Treatment of epicondylitis – Tennis elbow


Introduction to Epicondylitis


Epicondylitis, often called tennis elbow, is a form of tendinitis that manifests itself as elbow pain. It results from overloading the tendons of the forearm, leading to inflammation and persistent pain.

  1. Nature of the Condition : Epicondylitis is characterized by inflammation of the tendons that attach to the lateral epicondyle, the outer part of the elbow. This inflammation is often the result of repetitive overload of the extensor muscles of the forearm, which play a role key in hand and wrist movements.
  2. Differentiation of Types : There are two main types of epicondylitis: lateral and medial. Lateral epicondylitis, or “tennis elbow,” affects the outer side of the elbow and is the most common. Medial epicondylitis, or “golfer's elbow,” affects the inner side of the elbow and is less common.
  3. Pathological Process : Pain results from microtears in tendons and muscles from repetitive activities or overuse. These microtraumas lead to inflammation and pain which can worsen over time if the condition is not processed.
  4. Associated Symptoms : Besides the elbow pain, patients may experience weakness in the hand and wrist, difficulty gripping objects, or pain with specific movements such as lifting, turning a doorknob, or shaking a hand.


Arm Pain And Injury For Woman. Closeup Side Body With Painful Elbow


Typical Symptoms

Symptoms include sharp pain or tenderness to touch on the outer part of the elbow, often exacerbated by specific movements of the wrist and arm.

  1. Localized Pain : The pain associated with epicondylitis is usually concentrated around the lateral epicondyle, the protruding part of the elbow bone. This pain can range from mild to severe and is often described as a burning or pulling sensation.
  2. Exacerbation by Movements : Activities that involve grasping objects, twisting the wrist, or even simple gestures like shaking hands or holding a coffee cup, can make the pain worse. Repetitive or prolonged movements of the wrist and arm are key factors that exacerbate symptoms.
  3. Pain Irradiation : Although the pain is localized at the elbow, it can radiate along the forearm to the wrist. In some cases, patients may experience weakness in gripping objects or decreased grip strength.
  4. Touch Sensitivity : The area around the lateral epicondyle can become extremely sensitive to touch. This sensitivity can make it difficult to wear long-sleeved clothing or lean on a surface with your elbow.


Impact on Daily Activities

This condition can seriously affect daily activities, making it difficult to grasp objects, play certain sports, or even simple household tasks.

  1. Difficulties in Daily Life Tasks : People with epicondylitis may experience significant difficulty in simple activities like shaking hands, opening a jar, or even holding a cup of coffee. Pain and weakness in the forearm and elbow limit the ability to apply pressure or twisting movements, which can make these daily tasks both painful and frustrating.
  2. Impact on Professional Life : For those whose work involves repetitive arm or hand movements, such as painters, cooks, or laborers, epicondylitis can cause a significant drop in productivity. In some cases, it may even require work stoppage or a modification of professional tasks to allow healing.
  3. Limitations in Sports Activities : Athletes, especially those who play racquet sports, may have their performance greatly affected by this condition. Epicondylitis not only limits the ability to exert force with the affected arm, but it can also cause acute pain during activity, often requiring a break or reduction in sports intensity.
  4. Psychological and Emotional Effects : Beyond the physical impact, epicondylitis can have psychological repercussions. Chronic pain and limitations in daily and professional activities can lead to frustration, stress and sometimes depression. Pain management and rehabilitation can also affect a person's self-esteem and overall mood.

These additional paragraphs highlight the extent of the impact of epicondylitis on various aspects of daily life, emphasizing the importance of effective care and a therapeutic approach adapted to alleviate these challenges.


Close Up Of A Lady Hands, Daily Life 108


Frequency and Affected Population

Although commonly associated with tennis players, epicondylitis can affect anyone whose activities involve repetitive movements of the wrist and arm.

