Tennis Elbow, why it hurts? Everything You Need To Know - Dr. Nabil Ebraheim
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- เผยแพร่เมื่อ 19 ก.ย. 2024
- Dr. Ebraheim’s educational animated video describes the condition of tennis elbow-lateral epicondylitis.
The tennis elbow is also known as lateral epicondylitis. It is an overuse injury that causes inflammation, tendinosis, and lateral elbow pain at the origin of a small muscle called the extensor carpi radialis brevis (ECRB). The pain is located on the outer side of the elbow. The pain may interfere with sleep and activities or even carry groceries. When this muscle (ECRB) is overloaded by repetitive activities, it causes pain on the outer side of the elbow.
I am going to go into some details about this condition.
It is the most common cause of elbow pain. 50% of tennis players develop elbows due to technical reasons and risk factors such as incorrect grip size or poor swing technique. This condition also affects workers who do heavy lifting, repetitive gripping, or use heavy tools. The pathology of the tendon shows disorganized collagen and angiofibroblastic hyperplasia. The condition usually starts with microtears of the extensor carpi radialis brevis origin due to eccentric overload, which is precipitated and aggravated by repetitive wrist extension and forearm pronation. The patient with tennis elbow will complain of pain with gripping, decreased grip strength, pain with repetitive wrist extension, and will have tenderness around the lateral elbow. Here is the area of pain for the tennis elbow and radial tunnel syndrome. Radial tunnel syndrome should be in the differential diagnosis of tennis elbow, especially if the patient is not recovering as expected from tennis elbow treatment (suspect that the patient has radial tunnel syndrome). Radial tunnel syndrome causes pain about 3-4cm distal and anterior to the lateral epicondyle. Radial tunnel syndrome occurs in about 5% of the patients due to compression of the posterior intraosseous nerve. You also need to rule out cervical disc problems and tricep tendonitis. The tennis elbow diagnosis was based on the symptoms and physical examination. The provocative test, which will increase the pain at the lateral epicondyle, is resisted wrist extension with the elbow fully extended. You can get X-rays of the elbow, but the X-rays are basically normal, and rarely do you find some calcification.
Treatment of tennis elbow:
- Activity modification
- Nonsteroidal anti-inflammatory medication
-Physical therapy (exceedingly eccentric exercises)
-Injection (frequently used)
-Steroid injection
-May use PRP
(Ultrasound guidance may be helpful)
-Bracing
There is a 95% success rate with nonoperative treatment to relieve the pain. It may take up to 6-12 months to improve the condition.
Surgery is a resort for releasing and debriding the extensor carpi radialis brevis muscle origin. Excessive debridement and release of the tendon can lead to injury of the lateral collateral ligament, which causes the posterolateral rotatory instability of the elbow.
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Dr Nabil, this is the best explanation of tennis elbow I have seen so far, thank you!
thanks you so much .. your way of explaining is so simple and concise
i will become a teacher like you 😊
🤗thank you...been diagnosed with both tennis 🎾 and golfers 🏌️♂️ elbow...many accidental injuries, and prior surgery to repair same arm, for a torn bicep tendo💜💜💜
bruh I gotta be careful, first I inflamed my left chest rib cage then I inflamed my calves, now my right elbow, both upper body from heavy lifting and the calf from running incorrectly.
I’m a mechanic and recently this has took over my life! It hurts so fkn bad it’s hard to even open a ketchup bottle and I’m a very strong guy makes me feel so weak and debilitated…the pain hurts about as worse as getting shot and Ive been shot …it keeps me up at night ….today I found relief thru cold ice compacts and advil
It is cured? Now?
Eat lots of salary. Take glucosamine it will help . God bless you. Eliminating carbs and alcohol in case you drink will help more.
@@paulinarojas4005*celery
5 months in. This is so frustrating. It started suddenly when I hit a bad forehand on the tennis court.
I feel you, i have been preparing for a piano exam for 7-8 months, three weeks before the exam i get it because my teacher made me tense up a lot. I just wanna fucking cry
Thank you so so much Doctor. No matter how many people i asked no one could explain my problem in this detailed way. I'm really grateful 🙏❤
What have you done about it 😢mine doesn't seem to go away
Bro still pain or not
Incredibly helpful thank you so much!
Genius in your easy to understand description. Thank you.
Jazakallah khair Dr Ibrahim. Very useful information
Very well explained, thank you!
