Dr. Ebraheim’s educational animated video describes the difference between the conditions know as tennis elbow and golfer’s elbow.
Elbow problems typically occur where the tendon attaches to the bone. The problem occurs due to repetitive stress which causes interstitial tearing, inflammation and swelling.
Tennis elbow/lateral epicondylitis
Inflammation, soreness or pain on the lateral side of the elbow.
Degeneration of the extensor carpi radialis brevis.
Usually seen in patients who perform manual labor or spirts which require twisting and extension of the wrist against resistance.
Differential diagnosis
Radial tunnel syndrome: the pain is very similar to symptoms of tennis elbow. Pain usually radiates to the lateral epicondyle and radiates down the forearm.
If the symptoms of tennis elbow are not going away with treatment, rule out the possibility of the radial tunnel.
Golfer’s elbow/ medial epicondylitis
Inflammation, soreness or pain on the medial side of the elbow.
Pain due to repetitive overuse or overload activities which are aggravated by movement of the wrist.
Ultrasound evaluation of tennis elbow
•Elbow is placed into a semi-fixed position with the hand pronated.
•Ultrasound is used to visualize and inject the tendon. The transducer is positioned parallel to the lateral epicondyle and the radial head.
•The radial head is identified. The origin of the tendon is identified. The tendon is usually smooth and homogenous. The affected tendon may show tears, calcification or thickening.
Treatment of tennis elbow:
•Rest
•Job modification
•Nonsteroidal anti-inflammatory
•Physiotherapy-eccentric exercises
•Injection (can be blind or ultrasound-guided):
1.steroids injection provides short-term relief.
2.PRP(platelets with needle fenestration)
Blind injection
•The injection site is marked and disinfected.
Ultrasound-guided injection
•Needle fenestration
•Injection of steroid or PRP.
Surgery
•When conservative treatment fails
•Debridement of the involved tendon.
•Surgery is usually successful in about 85% of patients
•Avoid injury to the lateral collateral ligament

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45 COMMENTS

  1. Appreciate Video clip! Forgive me for butting in, I would appreciate your thoughts. Have you ever tried – Parlandealey Flexible Elbow Process (just google it)? It is a smashing one off product for learning how to cure tennis elbow minus the normal expense. Ive heard some decent things about it and my friend Sam finally got great success with it.

  2. Lovely Video clip! Apologies for chiming in, I would appreciate your thoughts. Have you heard about – Parlandealey Flexible Elbow Process (Sure I saw it on Google)? It is a smashing one off product for learning how to cure tennis elbow minus the normal expense. Ive heard some super things about it and my cooworker at last got amazing results with it.

  3. Thanks for the Video clip! Forgive me for butting in, I would love your initial thoughts. Have you thought about – Parlandealey Flexible Elbow Process (search on google)? It is a good exclusive product for learning how to cure tennis elbow minus the headache. Ive heard some pretty good things about it and my BF finally got amazing success with it.

  4. Great Video! Forgive me for butting in, I would appreciate your opinion. Have you considered – Parlandealey Flexible Elbow Process (probably on Google)? It is an awesome exclusive product for learning how to cure tennis elbow without the headache. Ive heard some great things about it and my cousin after many years got astronomical success with it.

  5. Kudos for the Video clip! Sorry for chiming in, I am interested in your thoughts. Have you tried – Parlandealey Flexible Elbow Process (do a google search)? It is an awesome one of a kind product for learning how to cure tennis elbow minus the hard work. Ive heard some super things about it and my work buddy at very last got amazing results with it.

  6. 형님, 정말 감사해요. 덕분에 열심히 공부하고 있어요! I really appreciate Dr. Ebraheim. Your videos are really good to learn about anatomy and injuries. Thank you again, from Korea.

  7. Thank you for your interesting video sir.
    I am a menigomyelocele and use elbow crutches to mobilise. For some time now I have had left lateral pain radiating from elbow to forarm and obviously it is not possible to rest the elbow so I am considering using axilla crutches at least for a while.
    Blessings and peace

  8. is there an error in the video when he ddx'd tennis elbow with radial tunnel syndrome? lateral epicondylitis and radial tunnel syndrome are two completely different pathologies, but he said if tx of tennis elbow doesn't improve, rule out radial tunnel too — that doesn't make sense. wouldn't you possibly begin to treat radial tunnel syndrome if tx of tennis elbow doesn't improve? am i understanding this video correctly?