  1. Diversity of Affected Populations : Epicondylitis, although commonly associated with athletes, particularly tennis players, actually affects a wide range of people. Craftspeople, musicians, gardeners, and even office workers who frequently use computers can develop this condition due to repetitive movements and continuous strain on the wrist and arm.
  2. Incidence in Manual Professions : Manual workers, such as plumbers, painters, and carpenters, are particularly likely to suffer from epicondylitis. Activities involving vibrating tools or the need to hold objects tightly may increase the risk of developing this condition.
  3. Lifestyle Risk Factors : Hobbies such as gardening, knitting, or certain racket sports can also contribute to the appearance of epicondylitis. These activities, when done intensively or without proper technique, can put excessive pressure on the elbow tendons.
  4. Prevalence and Demographic Factors : Epicondylitis is more common in adults between 30 and 50 years old, but it is not limited to this age group. Factors such as general fitness, flexibility and muscle strength can influence susceptibility to this condition, regardless of age.

These additional paragraphs provide a more detailed overview of the diversity and frequency of epicondylitis, highlighting that this condition can affect a wide range of people beyond athletes and sports professionals. They highlight the importance of recognizing risk factors in various daily and professional activities.


Understanding Epicondylitis


Epicondylitis is mainly caused by repetitive movements that strain the tendons of the forearm, leading to microtrauma and inflammation.

  1. Repetitive Movements and Tendon Stress : Epicondylitis is often the result of repetitive movements that put excessive pressure on the tendons of the forearm. These movements, typical in certain sporting activities such as tennis or golf, as well as in various manual professions, lead to repeated microtrauma to the tendons attached to the epicondyle.
  2. Biomechanical Factors : Biomechanical imbalances in wrist and elbow movement can increase the risk of epicondylitis. Improper technique when exercising or non-ergonomic movements at work can contribute to these imbalances, putting additional strain on the forearm tendons.
  3. Professional and Leisure Risk Factors : Certain occupations that involve vibrating tools or constant gripping, such as carpentry or plumbing, may increase the risk of epicondylitis. Likewise, hobbies that involve repetitive wrist movements, such as gardening or certain racket sports, are also risk factors.
  4. Age and Physiological Conditions : Epicondylitis is more common in adults between 30 and 50 years old. With age, tendons can lose elasticity and become more susceptible to microtrauma. Additionally, certain physiological conditions, such as diabetes or thyroid disorders, can increase vulnerability to disorders. tendinous.

These combined factors contribute to the complexity of epicondylitis, making a thorough understanding essential for diagnosis and treatment. effective treatment.


Risk factors

Factors include certain sporting activities, manual professions, or even repetitive daily tasks.

  1. Specific Sports Activities : Sports involving repetitive movements of the arm and wrist, such as tennis, golf, and certain types of throwing, are particularly likely to cause epicondylitis. These activities put constant pressure on the elbow tendons, increasing the risk of strain injuries.
  2. Occupations Requiring Repetitive Movements : Certain trades, such as painting, plumbing, carpentry, or hairdressing, require repetitive movements of the wrist and arm which can lead to overload of the tendons. Workers in these fields are therefore more likely to develop epicondylitis.
  3. Extended Use of Hand Tools : Frequent use of hand tools, especially those that require a tight grip or twisting movements of the wrist, may also increase the risk of epicondylitis. This includes tools like screwdrivers, hammers, or even kitchen utensils.
  4. Individual and Genetic Factors : Certain individual factors, such as age (the condition is more common in adults between 30 and 50 years old), gender (slight predominance in men), and genetic predisposition, can influence the risk of developing epicondylitis. Additionally, muscle weakness or poor technique in sports or work activities can also increase the likelihood of this condition.

These risk factors highlight the importance of a preventive approach, in particular by adapting work and sports techniques, using appropriate equipment, and strengthening the forearm muscles to reduce the load on the tendons of the elbow.



Diagnosis is usually clinical, based on symptoms and a physical examination, although imaging tests may be used to rule out other conditions.

