Elbow injuries are common in Tennis and Justine Henin injured her elbow by falling on her outstretched right arm during her Wimbledon 4th round match with Kim Clijsters. Normally elbow injuries in tennis are caused by the stresses on the elbow by the speed the players strike the ball and the repetitive forces generated at the elbow. So Justine’s injury was more than a little unfortunate.

Henin suffered her elbow injury midway through the first set against Clijsters.

As she fell she overextended her elbow and if you look at the photos you can see the stresses causing her elbow injury as she lands.

At one point all her weight is through the arm and elbow!

These kind of elbow injuries are called ‘extrinsic’ – that is the forces causing the elbow injuries are being generated from outside the body (her landing on her arm).

‘Intrinsic’ elbow injuries are caused by forces generated inside the body – hitting lots of balls very hard!

These stresses are localised to the inner (medial) aspect of her elbow and stretch the ligament here.

As you can see from the diagram the Ulnar Collateral Ligament attaches the Humerus and the Ulna bones together. The ligament actually has 2 parts to it and strengthens the joint capsule on the medial side of the elbow joint. This ulnar collateral ligament helps to stop the inside of your elbow from opening up or gapping under stress.

Justine Henin Out for the Season

Initially Justine said “Following my fall at Wimbledon, I took several medical examinations that have revealed a partial ligament fracture of the right elbow,” Henin said. “This injury will keep me away from the courts for a rough period of two months, with the consequence that I have withdrawn from the US Open.”

By the 18th August 2010 her website was reporting “It is still a slow recovery so I need to be patient again until the end of 2010. For my preparation for the competition in 2011, I cannot take any risks, so I hope to go back to practice in October. I’ll work hard and get ready for this new season!”

I can surmise that Justine has a partial tear of her Anterior Oblique Ligament which is the upper part of the ligament in the diagram above. This part of the Ulnar Collateral Ligament is under the most stress when the elbow is nearly straight and the forearm is rotating – as in the Tennis Serve.

Elbow Injuries and The Tennis Serve

Intrinsic Elbow Injuries

During the tennis serve the elbow is reported to move through 982 degrees per second that’s almost 4 full circles. In addition to this there is a large rotation and valgus force at the elbow.

This combination of valgus forces and rapid extension results in tensile forces along the inner side of the elbow. This combination is often called “valgus extension overload” syndrome in overhead athletes and can play a role in some injuries in the elbow in tennis players. So you can appreciate why Justine is having to rest and recover the strength in her elbow before competing again.

Justine Henin with compatriot Kim Clijsters at a match that they were due to play in Belgium.

Notice that she is wearing her elbow support to protect the damaged elbow ligaments.

For more information on Elbow Injuries see this post Tennis Elbow Lateral Epicondylitis Elbow Injuries – Top 10 Questions

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• if your neck is causing the problem
• and many more things…..

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So You Have Tennis Elbow Lateral Epicondylitis? Or Do You?

Are you sure it’s Tennis Elbow Lateral Epicondylitis?

Is it coming from Your Neck?

Do you have a Radial Nerve problem?

Have the soft tissues shortened?

Is there an elbow joint condition which is preventing your Tennis Elbow Lateral Epicondylitis from getting better?

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Are you doing the right kind of exercises for your type of Tennis Elbow Lateral Epicondylitis?

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Alex Inj @ Yahoo! Video

Alex Wong

Alex Wong has been in the headlines since So You Think You Can Dance series 7 began on the 27^th May 2010. His breathtaking routines have been the topic of conversation for many. But where did this dancing phenomenon begin?

Alex Wong was Born in Canada and began Jazz and Tap training at the Age of 7. By the age of 10 he began Ballet training at the Goh Ballet Academy. Winning 2 junior titles in Tap and Show-dance. In 2003 Alex won a Bronze Medal in the Gennée International Ballet Competition. He became the first Canadian to win the Prix de Lausanne in Switzerland in 2004. Later that year Alex joined the American Ballet Theatre Studio Company. By 2005 he had danced with the American Ballet Theatre before joining Miami City Ballet.

