Tennis Elbow

In the chart below, "PT" means physical therapy or stretching and strengthening, "NSAID" means "non-steroidal anti-inflammatory drugs", "rest" means to discontinue any offending activities, and "shots" mean the injection of a corticosteroid to reduce inflammation. heel spur, plantar fasciitis

Ibuprofen cream absorbs through the skin to decrease inflammation. This is probably the only place in the U.S. that sells it.    Visitors discuss it.

Web Page Location and its strong points

Causes and Interesting Comments

Favored
Treatments

Deprecated
Treatments

Canada's OSHA
Excellent cause/prevention discussion
Causes: Hand movement "in a fixed or awkward position, with constant repetition, with excessive force, and without allowing the body to recover from the wear and tear."
Interesting: "tennis elbow seldom has any connection with fun and games."..."pain can also occur in other areas of the forearm and elbow"..."Tennis elbow is simply a specific type of tendonitis."..."About one percent of cases last more than one year"
  • rest
  • ice
  • NSAID
  • PT
  • surgery
  • shots
Sports-Medicine by Dr. Z
Good picture
Causes: "usually no history of trauma"  ...  "repetitive use seems to make the pain worse"
Interesting: Shots only after conservative measures. Surgery in less than 5%.
  • NSAID
  • PT
  • rest
  • X-rays
  • shots
  • splints
  • tight elbow strap
Medinfo in United Kindgom Causes:  "usually as a result of a specific strain, overuse, or a direct bang. Sometimes no specific cause is found."... "over use of the muscles...which pull the hand backwards"
  • rest
  • PT
  • NSAID
  • shots
  • brace
 
Johns Hopkins Dept of Orthopaedic Surgery Causes: "sudden violent injury or, more commonly, from repetitive activity" ... "hedge clipping, excessive use of a screwdriver or hammer, or performance of other activities requiring constant squeezing or gripping can lead to" tennis elbow. 
Interesting: "it can be difficult to eradicate because those tendons are used every time the hand grips or squeezes."
  • modify activity
  • ice
  • NSAID
  • PT
  • strap
  • night splint
  • shots
  • surgery
tennislovers.com A great page for tennis players with tennis elbow. Detailed discussion of causes. Causes: Muscle weakness, backhand, fast court, heavy balls.
  • NSAID
  • ice
  • brace
  • rest
  • PT
  • surgery
tennislovers.com -
Different types of braces
 
  • rest
  • NSAID
  • stretch
  • ice after
  • shots
  • surgery

 

tennislovers.com Detailed strengthening exercises.  
  • strength
  • rest
  • ice
  • technique
  • brace
  • warm up
 
Medical Multimedia Good pictures. Surgery video.  
  • ice
  • rest
  • exercises
  • NSAID
 
       
Southern California Orthopedic Institute A good picture.  A paragraph on surgery. Causes: "sudden injury or by repetitive use of the arm"
Interesting: "I have not found anti-inflammatory medication or physical therapy to be of any value."
  • pain relief
  • prevent reccurence
  • NSAID
  • PT
The Physician and Sports Medicine Detailed on strengthening.  
  • strength
  • stretch
 
Net Doctor Interesting: "people in their 40s and upwards and women are affected more frequently than men"
  • ice
  • rest
  • stretch
  • NSAID
  • PT
 
Health Advisor Causes: "Tennis elbow results from overusing the muscles in your forearm that straighten and raise your hand and wrist. "... "racquet sports, carpentry, machine work, typing, and knitting. "
  • ice
  • rest
  • exercises
  • NSAID
  • strap
  • surgery
Dr Weil - the only reference that mentioned supplements. Interesting: "Eventually the condition can become very painful and quite debilitating. " ... The supplements recommended were omega-3 fatty acids, evening primrose or black currant oil, ginger, and detailed info on DMSO.
  • rest
  • ice
  • supplements
  • PT
  • massage
 
Building Better Bodies  Info for tennis players.  Recommends and details all treatments. Causes: "Any combination of repetitively rotating your wrist and using force can cause" tennis elbow.   Racquet grip size is too big.   Racquet is too heavy. Strings are too tight.
  • All
 
Unknown Source Causes: "using a computer keyboard, a computer mouse and activities performed by manual laborers "
  • rest
  • NSAID
  • ice
  • PT
  • Band
 
Johns Hopkins Sports Medicine      
ThriveOnline      
ThriveOnline      
GRASS Medical      
OnHealth      
Renaissance Orthopaedics      
Gudrun Morgan Physical Therapists      
EMEDx      
University of Florida      
A few research articles      
Physiotherapists      
Orlando Regional Healthcare      
John Hopkin's Bayview Center