  1. Initial Clinical Assessment : THE diagnostic process Epicondylitis usually begins with a clinical evaluation. The doctor will examine the patient's elbow, assess pain and tenderness in the epicondyle region, and perform tests to assess the strength and mobility of the wrist and arm. This assessment aims to identify the specific movements that trigger the pain.
  2. tests Functional : Specific functional tests, such as the Cozen test or the lever test, can be used to reproduce the pain and confirm the diagnosis. These tests involve active or resisted movements of the wrist and forearm that stress the tendons affected by epicondylitis.
  3. Use of Medical Imaging : Although epicondylitis is primarily diagnosed by clinical examination, imaging techniques like ultrasound or MRI can be used to rule out other conditions, such as ligament damage or fractures. Imaging can also help assess the extent of tendon damage.
  4. Differentiation from Other Conditions : It is crucial to differentiate epicondylitis from other causes of elbow pain, such as medial epicondylitis, arthritis, or nerve entrapment syndromes. An accurate assessment ensures that the appropriate treatment is administered for the patient's specific condition.


Radiographer Preparing Female Client For Digital Breast Tomosynthesis


Evolution of Condition

Without proper treatment, epicondylitis can become chronic, leading to persistent pain and weakness in the arm.

  • Progression without Treatment : Without proper intervention, epicondylitis can progress from an acute condition to a chronic condition. The initial pain, often manageable, can intensify and become persistent, significantly affecting the strength and functionality of the arm and elbow.
  • Impact on Daily Life : When epicondylitis becomes chronic, it can significantly limit daily activities. Simple tasks like lifting, writing, or even dressing can become painful and difficult. This condition may also limit the ability to participate in sports or work activities, especially those requiring repetitive arm movements.
  • Potential Complications : If left untreated, epicondylitis can lead to additional complications. Chronic pain can lead to compensatory use of other muscles and joints, potentially causing imbalances or secondary injuries. Additionally, persistent pain can have a psychological impact, leading to stress and frustration.
  • Importance of Early Intervention : It is crucial to recognize and treat epicondylitis in its early stages to prevent its progression into a chronic condition. Early diagnosis and treatment can significantly reduce the risk of long-term complications and speed up the healing process, allowing a quicker return to normal activities.


Laser Treatment for Epicondylitis

Action mechanism

The laser therapy works by targeting the affected area with low-intensity beams of light, which stimulates tissue healing and reduces inflammation.

  1. Stimulating Healing at the Cellular Level : Laser therapy promotes healing by stimulating cellular activity within damaged tissues. The light energy from the laser penetrates deep into the tissues, increasing the production of ATP (adenosine triphosphate) which is essential for cell regeneration. This process accelerates the repair of tissues, including tendons and muscles affected by epicondylitis.
  2. Reduction of Inflammation and Pain : The laser helps reduce inflammation by improving blood and lymphatic circulation in the treated area. This improvement in circulation helps eliminate cellular waste more effectively and reduces edema, which helps reduce pain and inflammation. Additionally, laser therapy can inhibit the transmission of pain signals to the brain, providing immediate relief.
  3. Improved Functionality and Mobility : By reducing pain and inflammation, laser therapy allows patients to regain a greater range of motion more quickly. This is particularly beneficial for people suffering from epicondylitis, as it allows them to gradually return to daily activities and sports without excessive pain.
  4. Safety and Effectiveness of Treatment : Laser therapy is recognized for its safety and effectiveness in the treatment of various musculoskeletal conditions, including epicondylitis. It offers an alternative or complement to traditional treatments, such as medications or surgery, and is generally well tolerated by patients, with minimal risk of side effects.

In summary, laser therapy for epicondylitis offers a non-invasive and effective approach, working directly at the cellular level to stimulate healing, reduce inflammation and pain, and improve functionality of the elbow.


Laser Physical Therapy. Physical Therapist Treating Senior Woman's Elbow


Benefits of Laser Treatment

This method is non-invasive, painless, and requires no recovery time, making it an attractive option for many patients.

