20080910

Epicondylitis

Medial (‘golfer’s elbow’) and lateral (‘tennis elbow’) Epicondylitis are in fact misnomers as inflammation is secondary to the primary pathology, tendon degeneration.

The common flexor origin and the extensor carpi radialis brevis are the respective culprits. Anti-inflammatories, oral and locally injected, are usually ineffective and attention should focus on correcting playing style, grip size (tennis racquet) and equipment (light, graphite racquet) before reducing the frequency of playing. Local physical therapies are beneficial but if these measures fail, the degenerate area is excised and the tendon repaired.

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