Lateral Epicondylitis

(Tennis elbow)

Lateral epicondylitis is the result of inflammation and small fiber cracks in the extensor tendons of the forearm. Symptoms include pain at the lateral epicondyle of the elbow, which radiate into the forearm. The diagnosis is made by examination and provocative testing. The treatment consists of immobilization, NSAIDs and physiotherapy.

Pathophysiologically the lateral epicondylitis goes to activities back, requiring repeated and forceful supination and pronation of the forearm, as overuse or weakness (or both) of the extensor carpi radialis brevis and the musculus longus of the forearm that focus on the lateral epicondyle of the elbow. If z. For example, the elbow and the wrist are stretched at a backhand stroke in tennis, the extensor tendons can, and especially those of the extensor carpi radialis brevis, are damaged by the rollers over the lateral epicondyle and the radial head. Supporting factors are weak shoulder and wrist muscles too hard a racket stringing, too small a handle, too heavy, wet balls and hitting the ball outside the club center.

Lateral epicondylitis is the result of inflammation and small fiber cracks in the extensor tendons of the forearm. Symptoms include pain at the lateral epicondyle of the elbow, which radiate into the forearm. The diagnosis is made by examination and provocative testing. The treatment consists of immobilization, NSAIDs and physiotherapy. Pathophysiologically the lateral epicondylitis goes to activities back, requiring repeated and forceful supination and pronation of the forearm, as overuse or weakness (or both) of the extensor carpi radialis brevis and the musculus longus of the forearm that focus on the lateral epicondyle of the elbow. If z. For example, the elbow and the wrist are stretched at a backhand stroke in tennis, the extensor tendons can, and especially those of the extensor carpi radialis brevis, are damaged by the rollers over the lateral epicondyle and the radial head. Supporting factors are weak shoulder and wrist muscles too hard a racket stringing, too small a handle, too heavy, wet balls and hitting the ball outside the club center. Injuries are often due to overuse (too much activity or too frequent repetition of the same movement) or a muscle imbalance between Unterarmextensoren and flexors back. Activities in everyday life that lead to lateral epicondylitis or contribute to, those in which the elbow is repeatedly rotated with force are (z. B. the screws turning, perhaps jogging). Over time it can cause subperiosteal hemorrhages, calcifications, spur formation at the lateral epicondyle and especially in the degeneration of the tendon. Symptoms and complaints The pain initially felt in the extensor tendons of the forearm and around the lateral elbow when the wrist is extended against resistance (z. B. when manually turning screws or the backhand in tennis). When strength training lateral epicondylitis falls most during different back strengthening exercises with rowing movements and head high entertainment and especially with pronated hand. Pain may radiate from the lateral epicondyle to the middle of the forearm. Diagnostic tests Provocative pain along the common extensor tendons at the elbow extended and finger extension against resistance confirm the diagnosis. Alternatively, the diagnosis by following maneuvers can be backed up: The patient sits on a chair, the arm lying on a table, the elbow is bent, the palm facing down. The doctor places a hand firmly on the patient’s hand while it tried to raise his hand by flexing the wrist. Treatment rest, ice, NSAIDs, stretching of the extensors change the sequence of movements Later: Exercises with Resistance Treatment adopted an approach in two phases. First, rest, ice, NSAIDs, and stretching of the extensors are applied. Occasionally, a corticosteroid is injected into the painful area around the tendon. When the pain subsides, are light resistance exercises of the forearm flexors and -extensoren, conducted follow those eccentric and concentric resistance exercises. Activities that cause pain in extension or supination of the wrist should be avoided. Often the use of a tennis elbow (opposing force) is collar-wise. Furthermore, injuries can be prevented also by adjusting the racket in the form and type. Surgical procedures are usually not required for lateral epicondylitis. If you do, here the scarred and degenerated tissue is removed from the affected extensor tendons at the elbow. The surgery is usually considered only after at least 9-12 months of unsuccessful conservative treatment into consideration, patients should be informed that the symptoms may not be satisfactorily resolved by surgery. Fingerabduktion flexion and extension with with putty ( “Putty”) as resistance Courtesy of Tomah Memorial Hospital, Department of Physical Therapy, Tomah, WI; Elizabeth CK Bender, MSPT, ATC, CSCS; and Whitney Gnewikow, DPT, ATC. var model = {videoId: ‘3902008677001’, playerId ‘H1xmEWTatg_default’, imageUrl ‘http://f1.media.brightcove.com/8/3850378299001/3850378299001_3902022664001_vs-546e5368e4b0adab2085cd01-1592194026001.jpg?pubId=3850378299001&videoId=3902008677001’ title: ‘Fingerabduktion flexion and extension with cement compound with ( “Putty “) as a resistance’

Health Life Media Team

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