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January 18, 2007

Tennis Elbow Strain

Tennis elbow is not only caused by tennis but by any repeated straining of the wrist extensors (muscles which pull the hand up) and also the lateral epicondyle, extensor muscles on the outside of the forearm. This is caused by repetitive turning of the palm of the hand down and inward (pronation), as in tennis, or repetitive turning of the hand outward (supination) as when using a screwdriver.

The chronic condition is normally caused by small tears in the tendon and muscle sheaths which may heal and then be damaged again by the same strain. This causes bleeding and the development of granules and calcium in the tissues. Collagen can leak out, cause inflammation and swelling which may lead to pressure reducing blood flow and causing the radial nerve to be pinched.

The condition can last for years and will recur unless the activity causing the condition is modified.

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