Where is the best treatment for tennis elbow and is there a cure for tennis elbow?

"Tennis elbow" is named because it mostly occurs in tennis players. It is medically known as lateral epicondylitis, lateral bladder of the brachioradial joint, and lateral elbow pain syndrome, which is mainly caused by chronic strain. Some middle-aged and elderly women, because they are repeatedly engaged in laundry, cooking, basins, wringing clothes and other work for a long time every day, so that the palms are in the posture of grasping and lifting heavy objects forward, resulting in the outer muscles of the forearm are in a state of overwork for a long time, but because their attention is focused on children, they do not pay enough attention to this, and after a period of accumulation, they will not be able to serve the pot to stir-fry, twist clothes and other symptoms.

In addition, acute sprains or strains can cause the condition.

The main symptoms of "tennis elbow" are pain on the outside of the elbow, unable to lift objects and end heavy objects, and in severe cases, pain can be seen radiating to the upper arm, forearm and wrist. Most of them are asymptomatic at rest. Tenderness is evident in the affected area during examination, and significant pain in the affected area is observed during the dorsal extension of the wrist and the supination of the forearm.

Those who have the above symptoms should go to the orthopedic department of a regular hospital for diagnosis and treatment as soon as possible, and the doctor will administer the corresponding ** according to the specific situation of the patient. But all ** have a prerequisite, that is, to suspend the housework in hand, or not to do actions that can cause pain in the affected area. In this way, combined with the appropriate **, the pain can be relieved.

Beijing Jishuitan Hospital, or the Third Hospital of Beijing Medical University.

The best principles of tennis elbow and the best way.

Tennis elbow has been cured. (1) Rest: Avoid activities that cause pain, and do not exercise until the pain disappears, especially not playing tennis.

2) Ice Apply ice to the outside of the elbow for 1 week, 4 times a day, 1 time for 15-20 minutes. Do not touch the ice cubes when wrapping them in a towel **to avoid frostbite**.

3) Taking medication: aspirin or non-steroidal anti-inflammatory painkillers (such as ibuprofen, etc.).

4) Protective gear The use of compression resistance protective gear on the forearm can limit the force generated by the muscles of the forearm.

5) Hyperthermia Hyperthermia is applied before stretching** and exercise preparation activities.

6) Stretching** When the acute pain disappears, start gently stretching the elbow and wrist according to the doctor's instructions, do not cause pain, keep the stretching state for 10 seconds, and repeat 6 times.

7) Strength exercises: Exercises to strengthen the wrist extension muscles according to the doctor's instructions.

8) Gradually return to exercise As recommended by your doctor, start exercising the arm movements required for your exercise program (work activities).

9) Local occlusion with cortisone Injection of cortisone drugs into specific parts of the elbow joint can reduce inflammation and relieve pain.

10) Extracorporeal shock wave** can improve local blood circulation, reduce inflammation, and have a good effect on tendon terminal disease.

Drugs**. Take aspirin or nonsteroidal anti-inflammatory painkillers (e.g., ibuprofen, etc.) appropriately.

Tennis elbow is mainly caused by frequent elbow joint movement and joint tissue damage, with pain and activity pain as the main manifestation.

Repeated inflammation of tennis elbow, do the right action, effectively relieve tennis elbow and eliminate pain.

Overview of tennis elbow:

Tennis elbow got its name from the fact that tennis players are susceptible to this disease, and its medical name is lateral epicondylitis of the humerus. Housewives, bricklayers, carpenters, and other people who repeatedly exert their elbows for a long time are also susceptible to this disease. Due to long-term strain, some tendons and soft tissues attached to the elbow joint can be torn or injured partially, or periosteal trauma caused by friction, causing periostitis.

2. Diagnosis of tennis elbow:

Tennis elbow is predominantly manifested by pain on the outside of the elbow joint that radiates to the outside of the forearm, weakness in gripping, and local pain is exacerbated when screwing or squeezing a towel. The affected area is somewhat swollen, and the bone growth and bulge can be felt, and the tenderness is obvious. To confirm the diagnosis, the wrist flexion test can be done by straightening the elbow joint, flexing the wrist, and then rotating the forearm as far back and outward as possible.

Three, tennis elbow **:

Although tennis elbow is not a serious disease, it is very troublesome, and once it occurs, the normal work and life of the patient are disrupted. Therefore, if you suffer from this disease, you should apply the wrist and elbow bone grass as soon as possible to heal, and do not delay!

Of course it can be cured.

At present, it is widely accepted that ** is the injury of the common extensor tendon in the lateral epicondyle of the humerus caused by overloading of the elbow extension muscles.

For example, the wrong tennis grip and hitting action, as well as actions such as lifting heavy objects, washing clothes, twisting towels, etc., such as chopping vegetables, stir-frying, cleaning, mopping the floor, holding children and other housewife work, can cause repeated chronic injuries to the common extensor tendon, causing local pain.

Physical training (including nursing, ultrasound, standardized elbow and wrist range of motion training, stretching exercises, and muscle strength training of the forearm, upper arm, and hand) and manual surgery usually results well.

If necessary, an elbow brace and brace can be used**.

**Tennis elbow should be based on the severity of the symptoms and the degree of pain, and different methods should be used**: 1Technique**.

