Tennis elbow is a common cause of the pain of elbow in adults. It is also known as lateral epicondylitis. It is thought to occur due to degeneration of a muscle called extensor carpi radialis brevis (extensor of the articulation of the wrist) to its point of origin near the elbow radial.
The muscle becomes low due to the degeneration. Now he cannot withstand stress applied in normal activities. This causes pain. The pain is intermittent, because there are other muscles that perform the same function as the radial carpi radialis brevis extensors and they address.
Before reading further, please see the joint Anatomy of the elbow for a better understanding (skip if you have already done).
Tennis elbow is
just as frequent in men and women is more in the fifth decade (90% of patients) of lifeSymptoms include
pain on the outside aspect of the elbowpain is increased by the activities of this astaking a book of a shelfwriting high on a black boardsevere and the continuous pain with combustion is absent (if you have these symptoms, it is time to reconsider the diagnostic) no swelling is present (if there is swelling and then then you reconsider the diagnosis)Diagnosis is established by examining clinical history. Tenderness is present on the bone prominence on the outer side of the elbow joint.
Treatment of tennis elbow includes non-surgical and surgical methods.
The goal of treatment is to replace tissues degenerate with fabric fibrous tough and strong. This tissue is also less sensitive to pain. This can be done by inducing an inflammatory reaction on the site of degeneration
Non-surgical methods are
restriction of the activity which induces symptoms (may require the use of a splint as it is difficult to restrict activities which are part of your daily routine) use a brace near the elbow (it just relaxes the muscle and also serves as a reminder to restrict activity) anti-inflammatory medicationexercises to strengthen the injection of musculaturesteroid on the site of tenderness (I found that a single injection with the use of local anesthetic at the maximum tenderness is more effective) manipulation wrist (I manipulate the wrist in flexion and pronation with the extension of the elbow, 3 days after the injection of steroids as at that time, the pain of injection dropped)Patients who fail to the response to the non-operative treatment are taken for surgery. In surgery , the ill part of muscle is removed.
Alternative medicine has an any role in this condition?
As this condition is not potentially serious if you can try alternative as medicine acupuncture or massage. I have no experience with alternative medicine.
How many times steroid injection is necessary?
More than a single injection of steroids is recommended. Too many steroids can be harmful. When I inject steroid I do not use a local anesthetic to numb the area. It increases my accuracy of injection in two ways.
First of all, once you inject a local anesthetic agent you produce swelling at the site of injection. This swelling obscures bony landmarks and makes pin pointing to the site of the injection of steroids difficult. Second, the anesthetic numbs the area, and now you cannot locate the site of injection with tenderness. Therefore increase the risk of error, and it is more likely that the steroid is injected on the wrong site.
Defenders of local anesthetic injection agent said that the procedure is now less painful. But I am not because that the injection of local anesthetic agent it self is quite painful. And that too when you have to inject two times. First of all a small dose is injected into the skin of the forearm of sensitivity (allergic reactions) and, secondly, on the site of the tennis elbow pain.
In this way, most of my patients have a full recovery from this condition after injection of steroids.
What are the chances that I can require surgery?
As more than 90% of patients improved by non-cooperative treatment, the chances of you requiring surgery are low.
How long does take to recover completely from surgery?
Complete recovery takes 2 to 3 months. Some patients can take approximately six months.
May fail the surgery?
Yes they can. Causes include incorrect diagnosis and inadequate release during surgery. The operation is successful in these cases, but before re-operation MRI of the elbow is a must.
I hope that the information provided was useful. If you have any query on tennis elbow thenyou can ask me to contact me page.
This page was last updated February 11, 2009.
Other causes of pain elbow...
Golfers elbow
Radial Head fracture
Extracted from elbow
Fracture meet
Dislocation of the elbow
Meet bursitis
Little League elbow
Supracondylar fracture
Lateral Condyle fracture
Fracture of the elbow
Anatomy of elbow Joint
Back of Tennis Elbow to elbow pain
No comments:
Post a Comment