Understanding Tennis Elbow and NHS Treatment Options
Tennis elbow, or lateral epicondylitis, is a common condition that causes pain around the outside of the elbow. Despite its name, it doesn't only affect tennis players. In the UK, the National Health Service (NHS) provides a range of treatments to help manage and alleviate the symptoms of tennis elbow. This article explores what you can expect from NHS treatment pathways, offering practical advice and actionable steps to manage your condition effectively.
Initial Steps: Visiting Your GP
Recognising Symptoms
Before seeking treatment, it's important to identify the symptoms of tennis elbow. These include:
- Pain and tenderness on the outside of the elbow
- Weakness in the forearm
- Pain that worsens when gripping or lifting objects
If you experience these symptoms, your first step should be to book an appointment with your General Practitioner (GP). They can provide a preliminary diagnosis and suggest initial treatment options.
GP Consultation and Diagnosis
During your GP appointment, expect a physical examination of your elbow. The GP may ask you to perform specific movements to assess pain levels and movement range. In some cases, if the diagnosis is unclear, your GP might recommend imaging tests, such as an X-ray or MRI, although these are not commonly required for tennis elbow.
Initial Treatment Recommendations
Post-diagnosis, your GP will likely suggest the following initial treatments:
- Rest: Avoid activities that exacerbate the pain.
- Ice Therapy: Apply an ice pack wrapped in a cloth to the elbow for 15-20 minutes every few hours.
- Over-the-counter Pain Relief: Use paracetamol or ibuprofen to manage pain and reduce inflammation.
NHS Physiotherapy Services
Referral for Physiotherapy
If symptoms persist, your GP may refer you to an NHS physiotherapist. This is a crucial step in managing tennis elbow, as physiotherapists specialise in developing exercises to strengthen the forearm muscles and improve flexibility.
Physiotherapy Sessions
During physiotherapy, you can expect the following:
- Exercise Regimen: Tailored exercises to stretch and strengthen the muscles around the elbow.
- Manual Therapy: Techniques applied by the physiotherapist to improve joint function.
- Advice on Ergonomics: Guidance on modifying activities to reduce strain on the elbow.
Implementing Physiotherapy Exercises
Commitment to the exercise programme is essential for recovery. Here’s a step-by-step guide:
- Perform each exercise as instructed by your physiotherapist, typically several times a day.
- Gradually increase the intensity of exercises as advised to build strength without causing further injury.
- Incorporate these exercises into your daily routine to maintain progress.
Advanced NHS Treatments
Corticosteroid Injections
If conservative treatments fail, your GP may consider corticosteroid injections to reduce inflammation and pain. These injections are administered directly into the elbow and can provide temporary relief.
Extracorporeal Shockwave Therapy (ESWT)
Available in some NHS trusts, ESWT involves using sound waves to promote healing in the affected area. It is usually considered when other treatments have not provided sufficient relief.
Surgery Options
Surgery is rarely needed but may be recommended if symptoms persist for over a year despite other treatments. The procedure involves removing the damaged part of the tendon. Discuss potential risks and benefits with your consultant before proceeding.
Common Mistakes and How to Avoid Them
Managing tennis elbow effectively requires adherence to treatment plans. Avoid these common mistakes:
- Ignoring Symptoms: Early intervention is key. Don’t delay seeking medical advice.
- Inconsistent Exercise: Follow through with physiotherapy exercises consistently for best results.
- Resuming Activities Too Soon: Gradually return to activities, ensuring symptoms have sufficiently subsided.
Long-term Management Strategies
Ergonomic Adjustments
Consider the following ergonomic adjustments to prevent recurrence:
- Use ergonomic keyboards and mice if desk work is involved.
- Ensure your workstation is set up to minimise strain on your arms.
Regular Exercise
Maintain a regular exercise routine focusing on strengthening the forearm and improving flexibility. Consult your physiotherapist for ongoing exercise recommendations tailored to your needs.
Mindful Activity Modification
Learn to modify activities that trigger pain. For example, use two hands to lift objects or employ assistive devices when necessary.
Conclusion: Key Takeaways
Tennis elbow can significantly impact daily life, but with the right NHS treatment pathway, recovery is achievable. Begin with a GP consultation to diagnose and initiate treatment. Engage actively in physiotherapy and adhere to prescribed exercises. Consider advanced treatments if necessary, and implement long-term strategies to prevent recurrence. By following these detailed steps and utilising NHS resources, you can effectively manage and overcome tennis elbow.