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Tennis Elbow?
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 What Is Tennis Elbow?


Doctors first identified Tennis Elbow (or lateral epicondylitis) more than 100 years ago. Today nearly half of all tennis players will suffer from this disorder at some point. Interestingly though, tennis players actually account for less than 5 percent of all reported cases making the term for this condition something of a misnomer.

There are 2 additional strain related conditions which are often mistaken for Tennis Elbow. These being Golfer’s Elbow & Bursitis. Before we delve into the details of what Tennis Elbow actually is and options that are available for relieving & preventing the pain...let’s look at the distinguishing characteristics of each of these 3 ailments.

Tennis Elbow
(lateral epicondylitis)
Outside of Elbow
Cause & Symptoms

The onset of pain, on the outside (lateral) of the elbow, is usually gradual with tenderness felt on or below the joint's bony prominence. Movements such as gripping, lifting and carrying tend to be troublesome.

Golfer’s Elbow
(medial epicondylitis)
Inside of Elbow
Cause & Symptoms

The causes of golfers elbow are similar to tennis elbow but pain and tenderness are felt on the inside (medial) of the elbow, on or around the joint's bony prominence.

Bursitis
Back of Elbow
Cause & Symptoms

Often due to excessive leaning on the joint or a direct blow or fall onto the tip of the elbow.
A lump can often be seen and the elbow is painful at the back of the joint.


Symptoms Of Tennis Elbow

  • Recurring pain on the outside of the upper forearm just below the bend of the elbow; occasionally, pain radiates down the arm toward the wrist.
  • Pain caused by lifting or bending the arm or grasping even light objects such as a coffee cup.
  • Difficulty extending the forearm fully (because of inflamed muscles, tendons and ligaments).
  • Pain that typically lasts for 6 to 12 weeks; the discomfort can continue for as little as 3 weeks or as long as several years.

The damage that tennis elbow incurs consists of tiny tears in a part of the tendon and in muscle coverings. After the initial injury heals, these areas often tear again, which leads to hemorrhaging and the formation of rough, granulated tissue and calcium deposits within the surrounding tissues. Collagen, a protein, leaks out from around the injured areas, causing inflammation. The resulting pressure can cut off the blood flow and pinch the radial nerve, one of the major nerves controlling muscles in the arm and hand.

Tendons, which attach muscles to bones, do not receive the same amount of oxygen and blood that muscles do, so they heal more slowly. In fact, some cases of tennis elbow can last for years, though the inflammation usually subsides in 6 to 12 weeks.

Many medical textbooks treat tennis elbow as a form of tendonitis, which is often the case, but if the muscles and bones of the elbow joint are also involved, then the condition is called epicondylitis. However, if you feel pain directly on the back of your elbow joint, rather than down the outside of your arm, you may have bursitis, which is caused when lubricating sacs in the joint become inflamed. If you see swelling, which is almost never a symptom of tennis elbow, you may want to investigate other possible conditions, such as arthritis, infection, gout or a tumor.


Relief Of Tennis Elbow

The best way to relieve tennis elbow is to stop doing anything that irritates your arm — a simple step for the weekend tennis player, but not as easy for the manual laborer, office worker, or professional athlete.

The most effective conventional and alternative treatments for tennis elbow have the same basic premise: Rest the arm until the pain disappears, then massage to relieve stress and tension in the muscles, and exercise to strengthen the area and prevent re-injury. If you must go back to whatever caused the problem in the first place, be sure to warm up your arm for at least 5 to 10 minutes with gentle stretching and movement before starting any activity. Take frequent breaks.

Conventional medicine offers an assortment of treatments for tennis elbow, from drug injections to surgery, but the pain will never go away completely unless you stop stressing the joint. Re-injury is inevitable without adequate rest.

For most mild to moderate cases of tennis elbow, aspirin or ibuprofen will help address the inflammation and the pain while you are resting the injury, and then you can follow up with exercise and massage to speed healing.

For stubborn cases of tennis elbow your doctor may advise corticosteroid injections, which dramatically reduce inflammation, but they cannot be used long-term because of potentially damaging side effects. Another attractive option for many sufferers, especially those who prefer to not ingest medication orally, is the application of an appropriate and effective topical anti-inflammatory such as Penetrex.

If rest, anti-inflammatory medications, and a stretching routine fail to cure your tennis elbow, you may have to consider surgery, though this form of treatment is rare (fewer than 3 percent of patients). One procedure is for the tendon to be cut loose from the epicondyle, the rounded bump at the end of the bone, which eliminates stress on the tendon but renders the muscle useless. Another surgical technique involves removing so-called granulated tissue in the tendon and repairing tears.

