Understanding Lateral Epicondylitis: Causes, Symptoms, and Osteopathic Solutions

Lateral epicondylitis, commonly referred to as tennis elbow, is a condition that causes pain and discomfort on the outer part of the elbow. At our osteopathy clinic, we understand the impact this condition can have on daily life and aim to provide insights and effective Osteopathic solutions to address this ailment.

What is Lateral Epicondylitis?

Lateral epicondylitis is a tendinopathy injury involving the extensor muscles of the forearm and is the most common overuse syndrome in the elbow. It occurs when the tendons in the elbow are overloaded, leading to chronic stress and resulting in inflammation and microtears. Repetitive activities such as heavy lifting, computer use, repetitive vibration or repeatedly twisting your wrist can strain the tendons in the elbow causing pain and tenderness. Despite its name, tennis elbow isn't exclusive to tennis players and can affect anyone whose activities involve repetitive arm movements or gripping actions. Other sports such as baseball, swimming, squash and field throwing sports are prone to developing this condition. Additionally, jobs with repetitive unilateral movements such as electricians, carpenters, gardeners, landscapers and desk bound jobs commonly present with this condition.

Symptoms of Lateral Epicondylitis:

·      Pain: Persistent pain on the outer part of the elbow, which may radiate down the forearm.

·      Weak Grip: Difficulty gripping or holding objects, particularly with extension of the wrist.

·      Stiffness: Stiffness in the elbow joint, especially after periods of rest.

·      Tenderness: Sensitivity or tenderness around the bony knob on the outer part of the elbow.

Symptoms may progress in the following manner:

1.    Dull pain a few hours after the aggravating activity.

2.    Pain at the end or immediately after the aggravating activity.

3.    Pain during the aggravating activity, which intensifies after stopping that activity.

4.    Constant pain, which prohibits any activity.

Symptoms last, on average, from 2 weeks to 2 years.

Osteopathic Approach to Lateral Epicondylitis:

Tugun Osteopathy adopts a wholistic approach to manage and alleviate the discomfort associated with lateral epicondylitis, focusing on restoring function and reducing pain.

Manual Therapy: Osteopathic manipulative techniques aim to improve elbow mobility, reduce inflammation, and alleviate pain. Techniques such as dry needling may also be incorporated as this has been shown to be hugely successful in the management of tendon complaints.

Exercise Prescription: Tailored exercises and stretching routines to strengthen the muscles around the elbow and improve flexibility. Guided rehabilitation of the extensor tendons will also be provided.

Biomechanical Assessment: Evaluation of posture and movement patterns to identify any contributing factors and correct mechanics to reduce strain on the elbow. Often taping will also be provided as this helps to reduce the load of the muscles and tendons.

Ergonomic Advice: Providing guidance on ergonomic modifications in daily activities or workspace to prevent aggravating the condition. 

Recovery from lateral epicondylitis requires patience and consistent adherence to prescribed exercises and lifestyle modifications. With the guidance of our Osteopathic team, significant improvement in symptoms and function is achievable.

Lateral epicondylitis can be debilitating, affecting one's ability to perform routine tasks, but it doesn't have to be a permanent hindrance. Through our Osteopathic interventions, we aim to restore elbow function and alleviate discomfort, enabling individuals to resume their activities pain-free.