Tennis Elbow aka Lateral Epicondylitis

It’s a swelling & inflammation of group of tendons that bend the wrist backward. It is usually seen in both men & women between the ages of 30-50 years.


  • It is frequently seen in tennis players, but however many people who don’t play tennis may have it & causes could be working a chain saw. Use of vibrating tools seen in painters.


  • Aching pain along the outside of forearm & elbow pain may also felt on lifting or gripping small objects.


  • Physical examination.
  • Passive dorsiflexion test.
  • X-ray may be done to look for arthritis
  • MRI will show inflammation in tendons.
  • Electro myography.


  • Rest.
  • Not lifting heavyweights.
  • Ice pack application, stretching exercises.
  • Anti-inflammatory drugs.
  • If they don’t work then bracing for a few weeks can help steroid, injection, ultrasound therapy, rarely surgery.
Tennis Elbow aka Lateral Epicondylitis

Heel Pain due to Heel Spurs

Heel spur is bone growth on heel bone. It is often located on outer & under surface of heel bone. Where it is attached to plantar fascia. It’s a long band of connective tissue running from heel to ball of foot. This connective tissue act as a shock absorber during activity. This fascia can get overstretched from running, wearing poor-fitting shoes, or being overweight.

Pain results from the stress & inflammation of tissue pulling on the bone over time, the body builds extra bone in response to this stress-causing heel spurs.


  • Rest, soft sole footwear use, cold packs, anti-inflammatory drugs, correct stretching before activity, Achilles stretching, in severe cases, corticosteroid shots.
  • Surgery in severe & prolonged cases.