Managing Tennis Elbow
Patients who present with Tennis Elbow typically do not have a history of injury and do not even play tennis. In this video presentation, Drs. Bill McCarberg, Steven Stanos, and Joseph Ihm discuss the assessment and treatment options for tennis elbow.
- Examine the patient’s elbow and arm for swelling, erythema, and feel for warmth
- Check for hand resistance during dorsi flexion
- Evaluate for range of motion deficits during flexion and extension
The majority of patients present without inflammation. Therefore, a non-steroidal anti-inflammatory drug (NSAID) may not be indicated. First, an NSAID does not affect the long-term outcome. Second, there is evidence that NSAIDs may promote tendonopathy.
- Occupational Therapy for an ergonomic assessment. The occupational therapist can teach the patient stabilization movements and exercises to benefit elbow pain.
- If tennis elbow presents without inflammation, hold back from a steroid injection.
- Platelet rich plasma
- An extensor brace can be obtained without a prescription at any pharmacy.
- Topical analgesics
- Acetaminophen may be indicated in patients without risk factors (eg, liver disease).