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Tennis elbow also known as lateral epicondylitis is a pain in the outer part of the arm where the tendons of the forearm connect. In order to correct the cause of tennis elbow to fix the problem you need to get to the cause of the problem first. Most people suffering from tennis elbow have an imbalance in muscle strength between the flexors and extensors of the forearm normally there should be a “3 to 1 ratio” in strength of the flexor muscles to the extendable; typically people suffering from tennis elbow have a “4 to 1 ratio” or a “5 to 1 ratio” and the reason this occurs is due to overuse or repetitive strain. It’s common in people that play tennis, but we also see it quite often in other professions such as carpentry or any type of labor job with her using the forearms while flexing the wrist over and over and over again, so it’s not limited to just tennis players. In order to fix the problem we need to work on the imbalances of the muscle. One of the things that occurs over repetitive use is scar tissue begins to build up on the fascia of the muscle this creates an increased tension at which tendons pull on the insertion site at the elbow thus increasing irritation and inflammation leading to pain. Conventional medical treatment is aimed at symptom like reduction, rest, ice , and non-steroidal anti-inflammatories – all can temporarily relieve symptoms but do not get to correcting the cause of the problem. To fix the problem we need balance of the muscles within the forearm and also work at breaking up the adhesions that have built up over time. We have to check the entire kinetic chain including the neck the shoulder the elbow and the wrist making sure that everything in the body is working together; once that is done symptoms of tennis elbow will typically resolve and then we teach you how to maintain things so that they never come back. If you are suffering with tennis elbow and haven’t found any real solutions give us a call help may just be one phone call away.

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This article was reviewed and approved by Dr. Matthew Phinney.

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