How To Fix Tennis Elbow. Lateral Epicondylitis

In this episode of "Talking with Docs," the doctors delve into the common yet troublesome condition known as tennis elbow. With expertise and empathy, they explore the causes, symptoms, and impacts of this ailment, shedding light on its prevalence among athletes and non-athletes alike. Through clear and accessible explanations, they offer valuable insights into effective treatment options, including exercises, stretches, and medical interventions. From discussing the importance of proper technique to highlighting the role of rest and rehabilitation, the doctors provide practical strategies for managing and overcoming tennis elbow. Viewers are empowered with knowledge and guidance to tackle this challenge head-on, restoring mobility and reclaiming an active lifestyle.
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Medical emergency
Do NOT use the Video for medical emergencies. If you have a medical emergency, call a physician or qualified healthcare provider, or CALL 911 immediately. Under no circumstances should you attempt self-treatment based on anything you have seen or read on the Video.
General information is not medical advice
The general information provided on the Video is for informational purposes only and is not professional medical advice, diagnosis, treatment, or care, nor is it intended to be a substitute therefore. Always seek the advice of your physician or other qualified health provider properly licensed to practice medicine or general healthcare in your jurisdiction concerning any questions you may have regarding any information obtained from this Video and any medical condition you believe may be relevant to you or to someone else. Never disregard professional medical advice or delay in seeking it because of something you have read on this Video. Always consult with your physician or other qualified healthcare provider before embarking on a new treatment, diet, or fitness program. Information obtained on the Video is not exhaustive and does not cover all diseases, ailments, physical conditions, or their treatment
#tenniselbow #kneepain #shoulderpain #elbowpain #golferselbow #backpain #physiotherapy #neckpain #frozenshoulder #tennis #osteoarthritis #pain #lowbackpain #physicaltherapy #wristpain #fitness #golferelbow #sportsmassage #physio #rehab #painrelief #sciatica #plantarfasciitis #arthritis #elbow #osteoporosis #shoulderpainrelief #health #rehabilitation #sportsinjury

[@RiDankulous]

The guest doctor is very good! Thanks for all the doctors you get who are nice enough to help you guys!

[@cris_miko]

I had similar pain from using a "mouse" on my computer. It forced me to learn more keyboard commands and switch to my non-dominate hand. Retirement helped a lot more 😊😂

[@jasonbannan4024]

The wrist brace and Physiotherapy (PT) exercises really helped me. The anti-inflammatory meds functioned more as analgesics, allowing me to more effectively do the PT exercises without extreme pain. PT is a must for any hope of improvement and one can do these exercises effectively at home with proper instruction. I also noticed sleep position was aggravating it, either sleeping on the affected arm, or bending the wrist on the affected arm when sleeping on the opposite arm. Wearing the wrist brace at night greatly improved the condition. Thanks for your informative video.

[@joecasalena8263]

My hobby is mountain bike trail building and I’ve injured the both elbows over the years. As I get older (58 now!) it seems to take more than a year to get back to normal. Grip exercises seem to work best for me. Didn’t know about PRP though! Thanks so much!

[@Ve-suvius]

Exercises definitely.

[@GONNALIVEHIKING]

#me! started a fitness class that involved indoor rowing machine, daily rowing I think was the culprit, been about 8months, now still no relief even with a elbow brace, hoping it improves, thanks for this and all your content!

[@jjjone683]

I developed this from lifting luggage repeatedly on a three week vacation. And continually irritated it during the trip by picking up small children. No more traveling with someone else’s little kids and their luggage! Very frustrating as I was unable to get to occupational therapy until 6 months after the injury. I hope I-will be able to heal after this long. Also, most of my pain was in my forearm muscles opposite on the top of my arm from elbow to thumb

[@GreggBB]

As always, the information is excellent. Learned a lot on this one, thanks much.

[@philipjamesparsons]

What worked to cure mine was a theraband, kind of a rubber bar that you twist. I also used a massage ball on the area for relief. It was just a rubber ball that you roll around. Going back to weight training kept it away.

[@Wesmosis]

I second this

[@samanthachung4844]

I had tennis elbow for 4-5yrs, both arms, very painful and tough to work. I tried a lot of different treatments, dry needling and accpunture worked well for me. Taping too.Thank you for sharing.

