Tennis Elbow (Lateral Epicondylitis)

What is Tennis Elbow?

Tennis elbow, medically known as lateral epicondylitis, is a common condition that affects individuals of all backgrounds, not just tennis players. This condition results from overuse of the muscles and tendons in the forearm, leading to pain and tenderness around the outer part of the elbow.

While it is commonly associated with racket sports, tennis elbow can affect anyone who performs repetitive hand, wrist, or arm movements. Occupations such as carpentry, painting, or even prolonged typing can increase the risk of developing this condition.

If left untreated, it can significantly impact one’s ability to perform daily activities. Fortunately, several treatment options are available, including physiotherapy, lifestyle modifications, and in more severe cases, steroid injections.

Symptoms of Tennis Elbow

The hallmark symptom of tennis elbow is pain on the outer part of the elbow that may radiate down the forearm. Other symptoms include:

• Weakness in grip strength.

• Pain or discomfort when lifting or gripping objects.

• Difficulty performing tasks such as opening jars or shaking hands.

• Increased sensitivity around the elbow joint.

Treatment Options

In many cases, tennis elbow can be managed with non-invasive treatments such as:

• Rest: Allowing the affected tendon time to heal.

• Physiotherapy: Stretching and strengthening exercises to improve flexibility and reduce strain.

• Bracing: Using an elbow brace to offload pressure from the affected tendon.

• Pain relief medications: Non-steroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation.

However, for more severe or persistent cases, additional interventions may be necessary, including corticosteroid injections.

How Steroid Injections Can Help

Corticosteroid injections are a common treatment for reducing inflammation and pain in various musculoskeletal conditions, including tennis elbow. Here’s how they work:

• Anti-inflammatory effects: Corticosteroids are potent anti-inflammatory agents. When injected directly into the affected area, they can quickly reduce inflammation in the tendon.

• Pain relief: By reducing inflammation, steroid injections can alleviate pain, often providing relief within a few days.

• Enhanced recovery: Pain relief from steroid injections can make it easier for patients to engage in physiotherapy, which is essential for long-term recovery.

Considerations for Steroid Injections

Elbow steroid injections are effective, but they are not without risks. A good summary can be found in our FAQs, here. Overall, elbow injections work well in the short term for pain relief (3 months), but at 12 months, physiotherapy can lead to better outcomes.

However, for patients who struggle with pain and who find it difficult to undertake physiotherapy, corticosteroid injections can be useful addition.

Conclusion

Tennis elbow is a manageable condition with the right approach. Steroid injections can provide significant short-term relief for inflammation and pain. They should be used in conjunction with other treatments for long-term recovery. If you’re struggling with tennis elbow, you can contact us to discuss your needs, or book in directly for a consultation.

References

These references provide a balanced view of the efficacy, risks, and alternatives to corticosteroid injections for tennis elbow.

1. Bisset, L., & Vicenzino, B. (2015). “Tennis elbow.” BMJ Clinical Evidence.

2. Smidt, N., et al. (2002). “Corticosteroid injections, physiotherapy, or a wait-and-see policy for lateral epicondylitis: a randomised control trial” Lancet, 359(9307), 657-662.

3. Coombes, B. K., Bisset, L., & Vicenzino, B. (2010). “Management of lateral elbow tendinopathy: one size does not fit all.” Journal of Orthopaedic & Sports Physical Therapy, 40(11), 760-775.

4. Cardone, D. A., & Tallia, A. F. (2002). “Joint and soft tissue injection.” American Family Physician, 66(2), 283-288.