Tennis Elbow

Tennis elbow is an inflammatory process or tendinitis of the elbow. It is most commonly on the outer aspect of the elbow, but can also be on the inner side. It occurs most commonly with activities that involve power grip, e.g. tennis racquet, hammer, suitcase, handshake etc. It can occur as a result of at traumatic event or from chronic overuse. It has a tendency to become recurrent. Diagnosis can usually be made from a detailed history and limited physical exam. X-rays are usually taken, and more involved imaging such as MRI is rarely necessary. Treatment includes: rest, grip modifications, ice massage several times a day, non-steroidal anti-inflammatory medication, physical therapy, counter-force bracing, ice after use, and stretching. If the above modalities have not been successful, an injection of local anesthetic and a long acting steroid will usually help. Bad mechanics or a less than perfect swing/stroke should be searched for and corrected by a coach or professional. In very refractory cases, or those that recur after initially successful treatment may require surgery. Most cases will resolve with aggressive conservative care, but if surgery is needed it is usually successful in returning patients to their normal lifestyle.