Tennis Elbow

"Though this condition is known as Tennis Elbow, this is not commonly seen in Tennis Players. It is also termed as elbow lateral epicondylitis. All age groups go through Tennis Elbow, especially the working class. It can occur either due to a single injury or repetitive work pattern. Usually one has pain along the outer aspect of the elbow (lateral epicondyle of the elbow). It occurs due to inflammation of the extensor carpi radialis brevis tendon. During the acute inflammatory phase, it is always advisable to take adequate rest with anti-inflammatory medications.  Unfortunately, majority of the population do neglect treatment and continue working in spite of the pain.  At one point of time the pain will become more severe and non-responsive to medication, but 60 percentage of initial pain will get healed completely over a period of one year.

Patients not responding to anti-inflammatory medication may need steroid injections at the site of inflammation.

Before using steroid injection, one must be aware of its pros and cons.  It is the duty of the practitioner to make the patient aware of  steroid injection and its benefits.  If epicondylitis progresses to an advanced stage,  it may result in complete or partial tear of the ECRB. In such cases, with partial tear, there is a definite role for PRP  (platelet rich plasma ) injections which yield complete relief in 50% of cases.

Complete tear may fail to heal by itself and necessitates repair of the ECRB tendon to the bone followed by a structured Physiotherapy to yield complete functional outcome" says Dr. M. Shyam Sundar of Ortho-One, a Specialist in Shoulder & Elbow Surgery, Joint Replacement, Sports Medicine.

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Blog reviewed by: Dr. David V. Rajan

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Calf Muscle Stretch: Simple But Effective

The calf muscle is the primary group of muscles which bears the weight of the entire body and enables us to stand erect. They are the most active muscles helping our daily activity and tend to get tight.  Women who stand and work in the kitchen for long hours often get calf muscle pain. As the muscle works both at the foot and knee, it can cause pain. Performing calf stretch regularly will be a preventive way to avoid such problems.

Selecting the correct method, correct dosage of exercise is also the key for obtaining good results. When the stretch is done, there will be a sense of stretch followed by pain and it will be due to the stretching of the muscle.

The body has to be held in that position where you feel the stretch and you can count till 20.  Perform 5 times of these stretch exercises in a session and during the day. 

This is recommended for people facing knee pain, foot pain, and sometimes back pain. It is also applicable for those who work in a standing position for long hours,and also for those who walk a lot, regular Gym goers, Sports athletes etc.

Mr.Ganesan - HOD of our Physiotherapy Dept recommends these simple exercises for everyone.

Ortho One by Dr. David V. Rajan is  one of the the most trusted Health Care Centre for a non-trauma Orthopedic Service in Coimbatore, Tamil Nadu.

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