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Epicondylitis of the elbow joint
Last reviewed: 23.04.2024
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Epicondylitis of the elbow joint is a pathology affecting the muscular tissues of the elbow. Consider the main causes of the disease, methods of diagnosis and symptomatology, as well as methods of treatment and prognosis for recovery.
Epicondylitis affects the area of the elbow, in which the muscles are attached to the bone of the forearm. Depending on the localization of the inflammatory process, the disease has two forms - external and internal. Often diagnosed as external inflammation, as it is the most common disease of the musculoskeletal system.
- External (lateral) epicondylitis - this form of the disease is called "elbow tennis player". Since the inflammatory process occurs in the place where the muscle fibers are attached to the epicondyle. Most often, the disease is diagnosed in athletes. Pathology arises from the overstrain of the muscles of the shoulder. This happens when playing tennis, monotonous physical work (painting the walls, sawing wood, etc.). The main category of patients - patients from 30-50 years.
- Internal (medial) epicondylitis - an ailment is called "the elbow of a golfer". Constantly repetitive movements lead to an inflammatory process. It can be work with various hand tools, sports injuries. Any long-term work involving the muscles of the forearm can cause medial inflammation of the elbow.
Causes of epicondylitis of the elbow joint
The causes of epicondylitis of the elbow joint are varied, but all of them are related to the active activity of the ulnar muscular system. As a rule, the disease develops unilaterally, that is, on the dominant hand. Depending on the pain when pressed to the site of the lesion, there are several forms of inflammation: muscular, tendon, supracondylar and tendon-periosteal. Very often epicondylitis occurs due to unsuccessful hand movement, improper lifting of gravity or throwing a heavy object.
In this case, at the time of injury, a person feels instant pain, which quickly passes. But the first signs of the disease appear in a few hours, and even days, as the swelling and inflammation increase. Disposable loads on the hands can also cause epicondylitis of the elbow joint. Very often, such injuries suffer patients who are engaged in arm wrestling, working with a wrench or a screwdriver. Chronic load on the tendon is another factor that increases the risk of inflammation of the elbow joint. Epicondylitis appears due to inflammation of the tendons and in this case is a secondary disease.
People suffer from pathology, constantly repeating similar movements: painters, athletes, masseurs, seamstresses, masons and others. Elderly patients are also at risk, which is prone to injury and inflammation of the joints. Another possible cause of the disease is osteochondrosis of the spine. Direct communication between these diseases was not detected, but it was found that after the operation on the spine, pains in the elbow abruptly ceased.
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Symptoms of epicondylitis of the elbow joint
Symptoms of epicondylitis of the elbow joint depend on the form of the disease. With the medial form, the area of painful symptoms is the inner surface of the hand, and in the lateral - the outer surface. Characteristic for epicondylitis, the symptomatology makes it possible to differentiate it from other diseases of the elbow joint, for example, arthritis.
- Painful sensations appear when the load on the elbow. For example, when trying to move the limb inward, that is, with flexion-extensor movements.
- Discomfort occurs when shaking hands and increases when trying to bend the elbow.
- The disease causes a decrease in muscle tone, which affects the ability to hold any objects.
- Inflammatory process does not affect the external condition of the elbow tissue. The only thing that can indicate a pathology is mild redness and swelling.
- Another characteristic symptom of epicondylitis is the absence of pain at night.
If this symptomatology accompanies you for several months, then this indicates a progression of the disease. Without medical care, the inflammation of the elbow joint goes into a chronic form.
Pain in the elbow joint with epicondylitis
Pain in the elbow joint with epicondylitis is the only clearly pronounced symptom of the disease. Pain syndrome has a number of features that help to separate it from similar joint diseases.
Painful sensations can be acute and subacute:
- In acute epicondylitis, the pain is localized in the region of the supracondylar bone of the shoulder and has a constant, intense character. In some cases, pain is given to the forearm and violates the mobility of the elbow. It is very difficult to hold the limb in its extended position, discomfort occurs when trying to squeeze the hand.
- Subacute form of inflammation is accompanied by dull pain, which manifests itself with slight pressure on the external or internal epicondyle. Unpleasant sensations occur with small loads on the elbow. In a state of rest or with flexion-extensor movements, pain in the elbow joint does not arise.
