EPICONDYLITIS
Epicondylitis is usually due to an inflamed or frayed elbow tendon. One may
develop either lateral (outside) or medial (inside) conditions, in more common
terms, tennis or golfer’s elbow. Either kind of epicondylitis can result from
movement of the elbow (or even hand) improperly and repetitively, or just plain
too much.
For example, weekend tennis players who use an
incorrect backhand technique and regular players who just overdo it may both
experience this problem. Whatever the cause, physical therapy treatment is
required and the first step in resolving the condition as well as preventing
recurrence.
Lateral epicondylitis is a gradual inflammation or tearing
of the muscle tendons attached at the condyle--the bony knob on your outer
elbow. The extensor carpi radialis brevis muscle tendon, involved in extending
your wrist and supinating your hand, seems to be most vulnerable to this
condition.
Medial epicondylitis is the same condition only on the
opposite side of your elbow. It can be caused by a movement that pronates the
arm and flexes the wrist, such as a golf swing.
Specific elbow, wrist stretching and exercises are
recommended to start the healing process. Wrist curls, wrist extensions,
supination/pronation movements, reverse curls and tricep extensions are part of
the protocol for recovery. Ice massage and ultrasound are also part of the
physical therapy approach. If the exercises cause you pain while doing them,
then the weight is to heavy or your mechanics are improper (consult your
therapist or personal trainer for proper technique).
Prevention is the best insurance against new injury or a
return of an old one. Alternating the use of your hands with your activities
will share the workload and decrease risk of exacerbation. Changing your grip,
keeping your elbow close to your body during exercise and avoid over reaching as
well as a proper warm up with stretching and cool down are some modifications to
consider.
Knowledge is prevention