Trigger Point Therapy - Treating Tennis Elbow

Lateral Epicondylalgia (Tennis Elbow) is more common than Medial Epicondylalgia (Golfer's Elbow) by a ratio of 9:1

Lateral Epicondylalgia (Tennis Elbow) can start as an annoying ache but rapidly degenerate into a debilitating problem, with pain on gripping, opening bottles or even on shaking hands.

Most people are surprised by just how bad the pain can be.

Elbow pain is often associated with ‘trigger points’ in the muscles of the lateral epicondyle of the elbow; especially the Lateral Head of Triceps and the Extensor Carpi Radialis Brevis tendon (1‐2 cm distal to its attachment on the lateral epicondyle).

Triceps Trigger Points

Triceps Trigger Points - Referred Pain

Triceps Trigger Points - Referred Pain

Triceps Trigger Points - Referred Pain

Lateral Epicondylalgia is more common than Medial Epicondylalgia (Golfer's Elbow) by a ratio of 9:1 and although mostly referred to as Lateral Epicondylitis,

LE is generally NOT an inflammatory condition.

Microscopic evaluation of the tendons does not show signs of inflammation, but rather angiofibroblastic degeneration and collagen disarray.

Light microscopy reveals both an excess of fibroblasts and blood vessels that are consistent with new blood vessels (angiogenesis).

LE is in fact most often due to repetitive micro-tears in the zone especially where the tendon of the muscle meets the bone (musculotendinous junction) - this is because the tendons are relatively close to the tendon insertion.

Do not perform the trigger point therapy techniques shown unless they fall within your professional scope of practice.

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