Tennis Elbow

You certainly don’t have to be playing tennis to experience the nagging and often disabling pain on the outside of your elbow that we commonly call tennis elbow. Tennis elbow or lateral humeral epicondylitis usually results from overuse of this joint, either on the tennis court or elsewhere. When patients talk about what was going on prior to the pain, typically there’s a history of mini-aches or twinges around the bone that’s on the outside of the elbow.

Little microtears in the muscle over time mean you’ll feel it come on slowly, unless a single occasion of overuse pushes you over the edge into severe pain. The pain will be worse during and after use. Depending on the injury, you may experience pain only with activities such as tennis. In a more advanced condition, you’ll have difficulty with any task where you hold objects at arm’s length, such as pouring from a juice carton or lifting a pot off the stove. The pain is often sharp and stabbing in nature and can send zings into your forearm or hand.

Take a moment to place your bent arm around your chest, as if you were in an arm sling. Feel the bony bump on the side of your elbow and poke around in front of the bone (going toward your elbow crease) for a sore spot. This may feel achy anyway, but if you have been overdoing it with a manual screwdriver or playing tennis too often, this acu-point will probably be a little worse than a minor ache.

  • Tennis elbow. If you have tennis elbow, the pain will hit at the outside of the elbow.

  • Golfer’s elbow. With golfer’s elbow, the inside of the elbow takes the zing of the swing, and that’s where the pain will be.

  • Student’s elbow. Pain comes on the tip of the elbow, the mean lean (on a desk, that is!)

Tennis elbow is a commonly treated condition in our clinic. Successful outcome and patient satisfaction are usually high. Oriental diagnosis of tennis elbow is stuck qi or blood (pain ranging from dull and achy to sharp and stabbing). Treatment involves the use of needle acupuncture, electroacupuncture, and non-needle options such as electromagnetic or biomagnetic acupuncture.

Moxibustion is used if the pain is chronic, or if the patient feels an increase in discomfort with cold or damp weather. You can expect the practitioner to apply pressure to acu-points around the elbow as well as along the qi channel (bicep, forearm, and hand) to increase circulation and decrease pain. Resting or cutting back on activities that worsen pain is the commonsense prescription, but because these actions often involve daily activities, resting the joint is not always a possibility. However, we will work to speed up the healing of the elbow using acupressure technique.

 

 

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