There are several available treatments for tennis elbow. These usually start off conservatively, and work to more involved treatments. Nonoperative treatment is successful in over 90% of patients.
Lifestyle Modification
Lifestyle modification is important if tennis elbow does not resolve or if it recurs. With athletes, often an improvement in technique (see below) can resolve the problem.
Changing Stroke Mechanics & Racquet
Tennis racquets should be sized properly, including grip size. Higher stringing tensions may contribute to tennis elbow. Playing on harder surfaces also increases the risk of developing tennis elbow. Stroke mechanics should be evaluated to ensure patients are hitting the ball in the center of the racquet and players should not lead the racquet with a flexed elbow.
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Anti-inflammatory Medications
Anti-inflammatory medications are often used to help control pain and inflammation. The oral forms of these medications are easy to take, and often help control the inflammation as well as manage the pain associated with tennis elbow.
Cortisone Injections
If these conservative measures fail, a steroid (cortisone) injection is a reasonable option. If a person has tried more than two cortisone injections without relief, it is unlikely that additional injections will benefit the patient.
Elbow Brace and Exercises
An elbow orthosis, called an elbow clasp, can be worn. The theory behind using this elbow clasp is that the brace will redirect the pull of malaligned muscles. Patients often find relief of pain when using the clasp during activities.
Some simple exercises can also be helpful in controlling the symptoms of tennis elbow. These exercises should not cause pain, and if they do the exercises should not be done until the pain resolves. By strengthening the muscles and tendons involved with tennis elbow, you can help prevent the problem from returning.
Surgery
Surgery to release the damaged tendon may be needed in a small percentage of patients. A significant trial of conservative treatment should be attempted prior to surgery. Surgery is usually successful, but rarely needed; about 95% of patients with tennis elbow can be treated without surgery.
There are several possible surgical treatments that have been successful. These include removing a portion of the damaged tendon or releasing the attachment of the affected tendon. A repair of the healthy portion of tendon is sometimes carried out as well.
Possible New Treatments
Extracorporeal Shock Wave Therapy
Shockwave therapy is a controversial treatment option for tennis elbow. The idea behind shockwave therapy is to use sound waves to induce so-called 'microtrauma' to tissues. This microtrauma initiates a healing response and helps to decrease inflammation. Shockwave therapy is also used in the treatment of heel spurs and kneecap tendonitis.
The results of studies investigating this treatment have been mixed. Unfortunately, there are no good studies that show this is a better treatment than other conservative treatment options. One of the better designed studies found there was no benefit from using shockwave therapy for tennis elbow. Some insurance companies will not pay for this treatment either.
Autologous Blood Injection
A recent article in the Journal of Hand Surgery reported the results of a small group of patients who underwent injection of their own blood into the location of lateral epicondylitis. The idea proposed by the authors is that the blood injection supplies the necessary healing components to help cure the problem.
The study fails to compare this treatment to more standard treatments, and the number of patients investigated is quite small. That said, the authors report good results, and this may become a more standard treatment option. More investigation is needed before this should be considered a standard treatment.
2006-12-27 21:44:30
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answer #1
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answered by nonconformiststraightguy 6
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It's plain and simple. The only way to know what the best treatment is, is to first figure out what the cause of the "tennis elbow" is. Not all elbow pain is tennis elbow. There are many different reasons for elbow pain. See a GOOD physiotherapist. If they offer to treat your proplem with ultrasound, electrical currents or braces of any sort, they are not well qualified. These treatments are out-dated and have not shown to be anymore effective than placebo treatments. There have been improvements in the management of true tennis elbow that is over 90% effective. It involves improving the mehcanics of your elbow joint. It is painless and you get fast and permanent results. But again, the success of any treatment is contigent upon the accuracy of the diagnoses. Get it treated soon though, as tennis elbow (medically know as lateral epicondylitis) has a high tendancy of getting worse if not treated.
2006-12-28 03:10:52
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answer #2
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answered by FZO 2
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I had a cortisone shot 5 weeks ago, my elbow felt fine for 3 weeks but then my elbow pain came roaring back worse than before the injection. I have been using this tennis elbow secrets program now for 5 days and my elbow feels much better. I can really feel my arm getting stronger as each day passes.
Cure Tennis Elbow?
2016-05-14 15:59:34
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answer #3
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answered by Anonymous
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A steroid injection, properly done, can give you lasting relief. See a good orthopedic surgeon. He can do it for you. Also, try to keep your wrist straight when executing your backhand. Keeping your wrist at an angle will cause a lot of stress on your extensor muscles. Improper backhand technique is the usual cause of tennis elbow.
2006-12-28 01:10:20
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answer #4
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answered by Rene B 5
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2016-04-29 01:39:32
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answer #5
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answered by ? 3
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Get to a physiotherapist and get some ultrasound and interferential on it. That will make a difference. Activity modification is also required. Cut out squash and tennis for the time being and limit other things that seem to make your arm worse until it improves.
2006-12-27 23:13:56
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answer #6
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answered by Buzz s 6
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I am a plasterer and i got throught work doctors gave me pain killers and some cream to put on but it never worked the only thing that cured it was a cortizone (i think thats how you spell it) injection in to the elbow itself never had any problems since
2006-12-28 00:35:22
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answer #7
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answered by oG33MANo 3
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I had this problem.For the first 24 hours use ice and then heat.Once your elbow is better go on-line for exercises to help with the problem.Try to stay away from prescribed anti-inflammatory medication.
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2016-04-14 11:44:02
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answer #8
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answered by LucyMarie 4
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Ask your doctor about an exercise routine. Regular exercise, such as walking three times a week, may reduce neuropathy pain, improve your muscle strength and help control blood sugar levels. Gentle routines such as yoga and tai chi might also help.
2016-05-14 08:14:26
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answer #9
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answered by kelvin 2
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Physical therapy, elbow support, steroid injection, or possibly surgery if you case is severe enough.
2006-12-28 08:01:07
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answer #10
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answered by maryanndertal 3
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