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Tennis elbow

Tennis elbow. Tennis elbow. Is lateral epicondylitis Resisted forearm movement eg tennis forearm, wringing, scraping out pigeon lofts Overuse musculoskeletal disorder. Tennis elbow. Very common 4-7/1000/yr Recurrence “Persistently effective treatments have resisted researchers”

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Tennis elbow

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  1. Tennis elbow

  2. Tennis elbow • Is lateral epicondylitis • Resisted forearm movement eg tennis forearm, wringing, scraping out pigeon lofts • Overuse musculoskeletal disorder

  3. Tennis elbow • Very common • 4-7/1000/yr • Recurrence “Persistently effective treatments have resisted researchers” ARC February 2007

  4. Tennis elbow • Local steroid injections • Popular • Short term pain relief – 6 weeks • Little better than placebo or time over the longer term • Worse between 12 weeks and one year than wait and see • Physio • Longer term benefit form 12 weeks to 1 year

  5. Tennis elbow Separating the patients Outcome Likely recurrence Good whatever • Payment by volume eg bricklayer, plasterer • DIY eg 1 weekend per year wallpapering Research so far No evidence on how best to manage any subgroup

  6. Understanding tendon disorders • Tendinopathy, not tendinitis • Degeneration and inadequate repair, not inflammation Therefore • NSAIDs for short term pain relief only

  7. How to encourage repair and rehabilitation? Don’t know • Currently physios use stretching and eccentric loading of extensor carpi radialis brevis for tennis elbow • Similar approach for • Achilles tendon • Rotator cuff • Patellar tendon • Golfers elbow

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