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Joey Chew - Physiotherapist

I don't play tennis - so how did I get tennis elbow!! 不打网球也得网球肘!!


TENNIS ELBOW

The elbow joint is in dull pain, can't lift up the weight at all, even twisting the towel and doorknob also feels very painful like electric shock! You are suspected to have tennis elbow!

Improper movement can also lead to tennis elbows.

Repeated daily cooking, laundry, cooking, basin, and clothes, etc., can cause chronic strain and lead to tennis elbow.

What is tennis elbow?

Lateral epicondylitis, also known as Tennis Elbow, is the most common overuse syndrome in the elbow. It is an injury involving the extensor muscles of the forearm.

Self Diagnosis Tests for Tennis Elbow
  1. Is there any repeated pain at the lateral side of your elbow?

  2. Is there any pain when you hit a backhand shot or similar action?

  3. Is there any radiate pain from the arm down to the wrist?

  4. Will it pain when lifting or flexing your arm, or even when u lift a very light object such as a teacup?

  5. Does the pain last for 6 to 12 weeks, and the discomfort can be last from 3 month to few years?

  6. Does the elbow joint begin to swell?

  7. Poor grip strength?

  8. Can you feel obviously the bone and tenderness

  9. Do you feel sore and mild pain near the elbow joint?

CAUSE:

Tennis elbow commonly see in sports such as tennis, squash, badminton, baseball, swimming and field throwing events.

It occurs often in repetitive upper extremity activities such as computer use, heavy lifting, forceful forearm pronation and supination, and repetitive vibration.

People with repetitive one-sides movements in their jobs such as electricians, carpenters, gardeners also commonly present with this condition.

Physiotherapy Management:

*AIM: to reduce pain and improve function

  1. Ice

  2. Joint mobilisation

  3. Manual therapy

  4. Stretching

  5. Strengthening

  6. Electrotherapy

  7. Taping

  8. Brace/ splints/straps

网球肘:

手肘关节隐隐作痛, 完全不能提重物,有时连拧毛巾、扭一下门把手都感觉像触电那么痛!你有可能患上网球肘!

运动不合理会导致网球肘。

每天长时间反复做买菜、洗衣、做饭、端盆、拧衣物等家务,会引起慢性劳损,也会导致网球肘。

什么是网球肘?

外侧髁炎,也称为网球肘,是手肘部最常见的过度使用综合征。 这是一种涉及前臂伸肌的损伤。

网球肘自测题

  1. 是否有上臂外侧肘部屈曲的正下方反复疼痛?

  2. 是否有反手击球或做其它类似动作时出现疼痛?

  3. 是否有疼痛可从手臂向下放射到手腕部?

  4. 是否在上举或屈曲胳膊时,或甚至在拿很轻的物体如茶杯时引起疼痛?

  5. 是否疼痛一般持续6~12周,不适可持续短至3周,长至数年?

  6. 是否肘关节开始肿胀?

  7. 是否握物无力?

  8. 是否可摸到骨质的增生隆起,压痛明显?

  9. 是否肘关节附近会出现酸胀和轻微疼痛?

原因:

网球肘常出现在这类的运动中,如网球,壁球,羽毛球,棒球,游泳和野外投掷等。

它经常发生在重复性使用上肢的活动中,例如电脑使用,举重,强行前臂内旋和旋后的动作,以及重复性振动。

工作中重复性的使用单侧动作的人, 如电工,木匠,木匠,园丁等也常常会出现这种情况。

物理治疗:

*目标:减轻疼痛,改善功能

  1. 冰敷

  2. 关节松动

  3. 徒手治疗

  4. 拉伸运动

  5. 强化肌肉

  6. 电疗

  7. 运动贴

  8. 护腕/夹板/肩带

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