SYTYCD

Alex Wong became a household name when he auditioned for So You Think You Can Dance in 2010. So You Think You Can Dance is a reality television series which is now broadcast all over the world, with many countries adapting their own form of the series. Created by Simon Fuller the series began in 2005. All dancers from all walks of life are encouraged to audition. From the professional to street dancers. Auditions are held in Dallas, Nashville, Chicago and Miami with countless hopefuls all striving for the price of $100,000, a new car and a dancing contract. Alex Wong auditioned in 2010 and beat millions to become one of the top 11 who would perform weekly on live television. Over 5 weeks Alex gained millions of fans as he dazzled America with his awesome routines and personality.

Career highlights:

“One of the recent highlights of my career was when we went to New York City Center this past January. After we danced ‘In The Upper Room’ Twyla Tharp surprised us by coming on stage, bowing with us, and then told us that it was the best she had ever seen the piece done. It was the best feeling in the world!”

Alex Wong’s Achilles Surgery

His Career Low-point must have been when he ruptured his Achilles Tendon in training for the show.

Doctors told Alex that the only treatment option viable for him was an operation to repair his Achilles. Alex underwent surgery on the 13^th of July, and has been keeping fans up to date using Twitter and according to his posts he is doing well. After surgery Alex will need 2-3 months rest, followed by rehabilitation to return to full fitness. We wish him a speedy recovery and look forward to his return to So You Think You Can Dance next year.

For more information on what is involved in Achilles Surgery – click this link “Surgical Repair of Achilles Tendon Rupture“

Check out Alex’s Blog at thewinger.com

Tennis Elbow Injuries – Top 10 Questions

1. Have I got Tennis Elbow?

This question is answered very easily by showing you a quick test that you can take and decide for yourself whether you have Tennis Elbow.  Check out the video Tennis Elbow Symptoms – Have I Got Tennis Elbow.

However for a more thorough Professional Assessment of your elbow Click Tennis Elbow Assessment

2. How do I get Tennis Elbow pain relief?

What simple things can I do right now without any equipment or professional help to get Tennis Elbow relief?  Elbow Joint Pain Relief

3. When can I start back to sport or work with Tennis Elbow Injuries?

I have much less pain in my elbow now. It only aches after using it for a short while. When can I start back to my work as an office worker using a keyboard for most of the day? More importantly when can I return to sport and especially tennis with Tennis Elbow Injuries?   Return to Sport

4. What are the best Tennis Elbow exercises to stretch elbow?

It is essential for you to regularly stretch Tennis Elbow Injuries. Here are 2 of the best Tennis Elbow Stretches!     Tennis Elbow Lateral Epicondylitis Exercises – How to Stretch Tennis Elbow

5. Is rest a cure for Tennis Elbow Injuries?

Cure for Tennis Elbow? Is rest the best cure? Should I exercise Tennis Elbow?  For the answer to these questions Cure for Tennis Elbow

Have you taken my Extensive Professional Tennis Elbow Self-Assessment Tool?
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• what type of Tennis Elbow Lateral Epicondylitis do you have
• if you are doing the correct exercises
• what underlying problems are stopping your elbow from getting better
• if your neck is causing the problem
• and many more things…..

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6. What is Tennis Elbow Injury?

What structures are involved? Why do I get pain from my elbow tendinitis? Is it inflammation causing the pain?
Find the answers here at Tennis Elbow Injury – What is Tennis Elbow?

7. How did I get Tenis Elbow / Lateral Epicondylits?

Does Tennis actually cause Tennis elbow? Why do I get Tennis Elbow arm pain after DIY around the house?What actually causes Tennis Elbow? Some of the answers are here Arm Pain – How Did I Get Tennis Elbow?