Inflammation of the elbow joint with epicondylitis
Inflammation of the elbow joint with epicondylitis occurs in the place of attachment of the elbow muscles to the bone of the forearm. The severity of the inflammatory process depends entirely on the form of the disease, the cause and location of the pathology. Despite the fact that epicondylitis is considered an occupational disease, patients with diseases of the musculoskeletal system suffer more and more often from this ailment.
Because of scant symptoms, the inflammatory process is not always possible to detect on time. At first, inflammation of the tendons causes discomfort, but with the progression of the disease, the pains become aching and acute, are of a localized nature. Inflammatory process is strengthened with loads on the affected limb, with flexion and extension of the elbow. The danger of a hidden form is that epicondylitis can last for months, acquiring a chronic stage. In this case, the patient expects surgical treatment and a long period of rehabilitation.
Where does it hurt?
Lateral epicondylitis of the elbow joint
Lateral epicondylitis of the elbow joint is a common pathology, from which tennis players most often suffer. The thing is that when playing tennis, the movements have an extensor character, using the brush and forearm. This leads to strain of the muscles and tendons of the extensors, which hold onto the lateral epicondyle of the humerus. But many other activities can cause epicondylitis of the elbow joint.
The main causes of lateral epicondylitis:
- Excessive stress on the tendons and muscles of the forearm, constantly repeated movements of the hand. All this can lead to inflammation of the tendons and muscles of the extensors of the hand.
- The disease causes not only an inflammatory process, in some cases the cause of epicondylitis is the defeat of tendon tissues, that is, tendonitis. Wear of tissues entails degenerative changes in tendons.
A characteristic symptomatology of the disease is pain, localized in the region of the external epicondyle of the humerus. Pain permeates all forearms and intensifies with extensor movements of the hand or when trying to hold something heavy in the hand. In some cases, pain manifests itself at night, when the patient falls asleep, which negatively affects his health in everyday life. Lateral inflammation of the elbow causes a slight swelling and a rise in temperature, which indicates an inflammatory process.
For the recognition of the disease the doctor collects an anamnesis and in detail questions the patient about the nature of the pain, their duration and intensity. To confirm the diagnosis, the elbow joint is carefully inspected and a number of functional tests are performed. Based on the results of the studies, the final diagnosis is made, an effective treatment is selected, usually a combination of drugs and rehabilitation exercises.
Medial epicondylitis of the elbow joint
Medial epicondylitis of the elbow joint or "elbow of the golfer" is an inflammatory disease that affects the muscles and tendons of the elbow. Frequent repetitive movements, occupation of certain sports, various injuries of the elbow joint or work associated with the use of hand tools can lead to epicondylitis. That is, any activity that uses the muscles of the forearm, can cause a serious inflammatory process.
Medial epicondylitis is located on the inner bone of the elbow, that is, in the medial epicondyle. Muscles responsible for flexing the limbs, are associated with tendons, which can experience great stress in professional or sports activities. Even a slight inflammation causes pain and swelling. Symptom is manifested a few days after the injury. The pain is localized in the region of the epicondyle and spreads along the forearm. Attempts to bend fingers or a brush in a wrist cause strong painful sensations. Significantly reduced grip strength when lifting the weight or trying to squeeze his hand into a fist.
But in some cases, the medial form of the disease does not develop because of physical exertion or inflammation. These are fibroblast cells, their effect negatively affects collagen, which loses its strength. Collagen becomes fragile and easily destroyed, the body reacts to this by scars in the tissues of the tendons. Healed tissues do not have such strength as healthy, so they can not completely restore the tendon structure of the elbow joint.
Internal epicondylitis of the elbow joint
Internal epicondylitis of the elbow joint manifests itself as an inflammatory process in the muscle tissues. Pathology occurs in the muscles responsible for the flexion and extension movements of the hand. Muscles are on the inside of the elbow joint. This form occurs more often than the external one and is considered one of the most common dysfunctions of the musculoskeletal system of the body.
To date, to establish the exact cause of the disease is difficult, since there are many factors that provoke the development of the disease. Long, monotonous movements of flexion-extensor character cause microtraumas and inflammatory process. This pathology is particularly affected by athletes, agricultural and construction workers. Excessive physical activity and weight lifting, can also provoke epicondylitis of the elbow joint.
External epicondylitis of the elbow joint
External epicondylitis of the elbow joint occurs against the background of an acute inflammatory process in ligament and tendon tissues. Since the tissues of the ligamentous apparatus are located on the outside of the joint, this has become the main factor for the name of this form of inflammation by external epicondylitis. Inflammation in the tendon tissues does not appear in itself, there are many causes that affect the formation of pathology. Physicians are united in the opinion that epicondylitis is a secondary disease. That is, his appearance is affected by hereditary predisposition and an innate factor.
