HEALTH ADVICE

August 21, 2024

Understanding Tennis Elbow and the Role of Osteopathy in its Treatment

By Laurie Melrose-DoeringOsteopath & Applied Kinesiologist

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Tennis elbow, a common musculoskeletal condition, affects not just athletes but individuals engaged in various repetitive activities. Characterised by pain and tenderness on the outer part of the elbow, it results from inflammation or microtears in the tendons connecting the forearm muscles to the elbow.

 

This condition can significantly impact daily activities, causing discomfort and reducing arm functionality. Osteopathy, a holistic approach to healthcare, offers effective treatment for tennis elbow by addressing both symptoms and underlying causes through various non-invasive techniques.

What is Tennis Elbow?

Tennis elbow, or lateral epicondylitis, is a condition characterised by pain and tenderness on the outer part of the elbow. This discomfort arises from inflammation or microtears in the tendons that attach the forearm muscles to the lateral epicondyle, a bony bump on the outside of the elbow. Although commonly associated with tennis players, it affects anyone who engages in repetitive arm motions, such as painters, carpenters, and even desk workers.

Symptoms of Tennis Elbow

  • Pain and tenderness on the outer part of the elbow.
  • Pain when lifting or bending the arm.
  • Difficulty gripping objects or shaking hands
  • Pain that worsens with repetitive use of the forearm.​

Causes and Risk Factors

The primary cause of tennis elbow is repetitive stress on the forearm muscles and tendons. Activities such as gripping, twisting, or lifting can contribute to the condition. Risk factors include:

  • Age: Most common in adults between 30 and 50 years old.
  • Occupation: Jobs requiring repetitive arm movements, like plumbers, painters, and carpenters, increase the risk.
  • Sports: Activities such as tennis, golf, and racquetball are common culprits.
  • Technique: Poor technique in sports or activities can exacerbate the condition.
  • Previous Injury: A history of elbow or forearm injuries increases susceptibility​​.

How Osteopathy Helps with Tennis Elbow

  1. Soft Tissue Manipulation: Osteopaths use hands-on techniques to release tension in the muscles and fascia around the elbow. This helps reduce pain and inflammation while promoting blood flow essential for healing​​.

 

  1. Joint Mobilisation: Gentle mobilisation techniques restore normal joint function and alleviate stiffness in the elbow and surrounding joints. This improves range of motion and reduces discomfort.

 

  1. Muscle Energy Techniques and Stretching: These techniques improve muscle function and flexibility. Osteopaths prescribe specific exercises to strengthen the forearm muscles and enhance tendon tolerance. Stretching exercises focus on the wrist extensor muscles to alleviate strain on the elbow​.

 

  1. Dry Needling: Involves inserting fine needles into tight muscles or trigger points to promote blood flow, decrease muscle tension, and reduce pain. Effective for chronic cases of tennis elbow​.

 

  1. Ergonomic and Posture Advice: Guidance on proper ergonomics and posture during daily activities helps minimise strain on the elbow and prevent further injury. This holistic approach ensures the root cause is addressed, not just the symptoms.

 

  1. Patient Education: Educating patients about their condition, its causes, and how to manage and prevent future episodes is crucial. Avoiding aggravating factors and following the prescribed exercise regimen enhances recovery.

 

Osteopaths play a significant role in this educational process by explaining the underlying biomechanics of tennis elbow and demonstrating specific exercises, like wrist extensions and forearm stretches, to alleviate symptoms and prevent recurrence. This hands-on guidance empowers patients to take an active role in their recovery.

Recovery and Prevention

While untreated tennis elbow can last from six months to two years, osteopathic treatment can significantly speed up recovery. Recovery time varies but typically lasts between 3 to 12 weeks with consistent treatment and adherence to home exercise programmes.

Proper prevention strategies are essential for managing and preventing tennis elbow. Key strategies include:

 

  • Proper warm-up and stretching before activities: Engaging in a thorough warm-up and stretching routine before activities helps increase blood flow to the muscles and tendons, reducing the risk of strain and injury. This can include dynamic stretches like arm circles and wrist flexor stretches to prepare the muscles and tendons for activity.

 

  • Using ergonomic tools and proper techniques: Utilising ergonomic tools and equipment designed to reduce strain on the forearm can significantly reduce the risk of tennis elbow. Additionally, learning and maintaining proper techniques, whether in sports or repetitive work activities, helps distribute stress more evenly across the muscles and tendons, preventing overuse injuries.

 

  • Strengthening and conditioning the forearm muscles​: Regularly performing exercises to strengthen the forearm muscles, such as wrist curls, reverse wrist curls, and grip strengthening exercises, can enhance muscle endurance and resilience. Conditioning these muscles helps them withstand the repetitive stress that can lead to tennis elbow, thereby reducing the likelihood of developing the condition.

Conclusion

Osteopathy offers a comprehensive, non-invasive treatment for tennis elbow, focussing on both immediate relief and long-term prevention. By addressing the root causes and providing personalised care, osteopathy helps patients recover more quickly and return to their daily activities without pain. For those suffering from tennis elbow, seeking osteopathic treatment can be a beneficial step towards recovery.

Osteopathic Care at Aston Clinic London

At Aston Clinic London, our osteopaths provide tailored treatments for tennis elbow. Utilising a combination of various osteopathic techniques, we aim to address both the symptoms and underlying causes of your condition. Our holistic approach ensures a faster recovery and helps prevent future recurrences, allowing you to return to your daily activities pain-free.

To book a session with our osteopathsclick here. Alternatively, you can contact us at 020 8942 3148 to learn how our treatments can benefit you.

Aston Clinic London is a third-generation complementary health clinic located in New Malden, serving Kingston, Norbiton, Wimbledon, Raynes Park, Surbiton, Chessington, Worcester Park, Sutton, Richmond, and other areas of southwest London and Surrey.

By Laurie Melrose-DoeringOsteopath & Applied Kinesiologist

References

 

 

  • Reilly JM, Bluman E, Tenforde AS. (2018). Effect of shockwave treatment for management of upper and lower extremity musculoskeletal conditions: a narrative review. PM&R, 10(12), 1385-1403. Available at: https://pubmed.ncbi.nlm.nih.gov/29775801/

 

  • Vetrano M, d’Alessandro F, Torrisi MR, Ferretti A, Vulpiani MC, Visco V. (2011). Extracorporeal shock wave therapy promotes cell proliferation and collagen synthesis of primary cultured human tenocytes. Knee Surgery, Sports Traumatology, Arthroscopy, 19(12), 2159-2168. Available at: https://pubmed.ncbi.nlm.nih.gov/21617986/

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