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Elbow

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Elbow

Elbow injuries are often associated with repetitive loading and overuse mechanisms. Early and individualized, evidence-based management is essential to restore function, reduce pain, and prevent recurrence.

Elbow epicondylitis/Tennis elbow

Elbow tendinopathy, also known as lateral epicondylitis, is a condition caused by overuse of the muscles and tendons around the elbow joint. It is usually associated with repetitive movements of the wrist and arm.
Despite its name, elbow tendinopathy doesn't just occur in tennis players. In fact, many who develop it have never played the sport. Occupations that involve repetitive motions—such as plumbing, painting, carpentry, and construction—increase the risk. However, the cause is often unknown.
The pain usually occurs where tendons — the strong tissues that connect muscles to bones — attach to a bony bump on the outside of the elbow. The pain may spread to the forearm and wrist.
Rest, painkillers, physical therapy, and therapeutic exercise often help relieve symptoms. If these are not effective or symptoms interfere with daily life, an injection or surgery may be needed.

Symptoms
The pain may extend from the outside of the elbow to the forearm and wrist. The pain and weakness can make it difficult to do the following activities:
• Shaking hands or holding objects
• Knob opening
• Holding a cup of coffee

Causes
Elbow tendonitis is often associated with overuse and strain of the forearm muscles, although the exact mechanism is not always clear. Repetitive contractions of the muscles responsible for extending and raising the wrist and hand can cause microscopic tears in the tendon that attaches to the elbow.
Activities that may cause or worsen tendonitis include:
• Playing with a racket, especially with incorrect backhand technique
• Use of plumbing tools
• Painting
• Screwing
• Food cutting, especially meat
• Extensive use of a computer mouse
In rare cases, tendinopathy can be caused by injury or a connective tissue problem. Often, the cause remains unknown.

Medial epicondylitis, or Golfer's elbow, is a condition characterized by pain where the tendons of the forearm muscles attach to the bone on the inner side of the elbow. This pain may extend into the forearm and wrist.
Medial epicondylitis of the elbow doesn't just affect golfers. It's also common in tennis players and people who frequently use their wrists or grip objects with force.

Common Symptoms of Medial Epicondylitis:
• Pain and tenderness: Usually on the inside of the elbow, sometimes extending to the inside of the forearm. The pain is made worse by certain movements.
• Stiffness: The elbow may be stiff and clenching the fist may cause pain.
• Weakness: You may feel weakness in your wrist or hand.
• Numbness or tingling: It can reach the ring finger and little finger.
The pain can come on gradually or suddenly and is often made worse by movements such as hitting a golf ball.

What Causes Medial Epicondylitis?;
The condition isn't just about golf—many other activities or professions can lead to this condition, such as:
• Racquet sports: Poor technique, especially on the backhand in tennis, excessive use of topspin or inappropriate racket size.
• Throwing sports: Incorrect throwing technique in sports such as baseball, football, javelin or archery.
• Weight training: Incorrect technique, such as bending the wrists during bicep curls.
• Repetitive manual labor: Occupations such as plumber, carpenter, and builder that require repetitive forceful movements.
Generally, the activity that causes the problem must be performed for more than an hour daily, on a regular basis.