  9. I have treated my tennis elbows knees joints pain by self massage for a year . It’s really amazing the results getting better almost 90 %.
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  10. Excellent video. Your explanation is superb. In desperation,waking up at 4 am,in pain,I stumbled across your video,and,it makes all the difference when one can see exactly what the problem is,and,fully understand what caused it. Not golf,or,tennis,but…..stacking firewood blocks,and,doing a bit too much all at once. Now I suffer the consequences,but,watching your video has made me stop,and,take stock. Gawd,the things we do to ourselves. I'm an idiot.

  11. I’ve had this issue for a while because of injury at work and it’s been like 6 weeks and still not healed and has pain. Very annoying..

  12. here's a few suggestions about treating tennis elbow at home
    try ice packs on the affected area
    eating celery may help
    take omega-3 supplements
    try a hot potato pack to reduce pain
    (I read these and why they work on Secret Elbow Tactics website )

  13. There are many components to treating tennis elbow naturally. One place I found which succeeds in merging these is the Secret elbow tactics (google it if you're interested) it's the best plan that I have ever seen. look at the extraordinary
    information .

  14. Kudos for the Video! Sorry for butting in, I am interested in your thoughts. Have you heard about – Parlandealey Flexible Elbow Process (google it)? It is a great exclusive product for learning how to cure tennis elbow minus the hard work. Ive heard some unbelievable things about it and my work buddy at last got excellent success with it.

  15. Excellent Video! Apologies for chiming in, I would appreciate your initial thoughts. Have you considered – Parlandealey Flexible Elbow Process (do a google search)? It is a smashing one off guide for learning how to cure tennis elbow without the normal expense. Ive heard some awesome things about it and my best friend Jordan finally got astronomical success with it.

  16. hi guys, the best success that i've ever had was with the Freds Elbow Helper (just google it) – without a doubt themost helpful idea that I have ever tried.

  17. Hello everyone, I had pains and problems with tendonitis and I managed to improve my arm movements with the help of an elbow brace bought from Amazon sold by Uniqa Sport. I tried because it does not have a big price and now my arm is less painful. I hope at least somebody help this information.

  18. Excellent information. I had an ultrasound guided injection for my golfer's elbow. Feels much better; now I intend to rest it for a number of weeks, at least three, and then begin some more strengthening exercises before I go back to my full exercise routine.

  19. I have golfers elbow but do not play golf or any other repetitive activity that would cause tendinitis.
    I believe it's due to weight lifting for 30 years but have not in recent years. I can't recall the number of repetitions that require elbow movement with heavy weights. now in my 70s I have had major joint issues and surgeries concluding TKR. what I getting to is I think I have arthritis golfers elbow, bony spurs irrititating the flexor tendon.. I see doc in a few days for meniscus repair and will ask him.
    anyone else have this experience?

  20. 5 easy steps that you can do right now from the comfort of your living room without the need of any special exercise equipment or gadgets! Cure tennis/golfers elbow -> https://vk.com/expertvillage?w=wall430175048_15%2Fall 💪

  21. hello sir my question is though tennis elbow is non inflammtory condition why there is a pain as a symptoms??

  22. dr. i lost both legs as a infant. im now 44. i have had 14 elbow aurgeries from 4 ulnar nerve trans. 8 ir more scopes and i keep tearing tendons now. i have had 3 surgeries on elbow since last april. i tore it again and now face another operation. do you have any thoughts on how to keep from retearing everything. ladt timee it was flexor tendon mass . they think its even going again. i need help sir. last surgery was done by dr morrey at mayo. cant afford to go back so osf in peoria il is doing next surgery on friday. dr jeff garst is surgeon.

  23. To anyone out there with tennis elbow or golfers elbow check my transformation out for some motivation i'd greatly appreciate it. Im 17 got injured at 15 and thought my lifting career was over after 8 months of recovery i came back and i want to share my story with everyone.

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