[@andyf4292]

think my job has just given me that 'gift'.... very good advice though! thanks guys!

[@simplycows2610]

Laborer here with chronic elbow pain; can't remember when they didn't hurt. Finally saw a physio this winter as the pain was unrelenting, even lifting a water bottle for a drink was a chore. With manual therapy we've broken the cycle of constant pain but it's always right there ready to flare up. Not sure how I'll proceed from here as I don't see it being "fixed" just temporarily managed during the slow season. Appreciate the info on various potential treatments though.

[@benjaminhorton8013]

That was hilarious, “just type ‘me’.” 😂😂😂😂

[@Lazzar1958]

Dr Zalzal always hits the 'funny bone'! 🤣🤣

[@wesadrian6981]

I used a counterforce brace. Worked great 😊

[@jackiel.1241]

Using the brace as needed, and most importantly, avoiding palm-down lifting is what has helped me the most.

[@chanelwalker7652]

This is a great channel. Thank you! Been dealing with bi-lateral tennis elbow for over a year consistently. I have done everything to keep from having surgery, but unfortunately it is inevitable at this point. Tried shots, did OT/PT, I live in Tylenol, etc. loosing use in my right one, and unable to fully extend it. To be honest, this is the worst pain I have ever been in. Thank you for this video as it helped me understand it even more.

[@mudwiser1391]

Hey Docs, great channel. How about an in-depth vid on PRP injections.

[@malekodesouza7255]

Had LE 15 or so years ago. Had a corticosteroid injection. Came back. Did the PT to no avail. Only got worse. Finally, got an MRI which showed bad tears. Has microfracture surgery and recovery sucked because I’m right handed. Now, it only bothers me if do lots of certain activities but the pain is nowhere near as bad.

[@Wesmosis]

Great video, I'm a physician with tennis elbow

[@rhondab6780]

Oh my goodness!! I have this! MEEEE! I overuse my left arm at my job grabbing heavy items and scanning them with my right hand. My left elbow has been on fire with pain off and on especially when gripping something with my left hand. I was told it was tendinitis and ice it and take IBUPROFEN- however you mentioned it was tendinosis- which is what I believe it is. I have had it for about 3 months now. Love this info to be proactive in the healing process. Starting stretches tonight and getting a wrist brace. Thank you so much!

[@jscott4431]

I have a long history of lateral epicondylitis in both arms. I actually needed surgery to repair a tear in my left elbow, which was a success. My right elbow also became a problem for many years. I became extremely frustrated after spending a small fortune trying to cure my elbow, but nothing worked. Imaging did not show a tear, so I didn't consider surgery this time. Then, a small miracle happened. Because it was difficult for me to perform my job, my company doctor suggested I see a massage therapist. No way a massage is going to work. However, after the first treatment my pain of 3 years was gone!! I couldn't believe it. The massage technique is called "Hellerwork" (similar to Rolfing, I believe). Unfortunately, there are no Hellerwork or Rolfing therapist in my area any longer. The treatments are a little expensive but if you can find a therapist and can't deal with the pain any longer it may be something to consider.

[@aircataerialarts9009]

Thanks for this. I'm looking for ways to avoid surgery of a partially torn tendon. I'm in a town with plenty of Rolfers! I'll check it out!

[@MynewTennesseeHome]

Can you have this guy address tendonitis/pain in the thumb/palm joint? Been over a year, even after braces, exercise, ect.

[@GreggBB]

would love to hear on that one!!

[@dudethatstrippy5209]

@GreggBB I believe I have this condition and I too have very bad pain at my thumb joint when used, and my forearms and even the top of hands and fingers get tight and stiff. Too much Mortal Kombat and Helldiving

[@MynewTennesseeHome]

@@dudethatstrippy5209 I've been using a gum spirit, bentonite clay, comfrey, charcoal poltice that's helping but it doesn't last long. I won't take pharmaceuticals so...?

[@RichRich1955]

I've had it twice and strengthening it works. I believe the tear never heals so building new tissue over the tear is the way. Use a theraband flex bar. They come in different strengths. That'll also prevent it if you don't have it. How does it go? A gram of prevention is worth a Megaton of cure?