Great video, very clear and presented good treatment options!
For elbow tendinitis you need to find a Medical Massage Therapist in your area. One to two treatments is generally curative but could take up to six weeks of treatment. There is no need for injection or surgery and it will resolve with manual therapy only. PT will not be effective unless they are performing manual therapy on the area, exercises will only irritate it until the lesson is resolved and the adhesion removed from the ECRB/U. Successfully treated dozens of cases, never had to refer out.
Thank you Nabil, you are a very important man!
can tennis be helped through acupuncture massage? or what is the proper treatment should be?
Love your work Dr Ebraheim, thank you.
Thanks
What is the treatment of chronic tennis elbow , even after taken inj. triamcinolone?
Thank you doctors! Good information 🙏👍
Thanks this video was super helpful ❤
I use arm sleeve that can produce far infra red rays especially during exercise and treatment..good results and heal faster..
Sir thanks, we need also knee replacement topic or hip replacement
Gotta switch to the left arm/hand
Hello Dr. Ebraheim, thank you for the informative video. Could you do a video on or explain why eccentric exercises especially are helpful for this condition?
The therapists know how to do it
It is not easy to do a video
Understood, that makes sense. Thank you for your reply. @@nabilebraheim
Thank you i like your vidéo it's very simple
Thank you for the excellent video. It was very informative
Thank you sir❤
Thank you,that was very helpful.
Thank you , fantastic explanation
Here’s my story with tennis elbow
Got it from lifting (gym)
After about 7 weeks I had 1x cortisol shot . To help things along I rested for a weak got back to about 75% . Got back to gym wore a brace and was ok just couldn’t do certain things but I could still train . Stayed that way for about 4 months no worse no better . Then I hurt my bulging disk so I thought we’ll maybe I can finally rest my elbow and I can nip this in bud . After 4 weeks of complete rest didn’t really do anything. So I thought what’s going here I found the tendon the spot where the pain was and I rubbed cream in and really went deep made it angry it flamed up straight away I then iced it took Anti Inflammatory s 2 days then put heat on it 3 times a day after a week my tennis elbow completely went . It’s like i unlock something idk 🤷♂️ maybe I had scared tissue
That needed work
What kind of cream did you rub on?
1rst class explanation. Thank you sir.
I don’t know if you respond to these, but I’ve had the injections. I’ve been through physical therapy. I’ve gone to a chiropractor, I’ve just completed shockwave therapy and laser treatments, but I am still not getting pst this. The radial tunnel syndrome I haven’t heard of, but it matches with some of my pain. Have I exhausted my options? Do I need to consult a surgeon?
Best quick solution i shockwave therapy!!
It helped my problems in right arm while the left had non-treated tenis albow problems. And hard muscel areas!!
Thank you, it is really helpful.
how to prevent?
thank you....this video was very helpful
Good information thank you mr
That was very helpful.
Upright rows did to me, it’s been bothering me since then, I’m still able to work out but it just bothers me when gripping or pick up something. Hoped it goes away by its self.
I had this once. Didn’t know what it was, I couldn’t straighten my arm out. Every night I would put a heavy pillow on it to make my arm straighten out, it hurt at first but then it went away after a while. Never got it again.
I got this issue playing badminton. Played after a gap of 5 years and started smashing hard straight away. It almost took a year for elbow muscle to heel. Now say I have got it in my left arm after I played cricket (batting), I used a lot of bottom hand with left arm to place the ball in gaps in field. Must have overused the muscle during this. I am right handed so thought it only happens to your stronger arm. .
Very good. Thank you.
Sir pls make video on tfcc tears and management
Thank you
شكرا حكيم
Tq sir nice explanation ❤️
Very helpful thank you
Very interesting video and very helpful, I'm at 2nd cortisone shot in a period of 6 months, dr told me she cannot put more cortisone in my elbow because it's gong to make it weaker, I love doing sports and I type in the computer 8 hours straight every day... what is the name of the surgery to fix tennis elbow? my Dr said there is NO surgery for this kind of injury and I want to learn more about it. Thanks
Try green clay poultices on the area
i wanna die from elbow tendonitises, its worse hell ever that there existed.... i am in suicidal depression non stop and time freezed ...its not moving
Will it go away on its own or will need treatment, getting sick of it after 2 years 😭
Do you still have it? I just got it this week by lifting weights.
