Nerve Glides for Tennis Elbow: Radial Nerve Flossing
Introduction
Tennis elbow, or lateral epicondylitis, is a common overuse injury that causes pain and tenderness on the outer part of the elbow. One effective way to manage the symptoms of tennis elbow is through nerve glides, specifically radial nerve flossing. Radial nerve flossing involves gentle movements that aim to improve the mobility and function of the radial nerve, which may help alleviate pain and discomfort associated with tennis elbow.
Understanding Radial Nerve Flossing
The radial nerve is a major nerve that supplies sensation and motor function to the back of the arm, forearm, and hand. When this nerve becomes compressed or irritated, it can contribute to the symptoms of tennis elbow. Radial nerve flossing is a technique designed to mobilise the nerve and reduce tension along its pathway, potentially relieving pain and promoting healing.
How to Perform Radial Nerve Flossing
Here is a step-by-step guide on how to perform radial nerve flossing:
- Start in a comfortable seated position with your back straight and shoulders relaxed.
- Extend your affected arm out in front of you with your palm facing up.
- Slowly flex your wrist and fingers down while simultaneously bending your neck towards the opposite shoulder.
- Hold this position for a few seconds, then return to the starting position.
- Repeat this movement for 10-15 repetitions, ensuring it is gentle and pain-free.
Practical Tips for Radial Nerve Flossing
When incorporating radial nerve flossing into your treatment plan for tennis elbow, consider the following tips:
Consistency is Key
Perform radial nerve flossing exercises regularly, ideally daily, to maximise their benefits. Consistent practice can help improve nerve mobility and reduce symptoms over time.
Listen to Your Body
Pay attention to how your body responds to radial nerve flossing. If you experience increased pain or discomfort during or after the exercises, consult a healthcare professional for guidance.
UK-Specific Healthcare Pathways
In the UK, individuals with tennis elbow can seek initial assessment and advice from their General Practitioner (GP). GPs may recommend conservative treatments such as physiotherapy or occupational therapy to manage symptoms. In cases of severe or persistent pain, a referral to a specialist or a visit to Accident & Emergency (A&E) may be necessary.
Example Case Scenario
John, a 45-year-old office worker from London, develops tennis elbow symptoms after increasing his tennis playing frequency. He consults his GP, who prescribes a course of physiotherapy that includes radial nerve flossing exercises. With consistent practice and guidance from his physiotherapist, John experiences a reduction in pain and improvement in elbow function over several weeks.
Common Mistakes to Avoid
When performing radial nerve flossing for tennis elbow, avoid the following mistakes:
Overexertion
Avoid forcing movements or performing exercises with excessive intensity, as this can exacerbate symptoms and cause further damage to the affected area.
Long-Term Strategies for Tennis Elbow Management
Alongside radial nerve flossing, incorporating other strategies such as rest, ice application, ergonomic modifications, and gradual strengthening exercises can help in the long-term management of tennis elbow. It is essential to maintain a balanced approach to prevent recurrence and promote overall elbow health.
Conclusion
Radial nerve flossing is a valuable technique that can complement traditional treatments for tennis elbow. By understanding the principles of radial nerve flossing, practising correct technique, and seeking appropriate guidance, individuals in the UK can effectively manage their tennis elbow symptoms and improve their quality of life.