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Lateral elbow pain is more popularly termed “tennis elbow.” Tennis Elbow affects 2% of the general population, and while that sounds like a relatively low number, it will affect upwards of 50% of tennis players at some point during their playing career! Hence the name.

The commonality among tennis players is no mistake. The sport places a tremendous load on the lateral elbow. While it’s incredibly common, resolution of the problem is often frustrating for both patient and provider. The problem with fixing tennis elbow is that the condition is commonly misdiagnosed. Incorrect diagnosis leads to incorrect treatment, and as you may already know, prolonged and worsening symptoms.

Fortunately, fixing this issue can be found with 4 easy steps!

STEP 1: GET THE RIGHT DIAGNOSIS! Tennis elbow is generally categorized as a tendinitis. Classic tendinitis is an inflammatory condition. The problem is that most lateral elbow pain is NOT inflammatory! It’s degenerative! It is actually a term called tendinosis. Treating lateral elbow pain as tendinitis will make tendinosis worse!

Classic treatment of tendinitis, using rest, ice, and NSAIDS or cortisone actually leads to more degeneration and is putting you at risk for more significant injury, like ruptured tendons! It bears repeating, but cortisone and NSAIDS are a REALLY bad idea in this situation!  In fact one more recent study showed that those using cortisone for treatment of musculoskeletal conditions were WORSE than those who did absolutely nothing at all after 1 year.  Don’t believe me?  Take a look at the study here.

STEP 2: REST! I know I just told you rest is a bad idea. Prolonged rest is bad. Short term rest isn’t. It is often necessary during step 3.  Also avoid any painful movements during this time and use a brace as needed.  All this helps to unload the injured area.

STEP 3: TREAT ADHESION. Lateral elbow pain is often caused by overuse/repetitive trauma. The most common result of overuse in the body is adhesion. Adhesion acts like glue on muscles and tendons and doesn’t allow things to move like they should. It’s the most common cause of pain and limited range of motion in the body, yet it is also the most misdiagnosed and mistreated condition! Very few providers know what adhesion is. Even less know how to actually treat it. Making sure to find a provider that knows how to diagnose and treat this condition is vital to your recovery!  If you are lucky enough to have an Integrative Diagnosis provider in your area, they are the absolute best at treating this condition.  You can check your area by clicking the link here.

STEP 4: ECCENTRIC EXERCISE. Once adhesion is removed and the tissue is healthy enough for more activity. Eccentric exercise, a very specific type of exercise needs to be started. This type of exercise specifically targets the tendon for repair.

 

If you have been struggling to find relief from lateral elbow and been diagnosed with tendinitis, most likely the diagnosis was wrong! You need a second opinion! You need the help of a soft tissue expert!  Find help, follow these steps, get relief now!

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The providers at Thrive Spine and Sport in Cedar Rapids are certified through Integrative Diagnosis. Integrative Diagnosis is the most advanced diagnosis and treatment system for the diagnosis and treatment of soft tissue injury. If you have tried other providers without finding relief, we invite you to call our office today at 319-423-0925 or request an appointment by clicking here => www.thrivespineandsport.com/appointment-request.

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