@@Fireinthestubble think that's how I got mine from the gym and sports, still have it :(
@@ynic0rn I’m sorry to hear that. Have you gone to a sports medicine doctor? I think I will end up going. I’m icing mine right now. 😞
@@Fireinthestubble haven't been to any doctor about it I usually do the ice packs and heat rubs, it's not helping that I'm always on my phone or computer with work so my arm is bent making it constantly in pain 😬
@@ynic0rn yeah upright rows and biceps curls did it for me. It’s frustrating. I did purchase a tennis elbow brace from Amazon and that is helping. But, you should probably get yours looked at. They will probably give you a shot of cortisone and it will help with the pain. I hurt my shoulder a few years back, and the shot really helped me deal with it.
Good info
I have horrible elbow pain after mma training. It’s different that this because it is felt on the back of the elbow not on the side.
Was helpful thanks
Thanks
Worst year and a half of my life!
Exercises and icing only dulled the pain, repetitive motion did it for me so please don’t got ham and take rests when your arms need it!
I pray I never give myself or get tennis elbow again!
Please take care of your body! Just because you are capable of doing it doesn’t mean you aren’t doing damage!
For me it was like a busted hydraulic.. when I went to lift most things especially the heavier items my arms or arm would fall and the pain was something else… not as bad as carpal tunnel but crippling indeed!
Avoid if possible!
It will destroy physically and mentally!
Ive have injections in my elbow and no relief so was recommended a mri
I helped my bro lift a basketball hoop, it triggered tennis elbow I had it for three months, it's lowering the pain now, I can play basketball now man, when I got it it hurts so bad.
Thank you!
Excellent n helpful video. Blessings.
I have Ehlers-Danlos Syndrome. Hurts witout injury.
I was looking for exercise to make it better
"Tennis elbow symptoms are reportedly most severe in the morning, which prompted a search for a pathological process while asleep. A “pathological sleep position” was hypothesized that repetitively aggravates an elbow lesion if the arm is overhead and pressure is on the lateral elbow. ... Results: ... All compliant patients had remained asymptomatic after initial healing, and no symptom recurrence or complaints were found."
Good
Mine its almost 4months still pains like hell.... unfortunately its in right hand and i am righty so it's more difficult not to use this hand for manual work...
I'm in the same position as yours from the past three months. Kindly let me know if any treatment works for you.
Nothing has helped me so I was recommended a MRI
@@amandacook8798 and what came out of it? Were you able to get the right treatment after the MRI??
@@lafiya2997 i get my results tomorrow to see what they say
Mine is 8months now.
I just started massaging so it straightens. I still feel pains after a week of massaging, but I can bring my elbow down now.
Just really painful when lying down.
The doctor said what exactly i have.. Really 😮😮😊😊
واللهي معلم
tnk u
Mine healed after 7 months but i followed some exercise and warm compress everynight.. not easy and need alot of patience..
It interferes with everythung . So painful i cant stand it
Got mine from working out
How successful is steroids injection for tennis elbow? I got one injection along with physiotherapy and anti inflammatory drugs but no relief been 1.5 months. Will more steroids help relief the pain Dr Nabil??
I have this condition from lifting weights. It never fully healed because I would still lift with lighter weights
Is it still not healed? I got it but I'm still working out, I don't tldo heavy lifting just calisthenics
Pretty sure i have radial tunnel
If you continue to play tennis, it won't go away, you have to live with it.
Is there an english version?
Massage gun helps allot
I got it from using a weedwacker and prunin
Mine is getting worse not better
I guess my phone is heavy because I'm in holding it up in my left hand and I have tennis elbow and I can't pull anything 😭
1st comment Sir
Bone cement topic
This sucks. I wanna play golf but it hurts to bad.
98
What I like to ask, can anybody at any age and gender get this?
Tennis and golfers elbow piano from last 6 yers
❤❤❤❤❤
I have had 2 steroid injections in the past 3 years and the pain has now returned. 😢
That's getting me scared😢...
Do the injections work??
@@Lizzy_333
No
:D
Tennis elbow aka j3rkoff arm 😅
🎾🏌️🏋️: Tennis Elbow is neither Triceps Tendonitis nor Golfer's elbow where these are all for strong men; not for sick men! Meditation is a subconscious sleep💤observed Meditation Elbow❓
It’s pretty painful listening to this.
thank you doctor!
thank you
very helpful thank you
Thank you very much for the explanation 👍
Thank you very much for this informative presentation and information provided.
Thank you