Lateral epicondylitis or tennis elbow is one of the most common lesions of the arm. This injury may last for several weeks or months, with the average duration of a typical episode reported to be between six months and two years.
Tennis elbow is defined as pain on the facet of the lateral epicondyle, which is reproduced by digital palpation on the above site, resisted wrist extension, resisted middle finger extension, and gripping.The dominant arm is commonly affected, with a prevalence of 1–3% in the general population, but this increases to 19% in 30–60 year olds and appears to be more long standing and severe in women. It is generally a work related or sport related disorder of the common extensor origin of the arm, usually caused by excessive, quick, monotonous, repetitive movements of the wrist, especially in eccentric contractions and gripping activities causing macroscopic and microscopic tears in the extensor carpi radialis brevis tendon, the most commonly affected structure. It is a degenerative or failed healing tendon response.
Extracorporeal shock wave therapy (ESWT) is an effective treatment for tennis elbow. Success rates are reported between 70-80% with 3-6 treatments at a one week interval. Please call the clinic to book a shockwave therapy consultation for treatment of elbow pain 289-362-2300.