8. Do I need an injection for my Tennis Elbow?

When should I consider an injection? What types of injection are available?
Can you really Botox an elbow? Discover the answers at Treatment Tennis Elbow

9. Do I need surgery for my Tennis Elbow?

When do I need elbow surgery? What kind of elbow surgery is there? Is one elbow surgery better than the others?
See Elbow Surgery for Tennis Elbow

10. What is the best Tennis Elbow Brace? What type of Tennis Elbow Strap do I need?

For a customer review of Tennis Elbow Supports see Elbow Strap – What is the Best Tennis Elbow Brace?

Have you taken my Extensive Professional Tennis Elbow Self-Assessment Tool?
Find out

• what type of Tennis Elbow Lateral Epicondylitis do you have
• if you are doing the correct exercises
• what underlying problems are stopping your elbow from getting better
• if your neck is causing the problem
• and many more things…..

Take the FULL ASSESSMENT at Tennis Elbow Assessment

An Elbow Strap and an Elbow Support comes in all shapes and sizes

As you can clearly see from the pictures of an Elbow Strap that I randomly selected from google images an Elbow Brace does indeed come in all shapes and sizes.
They vary from a tennis elbow band that is held in place by velcro fasteners through to full elbow sleeve support.

How Does an Elbow Strap Work?

An elbow strap works by providing pressure over the upper portion of the muscles attached to the lateral epicondyle. This pressure alters the angle at which the muscle tendon attaches to the lateral epicondyle. Just look at the subtle difference in the 2 pictures below.

This type of Elbow Strap has a “C-shaped” plastic part which goes round the back of the arm is reduces the squeezing effect on the forearm.

Some elbow bands are fitted with a piece that increases the pressure over the muscle belly. This piece is like a small pillow – some use an air cell, others a soft silicone-like material and this localises the pressure on the muscle more locally.

You can see other Elbow Supports consist of a neoprene sleeve that fits above and below the elbow – some of these have an Elbow Strap attached to the lower portion which works as described above.

Another type of Elbow Strap actually consists of 2 bands with a spacer between. The lower strap supports extensors that are deeply buried and harder to support near the elbow where tennis elbow straps are usually worn.

There are several other variations on these themes and now you can get an Elbow Strap which has a vibration device fitted to it and another which has electrical stimulation currents flowing from it.

The Best Tennis Elbow Strap?

I am not going to try and answer this one.

I am leaving it up to you to decide.

I would be interested in feedback about

• how effective they were in relieving your symptoms
• how comfortable they were to wear
• how they lasted – did they fall apart
• how easy they were to keep clean and odour free
• anything else that you think is important to share

I invite individuals to submit their review of their Tennis Elbow Supports / Bands / Braces or whatever you choose to call them.
Contact me at and we’ll discuss how to post your review.

See Your Elbow Strap Review HERE!!

Have you taken my Extensive Professional Tennis Elbow Self-Assessment Tool?
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• what type of Tennis Elbow Lateral Epicondylitis do you have
• if you are doing the correct exercises
• what underlying problems are stopping your elbow from getting better
• if your neck is causing the problem
• and many more things…..

Take the FULL ASSESSMENT at Tennis Elbow Assessment

Back to Tennis Elbow Lateral Epicondylitis Elbow Injury – Top 10 Questions

Tennis Elbow Medication

In the short term and for severe pain see your doctor or pharmacist who can give you the appropriate anti-inflammatory medicine and / or pain killers.
Although Tennis Elbow Lateral Epicondylitis is not generally an inflammatory condition anti-inflammatories still have a role to play in their pain-relieving role.
There are some anti-inflammatory gels and rubs that you can apply directly to the skin if you don’t want to or are unable to take oral anti-inflammatories.