  1. Non-Invasiveness and Comfort : Unlike some medical interventions, laser therapy for epicondylitis is completely non-invasive. This means there are no incisions, no bleeding and no risks associated with surgical procedures. This feature makes the treatment particularly attractive to patients who fear surgical procedures or who have health conditions making them ineligible for such procedures.
  2. No Pain During Treatment : A major advantage of laser therapy is its comfort. Patients generally do not feel any pain during treatment. At most, some may experience a slight feeling of heat or tingling in the treated area. This lack of pain is a key factor contributing to the growing popularity of this treatment method.
  3. No Recovery Time : After a laser therapy session, patients can usually immediately return to daily activities with no recovery period. This feature is especially beneficial for active people or those who cannot afford to take extended time off for recovery.
  4. Safety and Few Side Effects : Laser therapy is known for its safety and has very few side effects. Rare side effects are usually minor and temporary, such as mild redness or discomfort in the treated area. This safety builds patient confidence in this treatment method as a safe alternative to more invasive treatments or long-term medications.

In summary, laser therapy for epicondylitis offers an attractive combination of non-invasiveness, comfort, no recovery time and safety, making it an increasingly preferred treatment option for this painful condition. .


Expected results

Patients can expect reduced pain and improved function after several sessions, although the exact number of treatments may vary.

  1. Progressive Pain Reduction : Patients treated with laser therapy for epicondylitis often report a gradual reduction in pain over sessions. This reduction in pain allows for better mobility and a more comfortable return to daily activities.
  2. Improved Elbow Function : In addition to reducing pain, laser treatment helps improve the functionality of the elbow. Patients may experience increased grip strength and a greater range of motion, making tasks that were previously painful or difficult easier.
  3. Reduction of Inflammation and Acceleration of Healing : The laser works at the cellular level to stimulate healing and reduce inflammation. This action accelerates the tendon tissue repair process, leading to faster and more effective recovery.
  4. Long-Term Effects and Recurrence Prevention : In addition to the immediate benefits, laser treatment can have long-term effects by strengthening the tissues around the epicondyle, thereby reducing the risk of recurrence. It is often recommended to combine laser treatment with strengthening exercises and ergonomic modifications for long-lasting results.

These anticipated results highlight the effectiveness of laser treatment as a viable treatment option for epicondylitis, providing patients with a promising path toward reducing pain and improving elbow function.


Complementarity with Other Treatments

Although laser treatment is effective, it is often combined with osteopathy and modifications of activities for better results.

  1. Integration of Osteopathy : Osteopathy, with its targeted manual techniques, effectively complements laser treatment. It aims to improve joint mobility, reduce muscle tension and optimize body alignment. This holistic approach can help relieve pain and improve function of the elbow, wrist and forearm, treating the underlying causes of epicondylitis.
  2. Modifications of Activities and Ergonomics : Adapting daily activities and the workplace to reduce strain on the tendons is crucial. This may include using ergonomic tools, modifying work or sport techniques, and learning new ways to perform repetitive tasks. These changes help prevent worsening epicondylitis and promote an optimal healing environment.
  3. Personalized Rehabilitation Program : A rehabilitation program designed specifically for epicondylitis patients may include strengthening and stretching exercises, relaxation techniques, and advice on pain management. These exercises complement the laser treatment by strengthening the forearm muscles and improving flexibility, thereby reducing the load on the affected tendons.
  4. Continuous Monitoring and Evaluation : Regular follow-up with healthcare professionals makes it possible to evaluate the effectiveness of the combined treatment and to make adjustments if necessary. This integrated approach ensures that the patient receives the most comprehensive and personalized care possible, thereby maximizing the chances of rapid and effective recovery from epicondylitis.

By combining laser treatment with osteopathy, activity modifications, and a personalized rehabilitation program, patients benefit from a comprehensive and integrated therapeutic approach to treating epicondylitis. This multifaceted strategy aims not only to relieve short-term pain, but also to promote long-term healing and prevent recurrence.


