Can Tennis Elbow Come Back? How to Prevent Recurrence
Tennis elbow, or lateral epicondylitis, is a condition characterised by pain around the outside of the elbow, often caused by overuse of the forearm muscles. While it is commonly associated with tennis players, it can affect anyone who performs repetitive arm and wrist movements. A common concern among individuals who have experienced tennis elbow is whether the condition can recur after treatment. This article explores the potential for recurrence and provides detailed, practical strategies for preventing it, with a focus on UK healthcare pathways and resources.
Understanding Tennis Elbow Recurrence
Tennis elbow can indeed return if the underlying causes are not addressed. Recurrence is often due to returning too quickly to activities that strain the affected tendons or failing to maintain preventive measures. Understanding the factors that contribute to recurrence is crucial for long-term management.
Factors Contributing to Recurrence
- Improper Healing: Inadequate rest or incomplete recovery following an initial episode can lead to persistent or recurrent symptoms.
- Repetitive Strain: Returning to the same activities that caused the condition without modification or protective strategies can lead to recurrence.
- Poor Technique: Incorrect technique in sports or occupational activities can place undue stress on the elbow.
- Lack of Strength and Flexibility: Insufficient rehabilitation that fails to restore strength and flexibility to the forearm muscles and tendons can predispose individuals to recurrence.
Practical Steps to Prevent Recurrence
Preventing a recurrence of tennis elbow requires a proactive approach, combining lifestyle modifications, appropriate rehabilitation, and ongoing self-care. Below are detailed strategies to help manage and prevent tennis elbow from returning.
1. Gradual Return to Activities
After recovering from an initial episode of tennis elbow, it's important to gradually return to activities that involve the wrist and elbow. Here's how:
- Incremental Increase: Start with low-intensity activities and gradually increase the intensity and duration. For example, if you are a tennis player, begin with short, low-intensity sessions and slowly increase the length and intensity of play.
- Monitor Symptoms: Pay attention to any signs of discomfort or pain. If symptoms return, reduce activity levels and consult your GP or a physiotherapist for advice.
2. Strengthening and Flexibility Exercises
Rehabilitation exercises are crucial in preventing recurrence. Focus on exercises that enhance the strength and flexibility of the forearm muscles. Here are some exercises recommended by NHS physiotherapists:
- Wrist Curls: Use a light dumbbell or resistance band. Perform wrist curls with the palm facing up and down to strengthen the forearm muscles.
- Forearm Stretch: Extend your arm with the palm facing down. Use the opposite hand to gently pull back on the hand, stretching the forearm muscles.
- Eccentric Exercises: These involve lengthening the muscle under tension and are particularly effective in strengthening tendons. Consult a physiotherapist for specific guidance.
3. Ergonomic Adjustments
Making ergonomic adjustments in your workplace or during sports can significantly reduce strain on the elbow:
- Workplace Ergonomics: Adjust your workstation to ensure that your forearms are parallel to the floor and your wrists are in a neutral position.
- Sports Equipment: Use equipment that suits your physical capacity. For example, a lighter racket with a larger grip can reduce strain on the forearm muscles.
4. Technique Improvement
Whether in sports or daily activities, using proper technique is essential to prevent recurrence:
- Professional Coaching: Consider taking lessons from a qualified coach to improve your technique, particularly if you engage in sports like tennis or golf.
- Occupational Therapy: If your job involves repetitive tasks, an occupational therapist can provide advice on how to perform tasks in a way that minimises strain.
Common Mistakes and How to Avoid Them
Preventing the recurrence of tennis elbow involves avoiding some common mistakes:
- Ignoring Early Symptoms: Do not ignore early signs of discomfort. Addressing them promptly can prevent a full-blown recurrence.
- Skipping Rehabilitation: Completing a full course of rehabilitation is vital. Skipping exercises once pain subsides can leave you vulnerable to recurrence.
- Resuming Activities Too Soon: Ensure you have fully recovered before resuming full activities. Consult with your GP or physiotherapist if in doubt.
Long-term Strategies and Implementation Guidance
Implementing long-term strategies is key to managing and preventing tennis elbow. Consider the following:
- Regular Check-ups: Schedule regular appointments with your GP or physiotherapist to monitor your condition and make necessary adjustments to your care plan.
- Continued Exercise Routine: Maintain a routine of strengthening and flexibility exercises as part of your regular fitness regime.
- Healthy Lifestyle Choices: Adopt a balanced diet, adequate hydration, and sufficient rest to support overall musculoskeletal health.
Conclusion: Comprehensive Key Takeaways
While tennis elbow can recur, understanding the risk factors and taking proactive steps can significantly reduce the likelihood. Gradually reintroducing activities, committing to a structured rehabilitation programme, making ergonomic adjustments, and improving technique are all crucial strategies. Avoid common mistakes by recognising early symptoms, completing rehabilitation, and ensuring full recovery before resuming activities. Long-term success relies on regular monitoring, consistent exercise, and a healthy lifestyle. By following these guidelines, individuals in the UK can effectively manage tennis elbow and minimise the risk of recurrence, ensuring a return to pain-free daily activities and sports.