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  • Adam R Whatley Osteopath

Tennis Elbow (Epicondylitis)


Tennis elbow is a common condition where you have pain on the outer side of the elbow where the muscle tendons attach onto the bone. It is commonly caused by overuse and repetition, causing damage to tendons. The medical term for tennis elbow is 'lateral epicondylitis'. For most people with tennis elbow, the pain only occurs when they use their forearm and wrist, particularly for twisting movements such as using a screwdriver or opening a jar. However, for some people the pain is constant and can even affect sleep. Tennis elbow has also been associated with occupations that require vibration tool or even drivers. The pain may travel down your arm from your elbow towards your wrist. You may find it difficult to hold items such as a knife or fork, a cup or a pen, or to straighten your arm fully. Some people also notice a stiffness in the affected arm. Golfer's elbow is the name given to a similar condition that produces pain around the inner side of your elbow.

Tennis Elbow treatment. Dynamic Osteopaths Solihull


The most common overuse injury at the elbow. Commonly associated with racket sports and office workers due to repetitive tension on to the tendon.

  • Overuse

  • Manual work

  • Racket sports

  • Vibration

  • Shoulder restriction


  • Pain on outside of elbow

  • Pain on gripping

  • Pain on gripping with an outstretched arm


Most frozen shoulders improve over time, but it is a condition which is notorious difficult to treat. However, the pain and limitations of the stiff frozen shoulder generally require treatment. The treatment required depends on the severity of the pain and stiffness. These include:

  • Painkillers and anti-inflammatory medications only provide short term relief.

  • Osteopathic Treatment and physical rehabilitation aims to keep the elbow tendon strong, with further aims to reduce pain and weakness.

  • If conservative treatment fails then you may be offered a cortisone steroid injection into the area to help reduce inflammation and control the pain. However, it should be noted that these in most cases only offer short term relief and Is not a solution long-term. Furthermore, it should also be noted that steroid injection can infect cause tendon damage with repeated injections.

  • Platelet rich plasma (PRP) Treatment is a very popular natural non-surgical treatment aiming to restore function and reduce pain. Also, a popular form of regenerative medicine which is used to preserve and restore tendon health.


Platelet-rich plasma (PRP) is a very popular ortho-biologic treatment use in regenerative medicine. Ortho-biologics are substances that occur naturally in the human body. When extracted, concentrated and injected back into the body, these substances activate the body’s own healing mechanisms. PRP treatment is performed by taking a small sample of the patient’s blood, extracting the platelets are then further contacting them before they are used to speed up healing and recovery. PRP injections are very commonly used to facilitate the body’s self-healing mechanisms, and the clinical outcomes are very good. Furthermore, it is completely natural and associated with minimal downtime. PRP has been shown in scientific research to be very effective for treating multiple cases of tendonitis, especially tennis elbow. PRP has been shown in scientific research to be very effective for treating mild to moderate osteoarthritis, without the risks and expense of surgery. Most patients here at Dynamic Osteopaths & Regenerative Medicine report minimal discomfort associated with the injection. Also, go on to report significant improvement that occurs in the subsequent weeks. A recent study demonstrates that platelet-rich plasma treatment can produce collagen and growth factors, which increases stem cells and consequently enhances the healing. 

Clinical evidence and studies:

Further specific strengthening exercises can be adopted when tolerated


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