$Unique_ID{BRK01498} $Pretitle{} $Title{Words of Wisdom on Tennis Elbow} $Subject{tennis elbow musculoskeletal system connective tissue grip clench hands fingers tendons muscles forearm humerus arm lateral humeral epicondyle epicondylitis tissues elbows grips gripping clenched clenching hand tendon forearms arms muscle} $Volume{M-18} $Log{ Tendons of the Wrist*0001705.scf} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Words of Wisdom on Tennis Elbow ------------------------------------------------------------------------------ QUESTION: Although I play quite regularly and consider myself in pretty good shape for a man my age, I have come down with a case of tennis elbow. Not only do I want to get rid of this affliction as soon as possible, but I also want to know what to do to prevent it from ever happening again. I would appreciate your words of wisdom, as I am sure will many other tennis players who read your column. ------------------------------------------------------------------------------ ANSWER: It is not tennis players alone who suffer from this common problem, but also those who must grip a tool, clench their hands or use their fingers excessively. So a carpenter with a hammer, a doorman who must open many car doors, and a pianist and computer operator at their respective keyboards may all experience the same complaints. The pain is usually felt at the outer side of the elbow, where the tendons from muscles in the forearm attach to the bony bump on the humerus (bone of the upper arm) called the "lateral humeral epicondyle". Thus tennis elbow is more properly named an "epicondylitis" for it is an inflammation of the tissues in this area. It is more frequent in older people, but can strike the professional and amateur alike, whenever the stress and demands of the game (or occupation) exceed the strength and ability of the tissues to cope. The first step in treatment is to reduce the pain and swelling of the inflammation. Nonsteroidal anti-inflammatory medications such as ibuprofen can be most effective. Alternating applications of ice (which constricts the dilated blood vessels) with friction massage (which increases circulation) can speed up healing. Rest, of course, is a must. Once the pain has subsided, rehabilitation exercises which stretch and strengthen the muscles can help get you back to the game more rapidly. Preventing the recurrence of this painful problem will also depend upon continued strengthening and conditioning of the tissues in this area, as well as proper warm-up exercises, but may also be aided by changing your grip or racket. Check with your local tennis coach or club professional. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.