Understanding the Difference and Physiotherapy Management
Elbow pain is a common issue, especially for individuals engaged in repetitive arm movements. Two of the most prevalent conditions affecting the elbow are tennis elbow (lateral epicondylitis) and golfer’s elbow (medial epicondylitis). Despite their names, these conditions are not exclusive to athletes and can affect anyone. Understanding their differences and physiotherapy management is essential for effective treatment and recovery.
Tennis Elbow vs. Golfer’s Elbow: Key Differences
Location of Pain
Tennis Elbow: Affects the tendons on the outside of the elbow (lateral epicondyle). Pain may radiate down the forearm and worsen with activities like gripping or lifting.
Golfer’s Elbow: Involves the tendons on the inside of the elbow (medial epicondyle). Pain may extend into the forearm and wrist and is often triggered by repetitive wrist flexion or gripping.
Cause
Both conditions are caused by repetitive stress or overuse of the forearm muscles and tendons, but the specific movements differ:
Tennis Elbow: Associated with repetitive wrist extension and gripping activities, such as playing tennis or using tools.
Golfer’s Elbow: Linked to repetitive wrist flexion and forearm pronation, common in sports like golf and activities like hammering or typing.
Symptoms
Tennis Elbow: Pain and tenderness on the outer elbow, weakness in the grip, and difficulty lifting objects.
Golfer’s Elbow: Pain and tenderness on the inner elbow, stiffness in the joint, and weakness in the wrist or hand.
Physiotherapy Management
Physiotherapy plays a vital role in managing both conditions by reducing pain, promoting healing, and preventing recurrence. Here’s how:
- Manual Therapy: Physiotherapists may use techniques such as massage and joint mobilisation to relieve pain and improve blood flow
- Modalities: Heat or ice therapy, or acupuncture can help manage pain and inflammation.
- Stretching and Flexibility Exercises- Tennis Elbow: Stretching exercises focus on the extensor muscles of the forearm. An example is the wrist extensor stretch, where the wrist is gently flexed with the elbow straight. Golfer’s Elbow: Stretching targets the flexor muscles. The wrist flexor stretch involves extending the wrist while keeping the elbow straight.
- Injection treatment – Combining physiotherapy and injection can enhance the outcome when battling epicondylitis, you can read more about the different types of injection therapies here.
- Strengthening Exercises: Strengthening exercises are introduced gradually to rebuild muscle endurance and prevent future injuries: Eccentric Exercises: These involve controlled lowering movements to strengthen the affected tendons. Grip Strengthening: Using stress balls or hand grippers to improve forearm strength.
- Activity Modification: Identifying and modifying activities that exacerbate symptoms is crucial. This may involve altering sports techniques, using ergonomic tools, or taking regular breaks during repetitive tasks.
- Bracing and Support: Elbow straps or braces can reduce strain on the affected tendons by redistributing pressure.
- Education and Prevention: Physiotherapists educate patients on proper techniques and posture to prevent recurrence. Warm-up exercises, gradual progression of activities, and regular stretching are emphasized.
When to Seek Medical Help
If symptoms persist despite rest and home care, it’s important to consult a healthcare professional. Severe or chronic cases may require additional interventions, such as corticosteroid injections or, in rare cases, surgery.
Why Choose Bode Clinic?
We’re proud to be recognised as the top physiotherapy clinic in Manchester and Salford, offering expert care and proven results. We’re here to help you feel your best.
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