Even after you feel you have overcome a case of tennis elbow, be sure to continue babying your arm. Always warm up your arm for 5 to 10 minutes before starting any activity involving your elbow. And if you develop severe pain after use anyway, pack your arm in ice for 15 to 20 minutes and call your doctor.


Prevention

To prevent tennis elbow:

  • Lift objects with your palm facing your body.
  • Try strengthening exercises with hand weights. With your elbow cocked and your palm down, repeatedly bend your wrist. Stop if you feel any pain.
  • Stretch relevant muscles before beginning a possibly stressful activity by grasping the top part of your fingers and gently but firmly pulling them back toward your body. Keep your arm fully extended and your palm facing outward.
     

Caution!

To prevent a relapse:

  • Discontinue or modify the action that is causing the strain on your elbow joint. If you must continue, be sure to warm up for 10 minutes or more before any activity involving your arm, and apply ice to it afterward. Take more frequent breaks.
  • Try strapping a band around your forearm just below your elbow. If the support seems to help you lift objects such as heavy books, then continue with it. Be aware that such bands can cut off circulation and impede healing, so they are best used once tennis elbow has disappeared.

Call Your Doctor If....

  • The pain persists for more than a few days; chronic inflammation of the tendons can lead to permanent disability.
  • The elbow joint begins to swell; tennis elbow rarely causes swelling, so you may have another condition such as arthritis, gout, infection or even a tumor.

Recent Patient Profiles

Tennis Elbow Patient
"...Though I'm fairly young, I have been afflicted with tennis elbow for several years, and had become accustomed to tolerating moderate pain almost constantly throughout the summer months when my outdoor activities are at their peak.

Then I started a new job, requiring me to keyboard for almost an entire eight hour workday. With the addition of long hours of data entry at a computer, I was now feeling pain down into my wrist and hand as well even to the point of being awakened from sleep whenever I moved. It hurt to turn the ignition key in my car, it hurt to use hairspray, it hurt to do anything with my right hand.

Preparing to visit my doctor for help, I did an Internet search for "tennis elbow" and found my way to the Penetrex website. I was very skeptical, but ordered Penetrex because of the no-risk guarantee. I applied the cream twice per day, once in the morning immediately after showering and once in the evening before bedtime.

To my surprise and delight within one week I had considerable relief from the pain. After one more week, I can honestly say my pain was hardly noticeable. The only change in my activities was the addition of the Penetrex. Penetrex is awesome, I recommend it highly!..."

Kimberly P.
Novi, Michigan


Tennis Elbow Patient
"...Thank you so very much for your speedy delivery of the Penetrex. My daughter's elbow/arm has really improved since using the cream..."

Molly L.
North Berwick, Scotland


Tennis Elbow Patient
"...I was suffering from tennis elbow due to typing at work. I looked thru the internet for some aids for the tennis elbow and found Penetrex. I ordered and only used it a few times before I fell and broke the arm with the tennis elbow. That is one way to cure it!

However, I also ordered a 2nd bottle for my dad who suffers in the hip with arthritis. Or so we thought. He used the cream and it gave him great relief. So much so he has reordered from you several times.

My father found out in September he is dying from cancer...currently he is on Hospice. He has several cancers including bone cancer. This is probably the "arthritis" he has thought he had for years. I am writing you to let you know your product is one of the few that helps relieve the pain.

He uses it in the morning and nights and it has definitely helped. I was not sure if anyone had ever told you that it helped relieve this pain, but I thought you should know. Today I ordered another two jars for him. They are not a cure, but thank you for a product that has over this time period given him some pain relief...."

Ruthanne L.
Gaithersburg, Maryland


Tennis Elbow Patient
"...I received my jar of Penetrex at the end of last week and have used it for a few days and I have to tell you that the tennis elbow problem I have been suffering with for the last six weeks seems to have almost disappeared.

Up to last week I couldn't lift an iron without pain and making beds or blow-drying my hair really aggravated the problem. Thank you very much.

I have since given some to my elderly friend to rub on her arthritic knees, so will be interested to see the results..."

Corina M.
Singapore


Tennis Elbow Patient
"...A product I purchase which is not effective is expensive at ANY price. One which relieves my discomfort by healing the problem with regards to my tennis elbow is a bargain at under a thousand bucks. Penetrex falls into the latter category…and at 20 bucks it is the bargain of the century.

I didn’t send this e-mail because I want you to raise your price. I say it because I wanted you to pass this letter along to the developer of Penetrex. Tell him that until I discovered his product I spent about 2 thousand dollars over the last 3 or 4 years on braces, splints, magnets, cortisone shots and acupuncture and none of them achieved the success that his product did in about 2 weeks..."

Paul K.
Woodbridge, Illinois


Tennis Elbow Patient
"...I have been suffering with tennis elbow for 8 long months. After 2 weeks of using your Penetrex I am pain free. It seems so hard to believe. I read the testimonials on your web site and I decided I had nothing to lose, so I ordered a jar.

