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.

Causes

  • 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.

Symptoms

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

Diagnosis

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

Treatment

  • 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.

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.

Treatment

  • 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.
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