All Patients of Dr. Burke Orthopedics: Due to an unexpected medical issue, Dr. Burke will not be in the office treating patients until August 29th, 2022. All surgeries will be postponed until September 27th, 2022. Our staff will continue seeing patients in our offices and taking care of any needs outside of Dr. Burke’s care in his absence. We do apologize for this inconvenience and urge you to reach out to our staff if you have any questions or concerns. If you have been scheduled for surgery within this timeframe and feel you cannot wait for treatment, please, contact our office as soon as possible so we can assist you in obtaining a new surgeon capable of completing your treatment. We look forward to continuing to provide our patients with exceptional orthopedic care until Dr. Burke’s return.
Our Pearland office will reopen tomorrow, 2/19/2021, for normal business hours 8:30am to 5pm.

What’s Tennis Elbow?

Tennis Elbow, also known medically as Lateral Epicondylitis, is an injury from overuse that affects the tendons of muscles that attach to lateral epicondyle of the elbow. The lateral epicondyle is a small protrusion of bone that is located at the bottom outside edge of the humerus, or upper arm bone. Tennis Elbow is an inflammation of these tendons, which attach muscle to bone, that attach at this site. The muscles that attach to the lateral epicondyle are several muscles that run through the forearm. Tennis elbow, lateral epicondylitis, is a very common complaint involving elbow pain.

What Causes Tennis Elbow?

The causes of Tennis Elbow include many other activities besides tennis. It is referred to as Tennis Elbow because it is a common disorder seen in individuals that play tennis because of the frequent, forceful extending of the wrist involved. Extension of the wrist involves straightening the hand and wrist from a bent position. The muscles that are located in the forearm that attach to the lateral epicondyle are responsible for, among other things, straightening the wrist/hand and supinating the hand, or turning it outward, palm facing up. Other racket sports cause this condition just as frequently. Causes and risk factors of Tennis Elbow may be:

  • Overuse of the forearm muscles that extend the wrist and fingers as in tennis, racquetball, squash fencing, and weight lifting
  • Overuse from other activities such as gardening, raking, knitting, typing, painting, woodworking and other manual work, cooking
  • Increased age
  • Improperly warming-up before engaging in strenuous activity
  • Improper athletic technique
  • Certain medications such as steroids
  • Smoking and excessive alcohol use
Man on tennis court

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Symptoms of Tennis Elbow

Generally, the symptoms of Tennis Elbow will develop gradually and worsen over time. Symptoms of Tennis elbow may be any one or all of the following:

  • Elbow pain located on the outer part of the elbow
  • Pain that worsens with gripping activities, making a fist, opening doors, holding a glass of water, and many other activities that in part require extension of the wrist
  • Weakness noticed with any of the above activities
If You Are Experiencing Symptoms, Schedule an Appointment Dr. Burke Orthopedics Immediately.

Tennis Elbow Treatment

The treatment for Tennis Elbow is almost always conservative. The treatment involves:

  • Discontinuation of the aggravating activity, allowing the tendons to rest
  • NSAIDs (nonsteroidal anti-inflammatory drugs
  • Strapping and/or taping of the firearm in order to support the elbow and take pressure off of it
  • Cortisone injections
  • Extracorporeal shock wave therapy: this intervention consists of sending sound waves to the area of injury in order to facilitate healing
  • Physical therapy: there are many exercises that a patient will be instructed to perform in physical therapy with the focus on eccentric exercises. Eccentric exercises are a form of strengthening the muscle as it lengthens, as opposed to a concentric contraction as in a biceps curl, when the muscle is shortening as it contracts. Eccentric exercises have been proven to be quite effective in managing the pain of tendon injuries. Deep tissue and transverse friction massage are also modalities that physical therapists frequently use when treating tendon injuries

There are surgical options that may be considered when the progression of this condition is very advanced and conservative treatment fails to reduce pain and improve function. Surgery for Lateral Epicondylitis involves removal of the damaged/diseased part of the tendon.

Elbow injury in tennis, unpleasant facial expression

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Disclaimer: Please note all medical information contained within this website should never be interpreted as a diagnosis or recommendation of treatment. If a diagnosis is needed, contact Dr. Burke Orthopedics for a personalized consultation. Information shared in testimonials and reviews are specific to that particular patient and may not be representative of the experience of others.