[@SchenkinNY]

Hello, I would like to know what is the best prophylactic thing to do to avoid golf elbow while playing e-sports. Does it make sense to wear wrist cuffs and upper arm cuffs (e.g. Masalo) when gaming (for me while holding the controller) so that the tendons are relieved? I want to avoid getting golf elbow again. I would be very grateful for any answer!!

[@sharonerekson583]

Thank you for this video, I wondered if that’s what I’ve been experiencing, and my symptoms are just what you described. I garden a lot, and spend a good amount of that time pulling weeds, I use my right hand to dig and my left to pull, and it’s my left arm where I’ve been feeling it. I’m active and exercise regularly, and the pain isn’t noticeable until I do certain things, like lifting with my palm down. I might try one of those braces this gardening season to see if that helps.

[@deeshea3286]

Thank you so much for this video. It’s exactly the problem I am starting with. Being a gardener, you gave great info on how to place your hand when pulling weeds., along with great explanations throughout.

[@melissabrown6254]

Had this and it took a year wearing the counter brace to get better. Occasionally I get it again and wear the brace again. Personally I think it would be much more impressive if it was from tennis but alas no just from my job.

[@luckent47]

holding anything too long or leaving my arm palm down makes it hurt like hell after i finally move it. gonna try the brace and band method at night and then work on the stretching and muscles. 60 year old athletic contractor. wearing out. lol. that prp looks interesting too.

[@beckyandrew53]

I weight train 3x a week. I was dead hanging from a pull up bar. I started having trouble with my right elbow exactly as youve described. The pain actually improves with exery but is rather intense at night.

[@leestamm3187]

Had it about 25 years ago, due to repetitive stress from improper positioning of my computer mouse at work. A cortisone shot, along with proper ergonomics took care of it.

[@scottwooster4102]

I have had this condition for well over a year bilaterally. the severity does changes so it not always bad but it is always there. I have gone for PT and do stretches on my own. With have the condition for this long, is PRP worth trying?

[@debbiechadwick861]

Ahh! How timely! My elbow has been slowly annoying me lately. ❤🎉

[@marktait2371]

same ive had both right from hs tennis left work injury is now aggravated once you have any little thing years later can cause a flair up.

[@debbiechadwick861]

@marktait2371 Yes. My original flare up was 20 yrs ago. Glucosamine Chondroitin did the trick. Don't think it will be that simple this time around.

[@marktait2371]

yeh i tried gluco didnt see any improvement did you have imaging football trainer suggested years ago but didnt do.

[@debbiechadwick861]

It worked because I was younger.

[@debbiechadwick861]

@@marktait2371 20 years changes everything. ❤️

[@aircataerialarts9009]

Thank you for this info! What questions would you ask when looking for the right physical therapist? I've had pain on & off for 6 years in R elbow. Started after bi-lateral ulnar shortening osteotomies. Have had 3 cortisone injections over the 6 years, 2 MRI's that show a tear, 2018 & 2023. Done PT, the usual strengthening exercises, which made it worse, dry needling helps. Searching for a better PT/bodyworker who can help me make a real difference. Doc & I both don't want another cortisone injection. Waiting for authorization for another MRI.

[@robbanks1436]

For “Golfers elbow” medial epicondylitis is everything the same except palm up exacerbates it instead of palm down, etc?

[@gordonv.cormack3216]

Anecdote backed by no medical training: I've had both, and they feel similar, only on different sides of the elbow. A couple of weeks with a wrist brace put my tennis elbow on the road to recovery. Golfer's elbow (aka climber's elbow) took a lot longer and for me wasn't as dramatically affected by wrist motion. Just gripping and pulling (e.g. pull-ups). Your mileage may vary.

[@krisap]

BioGel topical rubbed on elbow, then ice pak on top for 20 min a few times/day, small brace below elbow before game available on Amazon , A anti-inflammatory like Advil half an hr before game. Exercises to stretch too. Mine disappeared!

[@bangsatriyachannel2531]

@@krisap wow seriously ?

[@anahutcheson6579]

Thank you so useful

[@jag.v6163]

good information

[@cathyg1465]

Suffered from tennis elbow for 3 yrs. Only thing that relieved it was the elbow bands that had a soft gel type of ball. Ball was placed against the area. Went to ortho who gave an injection which didn't help at all so he wanted to operate. My daughter had just graduated w/ her DR in Physical Therapy. She did some very painful things to my elbows along w/ some light weight exercises. This finally did the trick.

