Sutherland Shire Physiotherapy Centre

Sutherland Shire Physiotherapy Centre
15/42-44 Urunga Pde, Miranda, NSW
shirephysio@telstra.com

(02) 9524 4400

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Tennis and Golfer's Elbow

Tennis Elbow and Golfer’s Elbow are conditions where there is degeneration of the soft tissues around the elbow. Tennis elbow occurs on the outer side of the elbow and golfer’s elbow occurs on the inner side of the elbow. Tennis Elbow and Golfer’s Elbow are common injuries. While they often occur in people who play racquet sports and golf, they can also be due to overuse from daily activities such as cleaning and computer use. They are most common in the 35 - 60 years age group, but can occur at any age.

Tennis elbow occurs where the extensor tendons attach to the bone.

On either side of the elbow there are a number of muscles, that share a common tendon, joining to a small area of bone just above the elbow joint. Injury occurs when repetitive or excessive forces are applied to the tendon on one side of the elbow. The collagen in the tendon then starts to degenerate and swelling and debris build up in the area. This degeneration causes lots of extra little blood vessels to grow through the injured tendon causing it to become weaker. Despite these extra blood vessels, injured tendons actually have reduced blood supply compared to normal tendons due to pressure from the congestion around the tendon. This causes tendon injuries to heal slowly.

Treatment
Research has shown that physiotherapy is more successful in treating these injuries than cortisone or other injections or taking a wait and see approach. Our physiotherapy treatments are evidence based and include releasing tight structures around the elbow, mobilising the elbow joint and improving the strength and control of the muscles that move the wrist and elbow.

We will also give you a programme of exercises and stretches to release tight structures around your elbow, to promote healing and to improve strength and control. We may also give you exercises to improve your posture, if needed. The programme only requires about 10 minutes a day, but is essential for your recovery and to prevent a recurrence of your injury.

We may also recommend you wear an elbow strap like the one pictured (below). These are worn firmly (but not tightly) around the muscles just below the elbow to prevent your muscles from over contracting. We keep a supply of the elbow straps at our rooms and if appropriate to you, one can be provided to you at your first visit. Dynamic tape, applied to the forearm to unload the muscles at the elbow can also significantly reduce pain.

An elbow strap can help to ease your pain.

Advice and Self Help

  • Good posture is important to make sure you are using your elbow in the correct position.This will speed your recovery and help prevent a recurrence.
  • When sitting at your desk, sit up straight with support in the small of your back. See our Computer Posture page.
  • Stand up and move around at least every 20 minutes.
  • Take regular breaks away from the computer and move your wrists, hands and fingers regularly.
  • When standing, make sure you gently pull up pelvic floor and pull in stomach muscles to help maintain good alignment of your spine and pelvis.
  • In the early stages of your recovery avoid activities that cause a lot of pain, but try to continue activities that are pain free or only mildly uncomfortable.
  • Ice can be helpful in reducing your pain. This can be done by massaging the sore area with an ice cube or using an ice pack for 20 minutes, 3 times a day.

Recovery
Elbow injuries recover well with treatment, appropriate exercises and time. It is important to remain active within the limit of your pain. As your pain decreases try to do more of your daily activities. Activity maximises your healing rate, maintains your mobility and keeps your muscles working properly. Elbow injuries recover slowly. Most are starting to improve quite well within a few weeks, but full recovery can take up to 12 months.

At Sutherland Shire Physiotherapy Centre we have many years experience in the treatment of elbow injuries. Please call us to schedule an appointment with one of our physiotherapists.

Last updated: 12th October, 2017

Please note that the above information is of a general nature and is not intended to substitute for professional advice. You should always seek the advice of your qualified health practitioner to attain a proper diagnosis before starting any treatment regime.

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Heather Mariner
B. app.Sc. (Phty) APAM

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