There are three main categories of occupations that are at risk for developing external epicondylitis. This applies to athletes, builders and all the others, whose work is related to the active movement of the elbow zone. The joint consists of a ligamentous and cartilaginous tissue, which differ in elasticity. Because of the heavy loads, the elasticity of the tissues does not stand up, and microtrauma appears, which entails inflammation. In some cases, even a slight dislocation of the hand can cause an external epicondylitis of the elbow joint.
Chronic epicondylitis of the elbow joint
Chronic epicondylitis of the elbow joint indicates the neglect of the initial form of the disease. As a rule, with the timely application of medical care for pain in the elbow, the treatment passes quickly, and the diagnosis is not difficult. But sometimes the pain persists for several weeks, or even months, and the patient is slow to consult a doctor and performs the usual activities, re-injuring the damaged joint and tendon. As a result, the epicondylitis takes on a chronic form.
Treatment of the chronic form of the inflammatory process is lengthy and requires considerable effort, both from the physician and the patient. In particularly difficult cases, in addition to drug therapy, that is, conservative treatment, the patient is waiting for surgery and a long rehabilitation period for the full restoration of the elbow joint functions.
Diagnosis of epicondylitis of the elbow joint
Diagnosis of epicondylitis of the elbow joint begins with the collection of anamnesis and physical examination. The doctor asks the patient about the history of the development of the disease, the nature of pain, injuries and work, causing injuries to the elbow joint. After this, the patient is waiting for functional and motor tests to confirm the pain in the elbow area. To clarify the diagnosis and differentiation with other inflammatory lesions of joints, conduct additional studies.
- X-ray - x-ray of the elbow joint necessary for confirmation of epicondylitis. In the picture, one can see injuries of the epicondyle of the shoulder or deposits of calcium salts in the region of the internal epicondyle.
- Magnetic resonance imaging - with the help of magnetic waves you can visualize the state of sections of soft tissues and bones. Thanks to this, it is possible to determine the extent of the lesion and the form of the inflammatory process.
- Ultrasound investigation - this study reveals signs of degeneration of the connective tissue of the tendons and visualizes the condition of the soft tissues and the epicondyle of the shoulder.
One of the most reliable methods of diagnosis, allowing to confirm the presence of an inflammatory process is a functional test for the mobility of the joint. So, unlike arthrosis or arthritis with epicondylitis, flexion and extension of the elbow joint causes minor pain sensations. In this case, special attention is paid to the load on the joint and the localization of pain. Attempts to maximally deploy the brush on or counter-clockwise without pre-fixing the joint cause painful sensations, which are greatly enhanced when the hand returns to its original position. In this case it is almost 100% confirmation of epicondylitis of the elbow joint or a sign of tendon damage in the elbow area.
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How to examine?
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Treatment of epicondylitis of the elbow joint
Treatment of epicondylitis of the elbow joint depends on the form of the disease, the stage of its development, the presence of accompanying pathologies of the musculoskeletal system and other diseases of the joints and bones. Often, the doctor is treated when the inflammatory process progresses, and the epicondylitis takes a chronic form. But if the disease is at the initial stage, then the main treatment is limited to the activity that provoked the pathology. This will restore the damaged muscles and tendons of the joint in a natural way.
To ease the pain, immobilization of the affected limb is necessary. On the arm impose a tire or a fixative bandage to prevent the tension of the tendons and fixation of the joint. Today, for these purposes, a special bandage or elbow pads are increasingly used. The period of wearing a fixative bandage can be up to one month, depending on the severity of the pain. Treatment of epicondylitis can be both conservative and surgical.
Conservative treatment:
- External therapy - ointments with NSAIDs and drugs for cooling the site of pain localization.
- Nonsteroidal anti-inflammatory medications - help to reduce pain and inflammation. For these purposes, use Ibuprofen, Orthofen, Ketorolac, Indomethacin and others.
- Electrophoresis of the elbow joint with analgesics and anesthetics.
- Physiotherapy - reflexotherapy, magnetotherapy, cryotherapy, laser therapy and other methods.