[@bangsatriyachannel2531]

what did your daughter do to you ? and what excercises ?

[@cathyg1465]

@@bangsatriyachannel2531 I'm unable to explain to you but she's a Physical Therapist, certified in Maitland which I believe helps more than standard PT then she gave me various exercises involving light weights & stretching.

[@karenrektor9758]

What if all the above have been diagnosed by the docs, physio, chiro, and all the above done and it has been a year, but there is also pinching in the digits on that hand? What would cause that? The Tennis elbow? Hoping you could answer? Been beyond myself with this pain and numbness in fingers. Would PRP help eliminate the pain and pinching in digits. And yes, have mentioned to all above specialists about pinching in digits with no answers as to why? Could the doc elaborate on this?

[@lovebertierose]

Me! 😂 I have this now. Thanks for the info.

[@Galaxy-ho2pk]

Same here 😉

[@Jorgeola757]

Hi Doctor's , I'm currently experiencing pain at the outside of the elbow as you highlighted in your video. I am currently searching for a Dr to surgically repair the tendon. You're correct that the pain can be extreme. Most of the time I can't carry anything in my hand from the pain in my elbow. Conservative treatments have not worked for me so it's time to repair the site surgically. Would you recommend a Hand Surgeon or a General Orthopedic Surgeon ? Thanks for the video.

[@marklafferty-xw1ds]

Should I use a Graston tool on my arm to minimize this condition and help it heal ?

[@TalkingWithDocs]

It works in some patients

[@robinjones6999]

I had mine operated on some years ago and it worked a treat

[@marktait2371]

im thinking about how long was the rehab

[@bw6078]

Great video on tennis elbow. I had quite a bout of it years ago that exercise helped. Did you guys need to employ an older weather man? Thats the only occupation I know of that used to write on clear glass backward like the guy you had printing RISK LOL. He had to do it backward. Did a great job.

[@michaeldufresne9428]

I have had this along with golfers elbow at the same time. No idea what triggered the episode. I started nightly exercises and wore the bands near the elbows for a while until it settled down. I occasionally run my massage gun over the tendons involved and these these seem to keep it reoccurring. When I feel like it might be coming back like I do today I get out my bands and massage gun and work on calming it down

[@jazpwr8613]

Docs what are your thoughts on compression socks for tennis elbow or foot issues???

[@chrissiclark4029]

i been dealing with tennis elbow for over a year and half had cortisone shots and had scraping of the nerve and the tendon and physical theraphy. and now the last thing is surgery. how long am i out of work?

[@stevenhart9004]

I'm just under 59 & always had strong wrists & arms, was always very active, trail bike riding which i still do, climbing, bit of work around the farm & general outdoorsy stuff, love chopping wood for fun. But after a very lengthy time of problems after one time of covid I'm struggling with tennis elbow, a fracture like feeling in my ankle & wrist problems like sprained wrists. I find the elbow ok through the day but when i sleep i wake up in lots of pain & sometimes have to lift my arm with my other one before i can move it again. If i flex & hold the muscle tight for a while & flex & hold the bicep it controls the pain until i've been asleep again. Its a bloody painful thing!

[@buckybarnes3803]

I went to a massage therapist, she worked on it but then told me keep my elbows off the table and chairs and in my car Etc and it helped tremendously

[@triz9641]

I have been dealing with this for years. I did physical therapy twice.

[@sharonrodgers8390]

Please continue to say physiotherapy instead of physical therapy. It is a Canadian and British term and others will figure out what you mean.

[@grantgrow]

How do you say aluminum?

[@Flysfloss9146]

@@grantgrowwe generally spell it aluminum and pronounce it as such. Aluminium is the British spelling, and most Canadians are bilingual in British and US dialects.

[@kelly78688]

I think most people know what they mean 🤔

[@pissedoffpennsylvanian]

I had the ulna nerve decompression it’s no fun and my surgeon had a huge surprise when he went to operate I guess my tendons and ligaments don’t branch out where they should in normal cases. 😂

[@conniefisher916]

acupuncture works for tennis elbow

[@leestamm3187]

Didn't do a thing for mine.