Ice Therapy for Lateral Epicondylitis

You can apply Ice packs to your elbow and forearm for 15 minutes at a time.
If you have sensitive skin your can apply a layer of oil to the skin first but be careful not to get an Ice-Burn.
You can apply an Ice pack every two hours or so.
If you have no access to Ice than a pack of frozen ‘vegetables’ is a good substitute. I say ‘vegetables’ because about 20 years ago I told a patient to get some frozen peas and use them. (This was around 5 o’clock and in the days in Scotland when not too many shops stayed open past this!) I got a phone call several hours later from his wife who told that she had searched everywhere in the local shops and could only find ‘mixed vegetables’ and asked “would that do?” So to honour this lady I always say ‘vegetables’ now!

Ice Block Massage for Tennis Elbow Relief

The method I prefer for your elbow pain is to make up an Ice Block and then rub this over the affected Tennis Elbow area.
You should do this for a good 10 minutes or even longer.
You can repeat this every hour in the early stages if necessary.

Have you taken my Extensive Professional Tennis Elbow Self-Assessment Tool?
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• what type of Tennis Elbow you have
• if you are doing the correct exercises
• what underlying problems are stopping your elbow from getting better
• if your neck is causing the problem
• and many more things…..

Take the FULL ASSESSMENT at Tennis Elbow Assessment

Back to Tennis Elbow Top 10 Questions

Tennis Elbow Tendinitis and Tennis Elbow Tendonitis – What is the Difference?

Tendinitis or Tendonitis are alternative spellings of the same condition. The -itis part means inflammation so the term tendonitis means inflammation of a tendon.
In medicine and medical textbooks you are more likely to see Tendinitis than Tendonitis although they are interchangeable.
However in Tennis Elbow Tendinitis there is generally no inflammation present and the more correct term is Tendinosis or Tendinopathy!

Tennis Elbow Tendonitis / Tendinitis Causes

Changes in the tendon are caused by repetitive movements or overuse of the muscle and tendon unit. Any activity that involves forceful gripping and / or quick repeated movements of the hand can lead to these changes and Tennis Elbow Tendonitis injuries and symptoms.

As I explained in Tennis Elbow Injury and Tennis Elbow Symptoms Tennis Elbow Tendonitis or Lateral Epicondylitis is pain in the outer aspect of your elbow and forearm and is generally not inflammatory but consists of degenerative changes in the structure of the Extensor Carpi Radialis Brevis (ECRB) or “Tennis Elbow Tendon.”

Taking part in a new activity which uses your arm, or doing more than usual of an activity can cause Tennis Elbow arm pain. Common examples are:

• tennis and racquet sports
• painting and decorating
• using handtools – saw, screwdriver, hammer etc
• using powertools – drills, sanders etc
• using a keyboard or mouse
• watersports involving gripping – waterskiing, sailboarding etc
• prolonged intricate movements of the hand – sewing, scissors, using a knife etc
• playing with the Wii games console too long

Wrist Extension Causes Tennis Elbow Injury

If I stick with tennis for the moment. Between 40 and 50% of all tennis players have experienced Tennis Elbow Tendonitis pain at least once, and for many it can persist for a long time and affect their participation in their sport.
Gripping any object involves extending the wrist (see picture above).
Resisting movements that cause the wrist to flex away from this extended position produce stress in the muscle and tendon and cause arm pain.
The classic example is a single-handed backhand in tennis – look at the forces involved in trying to ‘break’ the wrist in this picture.
These forces depend on various factors such as ball speed, speed of the racket, racket size, string stiffness, off-center impact and hand grip force.
Eccentric contraction forces in ECRB at ball impact are increased by bending the wrist and having low muscle activation.
This is exactly what is found in novice tennis players who are more prone to Tennis Elbow Tendonitis probably due to poor technique (and incorrect muscle activation) with the backhand and service strokes. It is this lack of correct muscle activation that results in increased force transmission to the ECRB tendon (lateral epicondylitis muscles) and can lead to microtrauma and degeneration in the tendon (acute Tennis Elbow).

