Lateral Epicondylitis - Love for Tennis Elbow

Exercise Spotlight

Eccentric strengthening lengthens the muscle while being loaded and contracted. This helps to stimulate collagen production & alignment while improving tensile strength.

Eccentric strengthening lengthens the muscle while being loaded and contracted. This helps to stimulate collagen production & alignment while improving tensile strength.

For the treatment of lateral epicondylitis (commonly known as tennis elbow), it is important to distinguish between tendinitis and tendinosis. Tendinitis is inflammation of the tendon that is the result of small tears that occur from sudden or excessive force. Tendinosis is a breakdown of the tendon’s collagen with repetitive overuse and comes with age. Although cellular damage cannot be reversed completely, hands on treatment and eccentric strengthening combined with self-care routines can increase the strength of the tendon and promote the production of healthy collagen to the area. Proper treatment should significantly decrease pain, increase tensile strength, and ultimately allow the patient to return to normal daily activities.


Treatment

  • Patient education

    • Ergonomic, biomechanics, and healing expectations

  • Assess supportive supplies to reduce tensile stress

    • Kinesio taping or elbow strap (if there is no radial nerve involvement)

    • Incrediwear sleeve—infused with carbon & germanium to improve circulation

  • Eccentric strengthening with low weights or FlexBar

  • Soft tissue mobilization utilizing trigger point therapy, Active Release and Graston Technique

  • Modalities including electric stimulation, therapeutic ultrasound, and cold laser

Evalutation

  • Radial nerve involvement

  • Assess upper quadrant tightness

  • Palpation

  • Strength (elbow at side & extended)

GRASTON TECHNIQUE

GRASTON TECHNIQUE

KINESIO TAPING

KINESIO TAPING

INCREDIWEAR SLEEVE

INCREDIWEAR SLEEVE

SEE A PRINTABLE VERSION HERE.