[@jamesbonham5383]

Has never worked for me.

[@conniefisher916]

The acupuncturist has to get the right point. @@leestamm3187

[@conniefisher916]

works if the trigger point is found. @@jamesbonham5383

[@TheoJansn]

Oh boy, I have this. Because of tennis and I love the sport 😢

[@jasontito7644]

same

[@miralori1]

I just started having this. I can’t even lift a drink to my mouth. I know my mouse is causing the pain. Thanks for the advice.

[@belinda1210]

My right elbow and muscles to that arm are always so sore, painful and my hand is weak. 4 weeks ago i had a steroid shot and helped for only awhile. I have tried a brace which i have on right now, i cant take Motrin cuz of my asthma so it hasn't been fun. I have an appt in July and I'm concerned that i will need surgery. ugh! Did anyone that had surgery have positive results? Give me some good news.

[@gregwickstrom5479]

I'm a tennis pro and had tennis elbow that persisted for several months. The resulting ablations from the tendon tearing away from the outer bone of my elbow caused a calcification where the outer point of my elbow is now more prominent. I eventually had a full recovery.

[@TalkingWithDocs]

Glad to hear it

[@emmancanada]

Dr. please 😊 we need a video about plantar fasciitis, I have Arteritis in both knees, and every few months, I have to suffer from plantar facilities, which makes my life miserable .

[@melissabrown6254]

They have a video about that. Just go to the channel and search for it.

[@douglasrandall6737]

I had tennis elbow for years on and off. Then I discovered an acupuncturist who eliminated it, and I’ve not had a recurred since.

[@jameshite9995]

How does Nandrolone help?

[@lanamolczyk5139]

My hair dresser of 35 years had to finally retire because it beat up her body. A rotator cuff repair, feet surgery, AND elbow surgery. All had time off work for recovery but the injuries kept coming back.

[@zauberflote68]

I would like to mention about prevention of tennis elbow. Relaxation of body, unit turn, follow through of racket are the keys. Using the racket like a whip. Do not make sudden stop of your hand and racket. Tight body, lack of counter force, and high speed impact flex will cause injury. I got golf elbow once because I hit the ground with a club. LOL. I stay away Golf ever since.

[@ThoughtfulAl]

This video would have been funnier if you could have had a live x-ray showing all your skeletons as you presented the show

[@TalkingWithDocs]

Good call

[@carlosherrera550]

How about if you have your elbow bend and can't put it straight why

[@patrickcarney9177]

51 year old male here. I have recently developed this condition and I'm not sure what caused it. I go to the gym 3x per week for 90 minutes (Mon - legs, Wed - back, Fri - chest/arms). Should I refrain from any weight training using my right arm due to potentially exacerbating this condition? That would be a bummer! I have a hard time gripping stuff with my right hand, especially in the morning - OUCH!

[@fluttergrrl]

After over two years of excruciating pain, I am on a surgical waiting list because the following did not help: physiotherapy, bracing, shockwave therapy, two PRP injections, hyaluronic acid injections, ice, heat, Acupuncture, ultrasound therapy and three different types of laser. I have a small tear that isn’t getting any better.

[@dano21ism]

Have you tried taking time off and fully resting it for a couple of months?

[@elsafischer3247]

What is lazy shoulder?

[@user-zh6pk6kz7k]

Dr. ZalZal, a good typist does not need to look at keys when typing. Even when typing numbers. Just saying.

[@leestamm3187]

Unfortunately, touch typing is on its way to becoming a lost art in this era of smart phones. I'm old school and much prefer a keyboard.

[@SK-lt1so]

It's an overuse injury that does not benefit from surgery or PT in the vast majority of cases. Avoid repetitive wrist extension. Fixed

[@kathyberal5623]

So me right now

[@TalkingWithDocs]

Sorry to hear that

[@slamfreepoetry1845]

I decided to speed race a kayak one day. Ruined my elbow forever.

[@RoxinaSolerGamborena]

I had this for many years....back and forth...sme months over, then back. Till, 4 years ago, thatstarted my journey to Whole Food Plant Based. Its totally over. Together with rehumatoid artritis that is also gone. The food can be your medicine with infmalatory diseases like this...