DIY Causes of Tennis Elbow Arm Pain

Again gripping too tightly and trying to get too much done especially when your are not accustomed to doing the task for a long period can lead to overuse of the ECRB tendon and tennis elbow tendinitis pain.

When you use any tool (power tool or hand tool) you need to keep control of where it is pointing and absorb any vibrations – this is done at the wrist.
Using a screwdriver involves supination and pronation movements of the forearm while maintaining an extended wrist which stresses the wrist extensors.
Using a paint brush can involve thousands of repeated flexion / extension movements at the wrist if you are inexperienced and use bad technique and this leads to overuse Tennis Elbow arm pain.

Mouse & Keyboard and Tennis Elbow PC Pain

Prolonged use of a keyboard and / or mouse can lead to Tennis Elbow injuries. This is especially true if the keyboard or mouse is not set up for ‘ergonomic’ use. If the position of the keyboard or mouse means that the wrists are extended or flexed for any period of time then this leads to an increased stress on the forearm tendons at the elbow and produces Elbow Tendinitis pain.
In the same way, reaching out for the mouse or the keyboard can also cause arm pain.
Adjust the height of your keyboard so that you keep your forearms parallel to the floor.

Wii and Tennis Elbow Tendonitis

see my article

Summary

There is no substitute for good technique – get a good coach!
Do not grip too tightly!
Learn how to use the tools properly!

Have you taken my Extensive Professional Tennis Elbow Self-Assessment Tool?
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• what type of Tennis Elbow Lateral Epicondylitis do you have
• if you are doing the correct exercises
• what underlying problems are stopping your elbow from getting better
• if your neck is causing the problem
• and many more things…..

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Back to Tennis Elbow Top 10 Questions

Who Needs Tennis Elbow Surgery?

Tennis Elbow Surgery is considered for patients who don’t respond to 6 months of conservative therapy including corticosteroid injections.

A study published in 2008 which looked at 45 Clinical Studies into surgical treatment provides the following facts about Tennis Elbow Surgery:

• most patients were between 30 and 50 years old
• no difference between male and female
• an average of 74% had their dominant arm affected
• patients had symptoms an average of 19 months before surgery

Several elbow surgery procedures and their variations have been developed for the treatment of tennis elbow over the years. Most elbow surgery procedures involve removal of the scarred / degenerated tissue of the extensor carpi radialis brevis (ECRB) muscle with or without some form of drilling of the lateral epicondyle.

Tennis Elbow Lateral Epicondylitis Therapy – 3 Types of Elbow Surgery

Open Release

In the classic open-release Tennis Elbow Surgery procedure for lateral epicondylitis a 3-cm long cut is made in the skin over the lateral epicondyle. An incision is made through the extensor aponeurosis – a layer of fibrous tissue which surrounds muscles. The extensor carpi radialis longus (ECRL) muscle is pulled out the way, exposing the degenerative tendon of the ECRB. All damaged tissue is cut away. The lateral epicondyle is decorticated – this means that the outer hard surface of the bone has holes cut into it to expose the spongy bone underneath. This produces some local bleeding which improves healing. The ECRL is stitched to the extensor aponeurosis to provide extra strength around the ECRB tendon and help repair the defect caused by removing the damaged tissue.
Picture with thanks.

Percutaneous Release

There is a small (0.5cm) cut made in the skin over the lateral epicondyle and through this cut the common extensor origin is released (cut away) from the bone. This effectively allows a lengthening of the tendon because the surgeon produces a gap which bleeds and heals. The healed tissue which fills the gap makes the tendon a few millimetres longer and this releases the stress on the ECRB.
Some surgeons carry out this procedure using a large hypodermic needle to cut through the common extensor origin. With this procedure there is no cut in the skin only a small injection hole.

