Tennis Player

Tennis elbow, also called Lateral epicondylitis/(preferably) epicondyle pain. A condition that results in pain around the outside of the elbow. It is quite common with amature Tennis players with poor technique who tend to over use the forearm instead of the shoulder when back handing the ball. It is also a very common occupational hazard for anyone who works with their hands using repetitive motions. If the inside of the elbow is involved the term is Golfers elbow, and the protocols are very similar in each case.

Risk Factors
The repetitive motions cause micro-tears in the muscles of the forearm near the elbow, especially Extensor carpi radialis brevis, but this can heal if given the chance. The first thing to do is refrain from the causative motion. The use of ice is also recommended under guidance, to reduce pain, and just in case of inflammation around the tendon sheeth.

Methodology
We use a combination of acupuncture[1][2], chiropractic and rehabilitation to help patients heal[3]. The longer you have had the problem, the longer you should expect the problem to take to heal, is an axiom we could apply to Tennis elbow. If you want results, first eliminate any risk factors, and we usually procede with a course of acupuncture. For long term results we introduce the rehabilitation program is stages, when the pain is not reproduced by the exercises.

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London Chiropractors: MOBILE 0781 206 9594
Chiropractic for Acute, Subacute and Chronic low back pain, Chronic Neck pain, Migraine, Cervicogenic Headache, Shoulder girdle pain and dysfunction, Adhesive Capsulitis, Tennis Elbow, Hip and Knee Osteoarthritis, Patellofemoral Pain Syndrome, Sports Injuries, Spinal Rehabilitation.
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Foot Notes:

1. Trinh KV, Phillips SD, Ho E, Damsma K: Acupuncture for the alleviation of lateral epicondyle pain: a systematic review.
Rheumatology (Oxford) 2004, 43:1085-1090.

2. Haker E, Lundeberg T:
Acupuncture treatment in epicondylalgia: a comparative study of two acupuncture techniques.
Clin J Pain. 1990 Sep;6(3):221-6.

3. Bisset L, Beller E, Jull G, Brooks P, Darnell R, Vicenzino B: Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial.
BMJ 2006, 333:939