Epicondylitis, also known as tennis elbow, refers to an overload-related condition of the wrist extensors muscle group, located on the lateral (eternal) side of the elbow joint. This type of condition typically arises when an excessive amount of repetitive strain, to which the elbow and wrist have been exposed over days, weeks and months preceding the onset of the symptoms, exceeds the structural capacity of the wrist extensors muscles. This imbalance between load and regenerative capacity of the tissues leads to a progressive inability of the extensor muscles to restore their homeostasis, leading to the development of the condition. These types of injuries are common in the athletic population, especially in sports where high volumes of repetitive wrist and elbow movements are present, especially in racket sports (e.g.: tennis, badminton, squash, etc). Patients affected by this condition typically report an insidious onset of pain, that tends to get worse with activity and improve at rest. The level of experienced pain can significantly vary among individuals from minimal discomfort when playing sports, to severe pain and inability to lift even small objects.
Management
The management of patients affected by epicondylitis is conservative, with the treatment consisting of a temporary decrement of the activities that have caused the overload, rehabilitation, education, and if needed use of medications. In some rare cases, where prolonged conservative management has failed, surgery could be considered. In this case, several surgical procedures are available and always discussed between the patient and the medical-surgical staff. In Isokinetic, after being thoughtfully visited by one of our specialised doctors, you will receive your accurate diagnosis, and your recovery process will be structured in different stages. Based on your rehabilitation needs, your recovery process will take place in four different environments, the pool, the gym, the movement analysis and retraining room and the pitch. In the early stages, the main goal is to decrease the symptoms by reducing the activities that have caused pain and addressing all the other potential factors associated with the development of the condition. In the mid-stage of rehabilitation, after having minimised the symptoms and recovered optimal mobility, shoulder, elbow and wrist strength recovery becomes the priority, together with the optimisation of the general movement quality to learn how to integrate the elbow and upper limb back into activities of daily living and sports. Finally, to complete the recovery process, on-field rehabilitation plays a fundamental role in allowing our patients to safely and effectively return to participate in their favourite activities and sports that require the utilisation of the upper limb (e.g.: rackets-, throwing-, falling- related sports, etc.), maximising the recovery outcomes and reducing the likelihood of complications.