In the acute pain period, massage is done from the elbow to the forearm with stroke, kneading and dialing, and then the push and pull technique is performed. This kind of ** needs to be done by a professionally trained doctor, so I will not repeat it here. 2.

Drugs**. Internal medication can be indomethacin, enteric-coated aspirin, Fenpidex, Yanqi Xikang, and so on. It can also be taken internally, and the traditional Chinese medicine Huoxue decoction can be used externally to fumigate and fumigate.

3.Closed**. A small amount of nufcaine or lidocaine is mixed with triamcinolone acetonide or other similar drugs and injected into the painful area to reduce or eliminate pain and inflammation.

If not, it can be injected again, but the continuous injection is generally not more than 3 times. 4.Other**.

Such as hot compresses, physiotherapy, plasters, and massages are also effective. These methods work better when combined, and can be used in most patients**. However, to consolidate the effect, the patient needs to reduce elbow motion and reduce elbow mobility.

5.Surgery. When conservative ** is ineffective, surgery ** can be used.

6.Rest. The affected arm should be rested properly and not overmoved.

Even after the condition improves, it is still necessary to pay attention not to overmove the elbow joint to consolidate the effect.

"Tennis elbow" is a common condition in sports injuries, and its official name is "lateral epicondylitis of the humerus". Many tennis players will suffer from this disease if they have improper posture during sports, hence the name "tennis elbow"; This disease can be initially induced by sudden and improper force on the elbow, but most of the onset is slow, patients often have pain or severe pain in the elbow area when lifting heavy objects and other actions, some symptoms are mild, and after a period of time, they will heal naturally. In severe cases, it can be reversed, mostly persistent pain, arm weakness, and even holding objects falling to the ground, when the forearm is pronated, it is often limited by pain, sometimes the pain radiates to the forearm, if not taken seriously, it will cause chronic pain and even evolve into periostitis, muscle spasm, and compress the nerve and cause back pain.

**: Like other diseases, master the principle of early detection and early **, and need to be patient to do long-term ****, in order to have good results.

Ice is applied to pain after exercise to reduce bleeding and inflammatory effusion.

For chronic pain, local immobilization, rest, protection, physical therapy, compression massage, and oral nonsteroidal anti-inflammatory drugs can be used to reduce muscle pain.

The elbow brace for the forearm can dissipate the pressure when the arm is weighted, and it has a good health care effect.

Partial closure**. That is, prednisolone 2ml (50mg) + 2% lidocaine 3ml for local infiltration of tender points, 1 time a week, can be 2 3 times in a row.

For severe pain in the lateral epicondyle of the humerus lasting more than 6 months; severe focal tenderness in the lateral epicondyle of the humerus; Symptom relief was not obvious after 2 weeks of immobilization rest; During immobilization, the lateral epicondyle was partially closed for 2 times, and the symptoms were not relieved obviously. Surgery is possible**.

The best way to deal with tennis elbow is to prevent +**. In tennis, mastering the correct posture and using the correct movements to exert force is a reasonable way to avoid tennis elbow.

Tennis elbow is a repetitive force to extend the wrist, and the guidance caused by the cause of local joint strain can be closed by local injection of drugs such as nufcaine and triamcinolone acetonide**, and local hot compress physiotherapy**. Elbow pads can be worn on a regular basis.

Late or intractable tennis elbow of tennis elbow, after six months to one year of regular conservative **, the symptoms are still severe, affecting life and work**, surgery can be taken**. It is advisable to avoid activities that cause pain and not to exercise until the pain is gone.

It's the same tennis elbow, I feel like I'll go to the hospital first, orthopedics, take some anti-inflammatory drugs first, see if I can reduce it, don't play closed first, don't play, if it's serious in the later stage, I can't bear it, and then listen to everyone's opinions to see if you need to play.

The best principles of tennis elbow and the best way.

Tennis elbow method.

1. Conservative**.

**: In the middle and early stages of the attack, conservative **, such as relative rest of the elbow joint, massage, physiotherapy, oral anti-inflammatory and painkiller drugs (aspirin or non-steroidal anti-inflammatory painkillers), simple operation methods, can relieve symptoms to a certain extent.

Disadvantages: adjuvant**, cannot be used independently, and when the disease is severe, conservative** is ineffective.

2. Closed**.

**: Cortisone is injected into the submuscular space near the lateral epicondyle of the humerus.

Disadvantages: It has no essential effect on the disease, it is very easy, and multiple closures are more harmful to local tissues.

3. Surgery**.

**: When conservative** is ineffective, surgery can be used**, arthroscopic surgery, incisional surgery, and small needle knife surgery are common.

Disadvantages: The effect is not accurate, and it may be aggravated by bacterial contamination of the joints due to improper surgical operation, forming synovitis.

4. Traditional Chinese Medicine**.

Tennis elbow belongs to the category of tendons and elbow pain in traditional Chinese medicine. Professional orthopedics believe that this disease is caused by elbow trauma or strain, or external wind, cold and dampness, resulting in local qi and blood coagulation, and obstruction of the veins. After the disease, local fascial strain is the external cause of the disease, and the weakness of qi and blood, the lack of blood and tendons, the loss of warmth of muscles, and the loss of nourishment of muscles and bones are the internal causes.