COMMON SPORTS MEDICINE CONDITIONS

Tennis Elbow

Location

Pain and tenderness is localised in the elbow and the back of the forearm and is aggravated by lifting, bending or twisting the arm.

Symptoms

The pain experienced can range from mild discomfort for a few weeks to severe pain lasting several weeks. Some may have a painful elbow joint for some years, as stiffness and tendon damage accumulates. Without treatment, a weak elbow may lead to pain in the rest of the affected arm, shoulder or neck as the body tries to compensate.

Diagnosis

This is an overuse injury, arising from small tears to tendons and muscle coverings which are not allowed to heal fully, gradually causing more serious inflammation of the tendon such that it constricts blood flow to the radial nerve that controls muscles in the arm and hand. It is common in racquet sports, swimming, golf, and any sport involving repeated throwing. Physical examination and discussion of your symptoms are usual although x-ray may be used to rule out possible injury inside the elbow joint, and an MRI or Ultrasound of the soft tissues around the elbow may become necessary if pain is severe.

Treatment

If your lifestyle allows for adequate recovery time, simple rest and avoiding whatever caused the condition may suffice. For sports people, professional guidance will help avoid further damage. Otherwise, treatment may include medication with anti-inflammatory painkillers and/or steroid injections. If symptoms last more than a month or so, other specialist help may be recommended, such as physiotherapy or, in a few cases, surgery.

Further information can be found by visiting The Wellington Shoulder Unit.