I have tried everything else. I play tennis 6 days a week. I have been taking 2400 mgs of ibuprofen a day in order to play. I ice my elbow at least 3-4 x a day. I've had cortisone shots, oral steroids and even acupuncture.

I can't understand how or why this cream works but in my case it does. I applied the cream almost every 2 hours for the first week, and then gradually tapered off to 4x a day. I have been wrapping my arm with the cream and an ace bandage at night, and I am waking up in the morning with no stiffness or pain whatsoever.

I have been playing tennis for a week now without pain, and 3 days now without my tennis elbow band, my arm feels so free! I just ordered another 3 jars, there's no way I will be without this cream. Thank you for such a wonderful product!..."

Robin L.
Honolulu, Hawaii


Tennis Elbow Patient
"...Thanks for the tub of Penetrex - I call it my 'magic cream' because it works like magic!! The tennis elbow has cleared and I'm now no longer in any pain whatsoever. Amazing stuff - How does it work? I don't know. I'm able to continue with my sporting activities without any problems - I'll be back for another tub of 'magic cream' soon. PS - TELL THE DOCTOR HE BETTER NOT STOP MAKING IT!!!..."

Adrienne P.
Parkside, Australia


Tennis Elbow Patient
"...Well, I'm now a member of the believers club. This stuff works. On a scale of 1-10, 10 being extremely hurtful, my elbow was a 9.5 at the time of the 1st application. After my 4th application the pain is almost gone, now at about a 1 or a 2 on my subjective pain scale.

That is a lot of improvement in less than 24-hrs. I've been putting up with this tennis elbow for over a week before I found your Penetrex website. Sure glad I took a chance on your product..."

Gary W.
Broken Arrow, Oklahoma


Tennis & Golfer's Elbow Patient
"...Just a note to say thank you. I was suffering from tennis elbow and golfers elbow in both arms following years of bad posture and abuse using a computer for work. The arrival of RSI was a shock despite the fact that I had swapped mouse hands from left to right almost a year earlier because of discomfort in my right forearm.

I started with constant pain and tingling in my forearms and elbows in February this year. Then followed various intensive treatments which included, physio (little progress) osteopathy, homeopathy, acupuncture and cranial massage. I was getting a little better after 2 months but my arms seemed weaker (as I had stopped all sports and housework, driving etc. in order to rest my arms), and I still had almost constant pain.

I had hit the brick wall and despaired of full recovery. I decided to order your cream in early June. After 2 weeks of use my arms began to feel stronger and this teamed with ongoing treatment and deep massage seemed to have turned the corner for me.

It's now late July and although I still have the odd twinge I am well on the mend and am about to resume cycling and even a little computer work at the office. I feel as though I have my old life back.

I still use the cream 1 to 2 times a day and continue an exercise regimen which I hope will see me back to full recovery in the next few months. Penetrex made the difference at a crucial stage when I needed to move from holding the RSI at bay to recovery. Many thanks once again..."

Melissa H.
Cheshire, United Kingdom


Tennis Elbow Patient
"...I received it yesterday and it IS relieving the pain! Tell that chemist that I was in so much pain with my tennis elbow that I almost succumbed to "white man's medicine" for relief. Thank God I didn't need to. His cream has probably saved me from the knife.

I have had this problem for 4 months of excruciating pain. Massage and chiropractic have helped but not like Penetrex. I believe the tissue can now relax to heal. I am of the opinion that very little good can come from most creams, thank you for being the exception. I suspect I will need to reorder soon. I am even telling my customers about it and I rarely endorse anything..."

Carole M.
Heathsville, Virginia


Tennis Elbow Patient
"...I am writing to let you know that I received a jar of your cream last week (very quickly in the mail) and within 3 days was able to play tennis again. I couldn't pick up a mug of coffee without discomfort and was willing to try anything for relief.

I found your website while researching tennis elbow on the internet and felt that I had nothing to lose. Thanks for making such a terrific product. I have already told many fellow players that your cream helped me greatly..."

Constance F.
Lake Worth, Florida


Tennis Elbow Patient
"...I just want to let you know how wonderful your product is. I couldn't lift a coffee cup, a cortisone injection didn't work, nor did a trip to the physio and the pain was constant. At my wit's end I logged on to the net and in desperation ordered the cream.

Well, after two days of using it my elbow began to feel better. I was wearing a tennis brace on my forearm for normal activities as well. It's been a week and my elbow is getting better and better everyday. Just thought I'd send some feedback. Yours sincerely ..."

Liz W.
Auckland, New Zealand


 Over 125,000 Satisfied Clients Have Made Penetrex™ The World's #1 Topical Anti-Inflammatory

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