Doctor Diagnostician Conducts An Ultrasound Examination Of The Elbow Joint


Conclusion: Comprehensive Management of Epicondylitis

Summary of Therapeutic Approaches

Epicondylitis, commonly known as tennis elbow, is a condition that, although often associated with specific sporting activities, can affect a wide range of individuals. This page has explored in depth the different facets of epicondylitis, highlighting not only the symptoms and causes, but also a range of effective treatments, with a particular emphasis on laser therapy. We have seen how this modern, non-invasive and pain-free approach can be integrated into a broader treatment plan, including osteopathy, activity modifications, and a personalized rehabilitation program.


Importance of a Holistic Approach

Managing epicondylitis requires a holistic approach that goes beyond just treating symptoms. It is essential to understand the activities and movements that may contribute to this condition, allowing adjustments that can prevent worsening pain and promote healing. The integration of osteopathy and modifications to daily living activities plays a crucial role in this process, addressing the underlying causes of epicondylitis and helping to restore functional balance in the body.


Role of Prevention and Education

Prevention is a fundamental aspect of managing epicondylitis. Education on proper techniques for sports and work activities, as well as ergonomic practices, can help reduce the risk of developing or worsening this condition. Additionally, a targeted strengthening and stretching program can strengthen the forearm muscles, providing better stability and reducing the load on the tendons.


Future Outlook

With continued advances in the medical field, treatments for epicondylitis will continue to evolve. Laser therapy, already recognized for its effectiveness, could be improved with new technological discoveries. Likewise, a deeper understanding of the biomechanics of the human body could lead to even more effective prevention and treatment strategies.



In conclusion, epicondylitis is a condition that, although challenging, can be successfully managed through a well-planned, multidisciplinary treatment approach. Laser treatment, combined with osteopathy, adjustments to daily activities and a targeted rehabilitation program, offers a comprehensive strategy to relieve pain, promote healing and prevent recurrence. It is essential for individuals suffering from epicondylitis to work closely with healthcare professionals to develop a personalized and effective treatment plan.


  1. Lateral Epicondylitis: Discover our innovative approaches for the treatment oflateral epicondylitis at the TAGMED Clinic.
  2. Elbow Pain: Are you suffering from elbow pain? Our team at Clinique TAGMED can help you with specialized treatments forepicondylitis.
  3. Shock Wave Therapy: Explore how shockwave therapy may be effective in the treatment of epicondylitis.
  4. Tennis Elbow: Epicondylitis, commonly called "tennis elbow", is effectively treated with Clinical TAGMED. Learn more here.
  5. Elbow rehabilitation: The TAGMED Clinic offers programs of elbow rehabilitation for patients suffering from epicondylitis.
  6. Pain Relief: Find lasting relief from epicondylitis pain with our proven methods at the TAGMED Clinic. More informations here.
  7. Non-Surgical Treatment: Discover options for non-surgical treatment of epicondylitis at the TAGMED Clinic.
  8. Sports Medicine: Our specialists in sports medicine can help you overcome epicondylitis and return to your activities.
  9. Manual Therapy: The TAGMED Clinic uses techniques of manual therapy advanced to treat epicondylitis.
  10. Prevention of Epicondylitis: Learn strategies for prevention of epicondylitis with our experts at the TAGMED Clinic.

Preparations for the treatment of epicondylitis

  • Book your appointment online or contact our staff at the TAGMED clinic to book your appointment by phone.
  • Before going to the TAGMED clinic in Montreal or Terrebonne for your first treatment, there are some things you should absolutely do. First, make sure you have your medical imaging reports (X-ray, MRI, or ultrasound) available.
  • Also, make sure you are aware of the various possible risks and side effects associated with treatment at Tagmed Clinic. You should also take all necessary measures (ex. Apply ice to the inflamed area to ensure that your body is ready for further treatment.
  • Also, make sure you are aware of the various possible risks and side effects associated with treatment at Tagmed Clinic. You should also take all necessary measures (ex. Apply ice to the inflamed area to ensure that your body is ready for further treatment.
  • Finally, if you were unable to complete our form, as mentioned above, arrive 15 minutes before your appointment time to ensure you have enough time to discuss your condition, make the assessment and your treatment.

To be completed before your consultation at TAGMED clinic

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Clinical TAGMED Montréal Terrebonne

Clinical TAGMED

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