Arthroscopic Release

With elbow arthroscopy, the joint capsule and undersurface of the ECRB tendon are easily seen and evaluated through the camera. The ECRB tendon is then followed to its origin on the lateral epicondyle. The release of the ECRB tendon is begun at the site of pathology and is continued back to its origin on the lateral epicondyle. After release the lateral epicondyle bone is decorticated to encourage bleeding and release of factors which stimulate repair.

Results After Elbow Surgery

The study published in 2008 found that :-
The OPEN approach had
a reported mean failure rate of 11.4%,
with a reported mean complication rate of 10.6%.
Commonly reported complications were wound haematoma, wound infection/abscess, scar disturbance, chronic pain, stiffness and neurological problems.
The mean time to return to work (pre-injury) was 6.6 weeks.

The PERCUTANEOUS approach
reported a mean failure rate of 8.7%,
with a reported complication rate of 6.3%.
There were two reported wound haematomas.
Time to pain relief of 8.5 weeks -no return to work time reported.

The ENDOSCOPIC approach had
a reported average failure rate of 8.3%,
with no reported complications.
The average time to return to work was 9.6 days.

In reading these results it should be remembered that this study looked a research papers going back to 1953 when variations of the open approach were the only ones being carried out – this may account for the slightly higher failure rates reported for this category.

The significantly shorter return to work time between that open and arthroscopic approach in elbow surgery is important though.

Conclusion

I think it is best to quote Salil Karkhanis, Andrew Frost, and Nicola Maffulli the authors of the paper “There is insufficient evidence to support the use of one operative procedure for TE over another” and just leave it up to you and your specialist to decide what type of Elbow Surgery you require.

Have you taken my Extensive Professional Tennis Elbow Self-Assessment Tool?
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• what type of Tennis Elbow you have
• if you are doing the correct exercises
• what underlying problems are stopping your elbow from getting better
• if your neck is causing the problem
• and many more things…..

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Back to Tennis Elbow Top 10 Questions

Tennis Elbow Lateral Epicondylitis Therapy

Tennis Elbow Injection

Tennis Elbow Lateral Epicondylosis is not an inflammatory condition but is now considered to be microscopic tearing with formation of scar tissue in the attachment of the extensor carpi radialis brevis (ECRB) muscle at the outside of the elbow. (See Tennis Elbow Injury – What is Tennis Elbow? for more details)
This microtearing and repair response can lead to full-blown tearing and structural failure of the origin of the ECRB muscle. The picture opposite is taken from an arthroscopic surgery to the elbow showing the radio-humeral joint and the damaged ECRB tendon. (www.elbowclub.com)

Tennis Elbow Lateral Epicondylitis Therapy – Should I have an elbow injection?

If recommended by your specialist YES -
BUT in my opinion only after

1. you can fully straighten your elbow – see Elbow Injuries -Can You Straighten Your Elbow
2. you have a good stretch in your extensor muscles – see Tennis Elbow Lateral Epicondylitis Exercises – How to Stretch
3. you have tried a few weeks of a structured rehab program – at least these

AND you still have pain!

Injections for Tennis Elbow

• Local Anaesthetic
• Corticosteroid
• Autologous Blood
• Botulinum Toxin

1. Local Anaesthetic Injection

Your Doctor or specialist may inject local anaesthetic into your elbow. This is purely diagnostic and is used to decide if the common extensor origin (where the tendons attach to the humerus) is the sole cause of your pain or whether there are other factors involved.

2. Corticosteroid Injection

These drugs include Triamcinalone (intermediate acting), Dexamethasone and Methylprednisalone (long acting). Their mode of action includes a reduction of the inflammatory reaction of the small blood vessels and restricts the accumulation of white blood cells and the release other inflammatory triggers.

However, as I said in the opening paragraph, Tennis Elbow is not considered to be an inflammatory process!!

BUT these injections are clinically proven to be effective!!

