Description
A type of tendonitis (inflammation of a tendon) that causes pain in the elbow and arm. It is also called tennis elbow (though one does not have to play tennis to get this condition). A tendon is a band of fibrous tissue that connects a muscle to a bone allowing movement when the muscle contracts. Lateral epicondylitis is one of the most common causes of significant elbow pain.
Symptoms
Elbow pain that worsens with use (especially grasping or twisting); pain that radiates from the outside of the elbow to the forearm and back of the hand; weak grasp that is limited by pain.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. The diagnosis is usually made by clinical signs and symptoms. X-rays are usually normal (and often are not necessary).
Tests:
X-ray
Specialists:
Internal Medicine, Orthopedic Surgery, Pediatrics, Family Practice, Sports Medicine, Pediatric Sports Medicine
Workup:
A history and physical exam will be performed. The diagnosis is usually made by clinical signs and symptoms. X-rays are usually normal (and often are not necessary).
Tests:
X-ray
Specialists:
Internal Medicine, Orthopedic Surgery, Pediatrics, Family Practice, Sports Medicine, Pediatric Sports Medicine
Treatment
Therapy depends on the severity of the symptoms. Treatment may include: nonsteroidal anti-inflammatory medications/NSAIDs (ibuprofen/Motrin or Advil, naproxen/Naprosyn), acetaminophen (Tylenol), local injection of cortisone and a numbing medicine, temporary immobilization (with intermittent stretching), heat therapy, physical therapy, and/or pulsed ultrasound. To prevent the injury from happening again, a splint may be worn during activities that triggered the symptoms. For persistent symptoms surgery may require offered.