be used and have limited side effects. Stretching should be a mainstay of the treatment algorithm. I frequently ask patients perform the following stretches at least 5 times daily and hold for 10 counts during each rep completing a total of 5-10 reps. [Figure 1 and 2]. In addition, if you wish to continue being active, some over the counter braces may help decrease the forces placed upon the injury zone. These tennis elbow or golfers’ elbow braces are available at most local drugstores and supermarkets. You should follow the specific instructions for the brace you pick up, however these should only be worn during a specific activity and placed about one palm breadth distal (towards the hand) from the elbow. Additionally, they have to be somewhat “snug” to be effective. If these methods are not effective, you should visit your local physician or shoulder and elbow specialist who may prescribe some formalized therapy and ensure the proper treatment. COMMUNITY NEWS