There are either other chemical effects taking place with the drug or the reason is physical.
The physical factors can be quite significant. Good injection technique involves placing multiple droplets around the tendon – I was taught to think of injecting droplets around a sugar cube and trying to get the corticosteroid on as many surfaces as I could.
This obviously has a mechanical affect on the scar tissue and the surrounding tissues with multiple to-ing and fro-ing of the cutting edge of the needle in these tissues.
If you are considering an injection as a patient – let me reassure you (before you panic) that this is all done through one or perhaps two holes in the skin – it is all the same injection not many!!

The corticosteroid generally will not be injected into the body of the tendon itself as this is thought to contribute to possible rupture of the tendon.

If you are a Doctor or Pharmacologist and can help explain why anti-inflammatory injections work with a non-inflammatory condition then please leave a comment below or please E-Mail me at

and I will include your explanation here.

3. Autologous Blood Injection

Blood is a rich source of growth factors that can stimulate an influx of cells that repair damaged tendon (fibrocytes) and help growth of new blood vessels. These properties are able to stimulate a healing response in chronic degeneration of a tendon (tendonosis).
The little blood is taken from one of your veins just like a routine blood test and this is then injected directly into the tendon at the elbow. The results of the studies I have seen are impressive – the patients in the studies had problems for a long time and had tried physical therapy, bracing and corticosteroid injections with no success.
Picture from orthosupersite.com
A study in rabbits showed that injecting the blood directly into the tendon had no damaging effect on the structure of the tendon unlike corticosteroids so it is a safe procedure.

4. Botulinum Toxin Injection

Injection of Botox into the muscles has been the subject of a few tests recently. One study in China showed success while others in the UK have not. The Botulinum toxin paralyses the muscle for a period of a few months which produces some weakness which may be an issue.
“One possible explanation is that the paralytic effect of botulinum toxin forces the extensor group of muscles to rest for a period of two to four months, thereby allowing the tendon fibers close to the lateral epicondyle time to repair,” reports the Chinese study.

Conclusion

Both corticosteroid and autologous blood injections have been shown to be effective. Corticosteroid injections at the lateral epicondyle have been shown to significantly decrease pain scores in the early post-injection period. Autologous blood injections for lateral epicondylitis were described in 2003 and showed encouraging pain relief in two thirds of patients treated.

My advice is

YES – BUT only after

1. you can fully straighten your elbow – see Elbow Injuries – Can You Straighten Your Elbow
2. you have a good stretch in your extensor muscles – see Tennis Elbow Lateral Epicondylitis Exercises – How to Stretch
3. you have tried a few weeks of a structured rehab program – at least these

Try the conservative management of your problem first.

Please leave a comment below

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• and many more things…..

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Back to Tennis Elbow Lateral Epicondylitis Elbow Injuries – Top 10 Questions

What are your Elbow Pain Symptoms

• Do You Have Severe Elbow Pain?
• Are the Elbow Pains Shooting down your Arm?
• Is your Elbow Painful and Swelling?
• Does your Elbow Lock?

If you answer ‘YES’ to these questions then you should see your Doctor – especially if you have had a fall!

If ‘NO’ then this video checks whether you can fully bend (elbow flexion) and more importantly fully straighten (elbow extension) your elbow.
There are many elbow pain causes and the ability to fully straighten your elbow joint is crucial for people suffering from elbow injuries and pain.
In addition if you suffer from Tennis Elbow injury then it is essential that your elbow straightens fully – otherwise your Tennis Elbow pain will not improve!
Follow the instructions carefully and compare both arms.

Obviously if both arms are the same then this is normal for you!

Have you taken my Extensive Professional Tennis Elbow Self-Assessment Tool?
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• what type of Tennis Elbow Lateral Epicondylitis do you have
• if you are doing the correct exercises
• what underlying problems are stopping your elbow from getting better
• if your neck is causing the problem
• and many more things…..

Take the FULL ASSESSMENT at Tenis Elbow Assessment