Drug therapy is carefully selected by the attending physician. The doctor prescribes anti-inflammatory and analgesic ointments and pills that accelerate the healing process. In acute forms of inflammation, the patient is prescribed a blockade, that is, an intramuscular injection of an anesthetic drug in the epicenter of pain. The blockade is carried out once and only when the ointments are ineffective. If such treatment does not relieve the pain, then the patient is prescribed shock wave therapy.
Shockwave therapy is recognized as one of the most progressive methods of treating inflammation of the joints. With the help of sound pulses in the body, natural processes are started to restore damaged muscles, tendons and tissues. If in this case there is no positive dynamics, then this is a direct indication for surgical intervention. The operation is the excision of the extensor muscles and the removal of a part of the tendons affected by the inflammatory process. The operation is performed by means of a cut or puncture of the tissues. After such treatment, the patient will have a long rehabilitation period.
Treatment of the lateral epicondylitis of the elbow joint
Treatment of the lateral epicondylitis of the elbow joint can be both conservative and with the help of surgery. The main goal of therapy is to speed up the process of restoring damaged tendons. Let's consider the basic methods and preparations for the treatment of the lateral form of inflammation.
- Immobilization of the injured limb - for this purpose using a tapering or orthosis on the elbow joint. Due to limited movements, inflamed tissues heal and regenerate. This method prevents re-injury of the extensor muscles.
- Nonsteroidal anti-inflammatory drugs - used to eliminate pain and inflammation. The active components of the drugs act on the blood cells and stop the inflammatory process. Due to this process of destruction of the tendon tissues is coming to naught, pain and swelling are reduced.
- The use of hormonal anti-inflammatory drugs - is used to reduce the inflammatory process. With the help of injections, hormonal drugs are injected into the lesion to restore damaged structures.
- Surgical treatment - is applied in the case when conservative therapy did not give the proper result. The operation allows you to relieve tension from the tendons of the extensor hand. The surgeon makes a cut over the lateral epicondyle and cuts the inflamed tendons. Truncated tissues are sewn to the muscular fascia and sew the skin. The operation is performed on an outpatient basis.
Treatment of medial epicondylitis of the elbow joint
Treatment of medial epicondylitis of the elbow joint is aimed at complete restoration of affected structures. Conservative therapy gives a positive result in 2-3 weeks of treatment. The essence of this treatment is the preservation of collagen from further destruction. For this purpose, NSAIDs (Naise, Nurofen, Nimisil) are used for 5-7 days. If the drug is ineffective, the patient is prescribed steroids.
Steroid injections with anti-inflammatory drugs are placed in the focus of inflammation. Sometimes 2-3 pains are enough to completely eliminate pain, inflammation and swelling. But such treatment is risky. Since repeated administration of drugs significantly reduces the strength of collagen fibers and can cause tendon rupture.
But the most important method of treating the medial epicondylitis of the elbow joint is physiotherapy. Pulsed magnetotherapy, diadynamic therapy, cryotherapy, hydrocortisone phonophoresis or shock wave therapy are used for this purpose.
Treatment of epicondylitis elbow joint pills
Treatment of epicondylitis of the elbow joint with tablets is a conservative method of therapy. Medication with the inflammatory process helps to eliminate pain and destruction of joint tissues.
- If the pain is insignificant, then to eliminate it take Analgin, Ketanov or Renalgan. In addition to tablets for the treatment of pain syndrome, ointments with anesthetic and anti-inflammatory effect are excellent.
- Many patients are prescribed Diclofenac and Ibuprofen for the treatment of recurrences of epicondylitis and the elimination of acute attacks of pain. In addition, the place of pain localization is made by single injections with glucocorticosteroids or anesthetics. Such therapy is effective in the acute form of inflammation of the elbow joint.
- In the event that the disease takes a chronic, neglected form, tablets with analgesic action and non-steroidal anti-inflammatory drugs are used for treatment. Drugs are particularly effective: Nimesil, Ibuprofen, Aspirin, Nimesulide. These medications are taken with both medial and lateral forms of epicondylitis.
- If the above drugs do not eliminate pain, then the patient is prescribed stronger means. As a rule, the doctor-arthrologist uses injections with lidocaine. The drug is administered intramuscularly, since such treatment is considered radical and is used only in case of ineffectiveness of less strong medications.
- Even if the blockade does not help to relieve the pain, the patient is waiting for shock wave therapy. In addition, advanced and especially complicated cases of inflammation are treated surgically, completely removing the source of pain and inflammation.
