Physiotherapy has proven to be a cornerstone in the effective management and treatment of tennis elbow, supported by a wealth of research-backed evidence. In this blog, we'll delve into the scientific foundation behind physiotherapy interventions that have demonstrated efficacy in alleviating pain and restoring function in individuals with tennis elbow.

Understanding the Pathophysiology:

Before delving into specific physiotherapy treatments, it's crucial to grasp the underlying mechanisms of tennis elbow. The condition primarily involves overuse and microtrauma to the extensor tendon attachment on the lateral epicondyle of the humerus. This results in inflammation, pain, and impaired function.

Signs and symptoms:

Our patients typically complain about a persistent ache or sharp pain on the outside of the elbow, worsening during activities involving gripping or lifting. Difficulty in holding objects or performing simple tasks due to weakened grip strength.

Rest is often the first line of defence against tennis elbow. Avoiding activities that exacerbate the pain allows the tendons time to heal. Modifying techniques or using ergonomic equipment can also alleviate strain on the affected area.

Physiotherapy Interventions:

Progressive Resistance Exercises:

Gradually increasing resistance during exercises aids in strengthening the affected muscles and tendons. A systematic review published in the Journal of Hand Therapy found that progressive resistance exercises significantly improved pain and function in individuals with tennis elbow. At Focussed Physiotherapy Castle Hill, we only program resistance exercises that you are comfortable with, and that are achievable to your current level of strength.

Manual Therapy:

Joint Mobilisation: At Focussed Physiotherapy Castle Hill, we may employ joint mobilisation techniques to enhance joint mobility and reduce stiffness. A study in the Journal of Orthopaedic & Sports Physical Therapy demonstrated that manual therapy combined with exercise was more effective than exercise alone in reducing pain and improving grip strength.

Bracing:

Specific braces, worn around the forearm, distribute forces away from the injured extensor tendon. Research in the Journal of Orthopaedic & Sports Physical Therapy indicates that counterforce braces can provide short term pain relief and improve grip strength.

Education and Ergonomics:

Patient Education: Informing patients about ergonomic principles and modifying their activities can prevent further strain on the affected tissues. Studies emphasise the importance of patient education in improving longer term outcomes.

Workplace Modifications: Addressing workplace factors, such as ergonomic desk setups and proper lifting techniques, can contribute to the overall success of physiotherapy interventions.

Take Home:

The integration of evidence-based physiotherapy interventions for tennis elbow is pivotal in achieving optimal outcomes. A personalised approach that combines exercises, manual therapy, taping, and education can effectively alleviate pain, improve function, and enhance the overall quality of life for individuals grappling with this common musculoskeletal condition.

Please contact our clinic on (02) 8223 4896 for a tailored treatment plan based on the latest research and best practices. Or you can book online via the link below.