Epidemiology And Diagnosis

The prevalence of all types of elbow pain may be as high as 14 percent in older age groups.155 A relationship to occupation is reported, with elbow pain being 1.6-1.8 times more common in those with strenuous jobs, such as packers and meat-cutters.156 Lateral epicondylitis (tennis elbow) is the most common disorder of the elbow, being approximately six-fold more common than medial epicondylitis (golfer's elbow).157

Given problems with definitions, prevalence estimates for disorders of the forearm and hand vary widely, with the reported prevalence of nonspecific forearm pain ranging from 9 to 20 percent.158 Reliable data for the prevalence of individual disorders such as tenosynovitis, trigger finger and thumb, and Dupuytren's contracture are not available. The relationship between occupation and many forearm/hand disorders (excluding tennis elbow) remains controversial although one meta-analysis has concluded that soft-tissue disorders of the neck and upper limb are associated with jobs involving prolonged abnormal postures, abnormally high forces, or frequent repetition.159 As with other chronic disorders, psychosocial and cognitive factors probably play an important role in upper limb symptoms and disability, although evidence to support this remains indirect and the subject of continuing controversy.

The diagnosis of tennis elbow is based on a history of pain over the lateral epicondyle, together with local tenderness, pain on resisted wrist extension, or strong gripping in the presence of a normal range of elbow movement. Diagnosis of more distal tendinopathies is along similar lines with local symptoms and tenderness, together with provocation of pain on resisted movement of the relevant tendon. Local anesthetic blocks can play some role where the diagnosis is uncertain, however, laboratory and radiological investigations are generally used only to exclude other diagnoses.

Cure Tennis Elbow Without Surgery

Cure Tennis Elbow Without Surgery

Everything you wanted to know about. How To Cure Tennis Elbow. Are you an athlete who suffers from tennis elbow? Contrary to popular opinion, most people who suffer from tennis elbow do not even play tennis. They get this condition, which is a torn tendon in the elbow, from the strain of using the same motions with the arm, repeatedly. If you have tennis elbow, you understand how the pain can disrupt your day.

Get My Free Ebook

Post a comment