𦾠Lateral Epicondylitis (Tennis Elbow) š¾
Location: Outer (lateral) side of the elbow.
Affected Tendons: Primarily the extensor carpi radialis brevis (ECRB), along with other wrist extensors.
Common Causes: Repetitive wrist extension and gripping activities, such as tennis, painting, plumbing, and carpentry.
Symptoms:
- Pain or burning sensation on the outer elbow, radiating down the forearm.
- Increased pain with wrist extension or gripping motions.
- Tenderness just distal to the lateral epicondyle.
Treatment Options:
- Rest and activity modification.
- Ice application and nonsteroidal anti-inflammatory drugs (NSAIDs).
- Physical therapy focusing on strengthening and stretching.
- Bracing or using counterforce straps.
- Corticosteroid injections or platelet-rich plasma (PRP) therapy in persistent cases.
- Surgical intervention in refractory cases.
𦾠Medial Epicondylitis (Golferās Elbow) ā³
Location: Inner (medial) side of the elbow.
Affected Tendons: Common flexor tendon group, including the flexor carpi radialis and pronator teres.
Common Causes: Repetitive wrist flexion and forearm pronation, such as in golfing, throwing sports, and weightlifting.
Symptoms:
- Pain or tenderness on the inner elbow, possibly radiating down the forearm.
- Pain exacerbated by wrist flexion or forearm pronation.
- Weakness in grip strength.
Treatment Options:
- Rest and avoidance of aggravating activities.
- Ice and NSAIDs for pain relief.
- Physical therapy emphasizing stretching and strengthening.
- Bracing or using counterforce straps.
- Corticosteroid injections or PRP therapy in chronic cases.
- Surgical options for persistent symptoms.
š Key Differences
Feature | Lateral Epicondylitis (Tennis Elbow) | Medial Epicondylitis (Golferās Elbow) |
---|---|---|
Affected Side | Outer (lateral) elbow | Inner (medial) elbow |
Primary Tendons | Wrist extensors (e.g., ECRB) | Wrist flexors and pronators |
Common Activities | Tennis, painting, carpentry | Golfing, throwing, weightlifting |
Pain Characteristics | Outer elbow, radiates down forearm | Inner elbow, may radiate down forearm |
Treatment Focus | Strengthening wrist extensors | Strengthening wrist flexors |