Finding Relief: Chiropractic Management of Lateral Epicondylitis
-Dr. Ronald Patrick, DC, MS - Director of Rehabilitation Services
chiropractic management of tennis / pickleball elbow
Ever wondered if a Chiropractor could help with Tennis Elbow? Contrary to common perception, Chiropractors extend their expertise beyond the spine, specializing in the diagnosis and treatment of the neuromusculoskeletal system. This system, encompassing joints, ligaments, tendons, muscles, and nerves, is a chiropractor's focal point, utilizing techniques like joint mobilization, manipulation, and rehabilitation exercises. Recent research highlights the efficacy of physiotherapy, combining elbow manipulation and exercise, as a superior alternative to both a "wait-and-see" approach in the initial six weeks and corticosteroid injections in the mid to long term (1).
Understanding Tennis Elbow:
Tennis Elbow, or Lateral Epicondylitis, results from the swelling or tearing of the tendons that bend the wrist backward away from the palm, primarily affecting the extensor carpi radialis brevis muscle. Repetitive motion of forearm muscles, common in racket sports or other activities involving repetitive hand movements, leads to strain and discomfort.
Assessment and Diagnosis:
Accurate diagnosis of lateral epicondylitis necessitates a thorough functional and orthopedic examination, including tests such as Cozen’s, Mills, and Long Finger Extension Test. Diagnostic Ultrasound can aid in assessing severity and differentiating from possible tendon tears.
Chiropractic and Rehabilitation Techniques:
The Journal of Hand Therapy highlights the efficacy of manipulation and mobilization in improving grip strength, pain, and functional outcomes. At DB2, we employ a combination of joint manipulation, mobilization, soft tissue manipulation, and rehabilitation exercises to address every aspect of the injury for swift and lasting recovery.
Ergonomic and Lifestyle Recommendations:
Reducing or ceasing offending activities and implementing ergonomic changes are crucial for injury management and recovery. Avoid compression sleeves and bands to prevent ischemia and promote healing potential.
Collaboration with Other Healthcare Professionals:
A multidisciplinary approach ensures comprehensive care. Regenerative Medicine treatments like PRP can aid in healing and recovery. Collaboration with Orthopedic Surgeons or Pain Management specialists may be beneficial in certain cases.
Preventive measures include warm-up and cool-down routines, swing mechanics modification, and ensuring correct paddle grip size to prevent the onset or reaggravation of lateral epicondylitis in Pickleball.
Chiropractic care offers effective management for Tennis Elbow, addressing pain, improving function, and promoting long-term recovery. For personalized care and tailored treatment plans, consult a qualified healthcare professional.
Whether you're grappling with "pickleball elbow" or any lingering issue hindering your game, don't wait to reclaim your performance. Reach out to us today at DB2. Our multidisciplinary team combines Sports Science, Rehabilitation, Chiropractic care, and cutting-edge regenerative medicine treatments to provide comprehensive management for sports injuries like lateral epicondylitis. Let us help you get back on the court and stay there. Schedule an appointment now!