Epicondylitis, commonly known as tennis elbow, is a painful condition caused by inflammation of the tendons that connect the forearm muscles to the lateral epicondyle, a bony prominence on the outer part of the elbow. This inflammation is often the result of repetitive movements or overuse of the elbow joint, typically seen in sports like tennis, but also in occupational or hobby-related activities involving similar motions.
Symptoms:
The main symptoms of epicondylitis include pain and tenderness on the outer side of the elbow, which may radiate down the forearm and into the wrist. Pain often worsens with forearm use, especially when gripping or lifting objects. Other symptoms may include a feeling of weakness in the forearm and difficulty performing twisting or gripping movements.
Causes:
Epicondylitis is primarily caused by repetitive movements and excessive strain on the forearm and elbow. Athletes, particularly tennis players, are at risk, but the condition can also affect individuals with manual professions such as painters, plumbers, and carpenters. Aging can also contribute, as tendons tend to lose flexibility and become more prone to injury over time.
Diagnosis:
Diagnosis is made through a detailed physical examination of the elbow and forearm. The physician may perform specific tests to assess pain and muscle weakness. In some cases, imaging tests such as X-rays or magnetic resonance imaging (MRI) may be used to rule out other conditions and confirm the diagnosis.
Treatments:
Treatment for epicondylitis may include conservative options or, in more severe cases, surgical intervention. Conservative treatments involve rest, applying ice, using elbow braces, and physical therapy to strengthen and stretch the forearm muscles. Nonsteroidal anti-inflammatory drugs (NSAIDs) can help relieve pain and reduce inflammation. In some cases, corticosteroid injections may be beneficial in reducing inflammation and pain.
If symptoms persist despite conservative treatment, surgery may be necessary to remove damaged tissue and repair the tendons. Surgery for epicondylitis is typically minimally invasive and can often be performed on an outpatient basis.
At Handclinic, under the care of Dr. Marco Guidi, we use a personalized approach and advanced technologies to diagnose and treat epicondylitis, helping our patients restore elbow function and return to their daily activities without pain.
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