Treatment of epicondylitis of the elbow joint by alternative means
Treatment of epicondylitis of the elbow joint by alternative means is popular to this day. As a rule, alternative therapy is used simultaneously with conservative treatment, since some alternative recipes are really effective in epicondylitis. But one should not rely entirely on such treatment, since without medical assistance the inflammatory process can take very serious scales. Consider the most popular methods of treatment of epicondylitis by alternative means.
- To eliminate pain, massage oil, prepared from laurel leaves, is suitable. Take a couple of bay leaves, chop them into powder and mix with slightly warmed olive or vegetable oil. Before use, the product should be infused for 7-10 days. The medicine can be used as compresses or rubbed into the elbow joint.
- Take a liter jar and fill it with ½ of the ground roots of horse sorrel. Add 500 ml of vodka to the plant, mix thoroughly and put it in a dark and warm place for 10-15 days. Use the product as a compress, carefully wrapping the affected limb for 1.5-2 hours. The course of treatment is 10-14 days.
- If the epicondylitis has taken a chronic form and often recurs, green tea will help to cope with the painful sensations. Pour boiling water on a spoonful of tea and let it brew for 30-40 minutes. Ready beverage, pour into a container with ice cubes and freeze. Ice from green tea is recommended to apply to the place of pain for 5-10 minutes.
- From fragrant violet it is possible to prepare a good anesthetic and restoring compress. 200 g of flowers pour 200 ml of vodka and send for 10-14 days in a dark place. The received means need to be applied to the joint for 2 hours, every day for a month.
- Pour boiling water over the leaves and flowers of black elderberry for 5-10 minutes. Carefully wring out the vegetable mixture and put on the elbow joint, wrapped on top with a film. After 15-20 minutes, the compress can be removed and washed skin. Treatment should be done every 3-4 days for 1-2 months.
- In order to remove the acute inflammatory process, you can use hot clay. Take the blue clay and mix it with hot water 1: 1. Gently distribute the product on a two-layer gauze and place on the elbow, fixing the compress with a bandage and wrapping a kerchief or scarf. The compress is held for 30 minutes and replaced with a new one. The procedure should be carried out 2-3 times a day for 7-10 days.
Exercises for epicondylitis of the elbow joint
Exercises with epicondylitis of the elbow joint are included in the rehabilitation program to restore the normal functioning of the limb. All exercises are prescribed only by the attending physician. The main goal of the classes is to normalize the regional microcirculation, completely eliminate the discomfort in the lesion, restore the possibility of full joint movements and prevent atrophy of the muscles of the forearm.
But the execution of exercises has a number of prescriptions and limitations. Physical loads should be gradual, that is, from small to large. The first time the exercises should not last long, but as the elbow joint is strengthened, the duration of the exercises can be increased. If during an exercise there is a sharp pain, it is better to consult a doctor. In general, physical treatment improves blood flow, normalizes the release of synovial fluid, strengthens muscles and increases the elasticity of ligaments. Attention should be paid to both passive and active loads using a healthy hand.
- Bend your arms in the elbows, gradually squeeze and unclench your fists.
- Slowly bend and unbend elbows, keep the hands together.
- Keep the shoulders immovable, bend and unbend the area of the forearm, performing circular movements outward and inward.
- Make a "mill" and "scissors" with your hands.
- In addition to the above exercises, there are others, with power loads on the hands. But they are not always used for recovery after epicondylitis.
Bandage with epicondylitis of elbow joint
The bandage with the epicondylitis of the elbow joint is used to immobilize the limb and prevent further injury to the ligaments and tissues of the joint. The advantage of the bandage is that this device is not too expensive and will always come in handy. Such bandages should be worn by athletes and people who have suffered injuries to the elbow joints and those whose work is associated with the active functioning of the flexor-extensor muscles.
Use a bandage with epicondylitis is better with the technology of a doctor, that is, wear it in the allotted time for it, for example, 1-2 hours a day. The bandage is recommended to be used in cases when the elbow joint is most affected. In this case, it acts as a kind of preventive method to prevent traumatization and rupture of ligaments and tendons of the joint.
Blockade with epicondylitis of the elbow joint
Blockade in the epicondylitis of the elbow joint is a remedy used to treat severe pains, as well as for the therapy of neglected and chronic inflammation. Let's consider two variants of the blockade, with lateral and medial epicondylitis.
- Lateral epicondylitis occurs due to repetitive repeated movements of flexion-extensor character. And not only the elbow joint, but also the forearm is involved.
