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Epicondylitis

Tennis elbow/golfer's elbow

A painful condition which typically arises spontaneously near the elbow joint

About

Epicondylitis can occur in the lateral (outside) or medial (inside) of the elbow. These are known colloquially as tennis or golfer's elbow. It is a self-limiting condition, meaning it will eventually get better on its own but treatments can help to speed up the recovery.

Need to know

  • Symptoms icon plus

    Symptoms of epicondylitis can include:

    • Pain on the outer or inner part of your elbow
    • Point tenderness over the the prominent part of the bone on your elbow, either on the inside or outside
    • Pain from gripping and movements of your wrist, especially wrist extension and lifting movements
    • Pain from activities that use the muscles that extend your wrist (for example, pouring a container of liquid, lifting with the palm down)
    • Occasionally morning stiffness
  • Screening and diagnosis icon plus

    Your consultant will perform a clinical examination to check whether your symptoms correspond to either tennis or golfer's elbow. Symptoms include experiencing a radiating pain from the outside of the elbow to the forearm and wrist, pain during extension of the wrist, weakness of the forearm, a painful grip while shaking hands or turning a doorknob, painful keyboard use and not being able to hold relatively heavy items in your hand. The best method to tell the difference is where the pain is located. If pain occurs on the inside of the elbow it is golfer's elbow. If pain occurs on the outside it is tennis elbow.
  • Potential treatment options icon plus

    These injuries are caused by over use. The best treatment is to rest and make lifestyle changes. A number of treatments can alleviate the pain associated with epicondylitis:

    • Taking painkillers and non-steroidal anti-inflammatory drugs (NSAIDs)
    • Physiotherapy
    • Surgery

    Your consultant can advise you on these options and introduce you to a suitable physiotherapist. In cases where the pain is not being eased, surgery may be offered. There are many variations on the exact surgical method which may involve removing or repairing a weakened area of tendon, either through a small incision or via keyhole techniques.

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This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.
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