Epicondylitis or Tennis elbow


Epondilitis is a common, annoying, but completely harmless elbow disorder. Conservative massage therapy, homeopathy, ointments and patience help to cope with the annoying symptoms ...

Elbow epondilitis (English is called Epicondylitis , or Tennis elbow ) is a common condition with elbow pain that reflects on the forearm and arm. It is due either to violent stress or to gradual repetitive hand strain in manual work. Anatomical damage is a tiny detachment of the fibers of the extending tendons (where the wrist and toes are stretched) in the outer vertebra of the bony bone (occipital tendon). Because the condition is common in tennis players, it is also internationally called Tennis Elbow ( Tennis Illness ), but it also occurs in non-tennis players. The diagnosis is very easy and does not require any special examination. after being diagnosed with palpation alone.

Which is due

  • Immediate impact injury (eg fall, blow)
  • Gradual Injury (Recurring Minor Injuries)
  • Excessive tension in the tendons due to a sudden movement, which is accompanied by excessive weight.
  • It is a common phenomenon that the onset of the condition is associated with the patient's re-participation in a sport activity that has been interrupted for a long time.
  • Insufficient or bad warm-up
  • Poor recovery from previous thoracic trauma in a nearby area
  • Wrong sport technique e.g. Tennis players whose backs are weak are often prone to compensate for their poor technique with a sharp wrist extension to prevent the ball. This strains the tendon of the extending joint (located on the outside of the forearm) as well as the brachionocorticoid.


  • Pain palpable (or Acute) when externally or intra-abdominal elbow pressure is applied. The pain often extends along the forearm to the toes.
  • Difficulty in fist clenching or finger extension. The patient aches in the handshake of a person, putting the key in the door, or holding a cup of coffee
  • Morning difficulty in elbow and wrist movements.

Imaging exams

Epicondylitis - Pain

  • Under normal conditions, patients with epondialitis need no imaging examination. In selected cases, where significant swelling is palpated in the outer vertebra, plain X-rays may show bone calcifications, while MRI clearly shows the fibrous nodule of "healing" of the extending tendon injury.


There is a great deal of publications on epondilitis in international literature.

In clinical practice it is now clear that even without any treatment, epondilitis self-heals with rest, but it takes a long time, it can take 9-12 months. That is why we intervene therapeutically if the patient so wishes. Today, there are the following treatments available:

  • Method 1: PRACTICAL MEASURES: Stop Exercise or Manual Stress + Local Hand Massage with Topical Sensocaps, or Pennsaid or Difend, or Biofreeze + Wearable Ependylitis Splint + Pain Relief + Pain Result: It has a success rate of 50% -80%. It is mainly applied in light cases.
  • (2) Method 2: Physiotherapy : Stop Exercise or Manual Stress + Local Laser Physiotherapy + Ultrasonic Waves: It also has a low success rate of 30-50%. It also applies to mild cases.
  • Method 3: Cortisone: In the old days , classical literature recommended the only treatment for Epicondylitis with three continuous topical cortisone injections, one each week [5] and [6]. This is no longer the case. Today, injections of Cortisone, Celestone Chronodose (= Dexamethasone) or Kenacort Retard (= Triamcinolone) are given topically 1 / 2-1 approximately every two months, in combination with a physical or manual workout interruption. The method is the most popular in the Orthopedics world, has a high success rate (> 90%), is considered the fastest method in results, but the condition is sometimes relapsed and the method has been blamed for local necrosis of the extensor tendon. This treatment is applied in severe cases where the pain persists for more than one to two months. Lastly, the method is combined with the local acupuncture method.
  • Method 4: GYPSE: Arm-wrist-carpal gypsum for 30-45 days. It has a success rate of almost 100% but is difficult to treat with patients. It is considered the most effective method.
  • Method 5: Botox Injections: Botox injection therapy is currently under experimental control but has problems due to side effects.
  • Method 6: OPERATION: It is an easy and effective method but rarely needed.
  • Method 7: " Acupuncture " - Prolotherapy: We do NOT mean Classical Chinese Acupuncture (Accupuncture). These are local Needles in the outer vertebra under local anesthesia with Xylocaine, to stimulate collagen regeneration of the extending tendons.

In any case, Konstantinos Vaitsaras, who is highly experienced in the approach of epondialitis and specialized in Physical, Medical and Complementary Therapies, can give you all the information you need to treat it.