- The blockade is placed in the area of attachment of the muscles to the lateral epicondyle, at the point of localization of the maximum pain sensations (determined by the palpation).
- The skin is thoroughly treated with antiseptic solutions to infiltrate the subcutaneous fat.
- The needle is inserted at an angle of 40 ° before contact with the bone and pulled up a couple of millimeters up. To the limb, 5-7 ml of a medicinal mixture or an antiseptic solution is administered. If blockade with glucocorticosteroids is made, then repeated administration of the drugs after 10-14 days is necessary.
- After blockade of the elbow joint, a bandage or other means of immobilization is applied to the affected limb for 2-3 days
- The medial epicondylitis appears against the background of the overload of the muscles of the forearm, that is, the radial and ulnar flexor of the wrist, the superficial flexor of the fingers and the long palmar muscle. Inflammatory process is localized in the places of attachment of muscle fibers and tendons. In some cases, the pain syndrome, localized in the area of the medial epicondyle, manifests itself against the backdrop of vertebrogenic syndrome.
- To perform blockade, the skin is treated with an antiseptic and the point of increased soreness is determined, which is located a couple of centimeters distal to the medial epicondyle.
- In relation to the skin, the needle is inserted at an angle of 30 °. In the affected limb, therapeutic mixtures or antiseptic are administered.
- The difficulty of blocking the medial epicondylitis is that the medial epicondylitis passes the ulnar nerve. Therefore, all manipulations should be carried out by an experienced surgeon.
Despite the effectiveness of this method of treatment, blockade with epicondylitis of the elbow joint can lead to puncture lesions of the ulnar nerve, which is very dangerous.
Operation with epicondylitis of the elbow joint
Operation with epicondylitis of the elbow joint is the last method of treatment. Surgical intervention is justified with ineffectiveness of conservative medical treatment. The operation is also carried out for patients whose activities are directly related to regular loads on the muscles of the forearm. That is, with a permanent trauma to the elbow joint.
There are several techniques of surgical intervention:
- Removal, that is, tendendereostomy of the tendon with part of the muscular system.
- Dissection of the tendon of the short extensor of the hand.
- Arthroscopic therapy.
- Extension of the tendon of the short extensor of the hand.
Recently, arthroscopic therapy of epicondylitis of the elbow joint has been very popular. Such a surgical intervention is less traumatic, unlike a skin incision. In this case, after an operation of arthroscopic type, after 10-14 days you can start to work lightly, as the restoration of the joint tissues takes place very quickly and effectively.
Prevention of epicondylitis of the elbow joint
Prevention of epicondylitis of the elbow joint is aimed at eliminating the factors of traumatism of the forearm and elbow joint. So, with frequent movements of the same type when practicing sports or features of the profession, it is necessary to alternate the mode of work and rest. To relieve tension from the muscular system, you can warm up, light massage or special exercises from the course of exercise therapy.
If the disease is in a chronic stage, but as a prophylaxis of the inflammatory process, you can use such procedures:
- Cryotherapy of local character on the affected area. To conduct this method, use dry, cold air, a temperature below 30 degrees.
- Ultraphonophoresis with the use of anesthetic and anti-inflammatory mixtures in the area of pain localization.
- Extracorporeal shock wave therapy - is considered an extreme preventive method. It is used in the case when other measures do not bring relief to the pain syndrome and do not contribute to the natural restoration of the muscular tissues of the elbow joint.
- Paraffin-ozocerite and naphthalanic applications.
Prevention includes reducing the risk of injuries to the elbow joints when carrying weights, using hand tools in work or sports. Do not forget about the protection of elbows bandages of elastic bandage or special elbow pads.
Prognosis of epicondylitis of the elbow joint
The prognosis of the epicondylitis of the elbow joint is usually favorable, as the disease does not lead to death or fatal damage to the body. With timely access to medical care, surgery can be avoided by quickly restoring damaged muscle tissue. But if the disease is neglected, then, most likely, you will have to undergo an operation and make blockades to eliminate pain. In this case, the prognosis of recovery depends on the nature of the inflammatory process and the degree of damage to the tissues of the limb.
Epicondylitis of the elbow joint is well amenable to therapy, therefore even a chronic form of pathology can be transferred to the stage of long-term remission. But do not forget about the implementation of preventive measures to protect joints from damage and prevent inflammation, which will cause not only discomfort, but also significant discomfort during work or sports, associated with regular loads on the elbow joint area.