Explore insights on extensor tendinopathy, commonly known as tennis elbow, and discover effective physiotherapy solutions in Richmond BC. Learn about symptoms, causes, and treatment options for pain relief.

Introduction

At Richmond Central Physiotherapy in Richmond BC, we strive to educate our patients while providing valuable insights into common musculoskeletal issues. In this blog, we’ll delve into extensor tendinopathy, commonly known as tennis elbow, shedding light on symptoms, causes, and effective physiotherapy solutions.

Understanding Extensor Tendinopathy

Extensor tendinopathy involves injury to the extensor muscles of the forearm, originating from the lateral epicondylar region of the distal humerus. This condition often results from repetitive stress and overuse, leading to tendinopathy.

Symptoms and Clinical Features

Individuals with extensor tendinopathy may experience primary pain in the forearm, especially during activities like lifting, writing, or turning the wrist. Weakness in grip, stiffness when stretching the hand, and pain during resisted wrist extension and supination are common symptoms.

Common Causes

Overuse, especially repetitive motions, can build up irritation in tendons over time, leading to tendinopathy. Age is also a factor, with adults between 30 and 60 being more susceptible. Microscopic tearing, particularly in the extensor carpi radialis brevis tendon, is a common consequence of overuse.

Risk Factors

Research by Van Rijn et al. (2008) highlights factors such as handling heavy tools, repetitive movements, reduced mobility, poor circulation, and strength deficits as potential contributors to extensor tendinopathy.

Physical Exam

Key tests like Cozen’s Test, Mills Test, and Maudsley’s Test aid in diagnosing extensor tendinopathy by assessing resisted wrist extension, palpating the lateral epicondyle, and evaluating muscle function.

Treatment Options

Our recommended physiotherapy exercises, including therapeutic putty squeezes, wrist extensor stretches, forearm and wrist eccentric strengthening, aim to strengthen and rehabilitate the affected tendon. Consistent practice is advised for optimal results.

Ergonomics for Prevention

Incorporating ergonomic practices, such as taking frequent work breaks, using arm supports, investing in adjustable work chairs, and adopting tools like a vertical mouse, can help prevent overuse and reduce strain on the affected tendon.

Conclusion:

Richmond Central Physiotherapy is committed to providing comprehensive care for extensor tendinopathy. If you’re experiencing elbow pain in Richmond BC, our expert team is ready to assist you with personalized physiotherapy solutions.

Reference:

Van Rijn, R. M., Huisstede, B. M. A., Koes, B. W., & Burdorf, A. (2008). Associations between work-related factors and specific disorders at the elbow: a systematic literature review. Rheumatology, 48(5), 528–536. https://doi.org/10.1093/rheumatology/kep013

Disclaimer: This blog post is for informational purposes only and should not be considered a substitute for professional medical advice. Always consult with a qualified healthcare provider or physiotherapist for personalized guidance on your specific condition.