[@ginnyscott7255]

Yes but what was called golfers elbow from my job. I was a test case for WCB. I had to prove that this was where I got it. I could not hold a fork or a pen in my hand. That was 30 years ago and I proved my case and spent a total of 9 months off work in 5 and 4 months. It was not a joke, I had a cortisone shot and the dr hit a nerve. I cried in my bed for 3 days from that new pain, then the physio therapist did more injury to it so more time off.

[@sanjivpatel4016]

Me

[@PVVI2015]

Me😕

[@jbhook1339]

I have "guitar elbow"....same deal.

[@troyswarts7353]

Me to after 40 yrs playing and finally getting decent. Tennis elbow sucks!

[@peteraldrich1007]

Carrot pulling is palms up😅

[@cluckingcrazyhobbyfarm]

I have had tendonitis in both arms for 4 years now they only figured out what was wrong after 2 1/2 years they kept blaming it on pinched nerves and carpal tunnel and it wasn't. I have done everything from going off work to physiotherapy and strengthening and conditioning to pain meds, icing and steroid shots....now they are going to try shockwave therapy and if that doesn't work surgery and the surgeon told me he would only give me a 70% chance that it would work 😢

[@ahliazia1472]

me

[@candacebradley3375]

Me 🤣😩….. currently!

[@lancecauley102]

Me 😩

[@mbh4097]

I've never heard the term physiotherapy. We call it Physial Therapy.

[@leestamm3187]

It's an older term, not heard often these days.

[@Ve-suvius]

It's from Latin. Physiotherapia, physiotherapiae ( f ). Europe. In The Netherlands for example they say fysiotherapie.

[@Zoet50]

They never stated starting off with rest . The only thing that doesn’t cost money

[@powdermik]

At the age of 35 I had terrible pain for months. I couldn't even lift a gallon of milk . I got a steroid shot. The pain went away but then came back . I was really bummed out. I received the same shot again. I am now 56 and it hasn't happened since.

[@bangsatriyachannel2531]

whay did you do to your elbow ?

[@nilsschear1095]

What’s that saying? An ounce of prevention is worth a pound of cure. You guys didn’t really explain how to prevent this in the first place. All these treatments are great, but if you’re thinking about them you’re already screwed. I’ve had this from weight lifting. I’ve found that straightening your wrist while lifting relives the pain and will allow it to heal in a couple weeks. Using proper technique while performing movements with your hands and arms is better advice. This is a clear over use injury.

[@bangsatriyachannel2531]

what kind of treatment did you do ?

[@nilsschear1095]

@@bangsatriyachannel2531 Nothing. That’s my point. If you need treatment it’s already too late. I’ve dealt with tennis elbow in the past, and I’ve found that immediately adjusting your form or changing the movement or just taking a rest and stopping whatever it is that’s causing the pain helps tremendously. Hence an ounce of prevention. Don’t ignore the pain until it gets unbearable and you need treatment, do something about it the second you feel it and it will go away. Never ignore an over use injury, or better yet use better techniques so you don’t get one in the first place.

[@zaplaabs]

HOOAH!!!!!

[@eegamnayr]

What are your thoughts on the ever increasing data regarding tennis elbow and the Covid vaccination? I’m a 52 yr old male with no history of elbow problems. Pain started in both forearms in Feb 23 with pain traveling into my elbows. Conservative treatments to include bands, injections, & medication were unsuccessful. An MRI revealed a torn tendon in my left dominant side elbow which was also the Covid injection arm. A surgery will be performed in 14 days to repair the injured area. My assumption is a right elbow MRI will be completed once the left arm is healed enough.

[@debbiechadwick861]

Sign Language Interpreter here. 👍🤟

[@tomhaycraft6101]

Not "tennis" elbow, rather "trucker's" elbow! At 55, retired from a corporate job and headed out on the road. Classic overuse injury. Steroid injection, PT, modification of how I grip the steering wheel. Easy enough!

[@richiegrey5377]

I talk to the doctor when I do this hurts and the doctor says don’t do it🫵🙌🥂🤟🍾🥂🤣👏👏👏🙌🙌

[@bangsatriyachannel2531]

so ? what's your doctor said ?

[@judyhorlander6180]

Me

[@dropsboms6153]

me

[@tedramage8939]

Me