Forearm and Elbow Conditions

Nerve / Tendon:
Biceps Tendonitis
Cubital Tunnel Syndrome
Medial Epicondylitis (Golfer's Elbow)
Radial Tunnel Syndrome
Lateral Epicondylitis (Tennis Elbow)

Bone / Joint:
Osteoarthritis of the Elbow
Rheumatoid Arthritis of the Elbow


Lateral Epicondylitis (Tennis Elbow)

Tennis Elbow is an overstress or overuse condition affecting the tendon around the lateral epicondyle, or bony bump, located at the back or outside of the elbow.

Referred to medically as lateral epicondylitis, the condition is the irritation and subsequent inflammation of the tendon resultant of a potentially degenerative environment within the tendon.

Those suffering from Tennis Elbow may experience moderate pain at the outer portion of the elbow that over time increases and spreads down the forearm and to the back of the middle and ring fingers. If left untreated, the pain will eventually become debilitating, causing progressive weakening and reduction in arm function. Reaching and grasping activities may become painful, and persistent discomfort may be present while at rest following activities.

Risk Factors
Though most commonly known as Tennis Elbow, most individuals diagnosed with the condition are not tennis players. Those most affected are average adults between the ages of 40 and 60, who are involved in everyday activities - gardening, picking up children, storing luggage in an overhead compartment, painting with a brush or roller, using a chain saw or hand tools.

Any activity resulting in the overuse of the muscles and tendons of the forearm and elbow is likely to prompt the condition.

Treatment
Following a thorough examination, assessment of the patient's history and lifestyle, and imaging scans, treatment is determined based on the severity of the condition. Generally beginning with conservative treatments that work to prevent further degeneration of the tissue and reduce inflammation, other minimally invasive procedures are indicated if symptoms persist. Other nonsurgical treatments may include ultrasound therapy or electrohydraulic shockwave energy treatment, which is performed as an outpatient procedure in less than 20 minutes.

Chronic conditions failing to respond to nonsurgical treatment may require a lateral epicondyle release, which is also performed as an outpatient procedure.