About tennis elbow
The medical term for tennis elbow is lateral epicondylitis because it affects the outside of your elbow bone, which is called the lateral epicondyle. The lateral epicondyle is the bony area you can feel on the outside of your elbow. Tennis elbow develops when the tendon that joins the muscles of your forearm to your upper arm bone (the humerus) tears or becomes inflamed. This tendon is called the common extensor tendoTennis elbow is a common condition that affects between one and three in 100 people.
Tennis elbow most often happens when you have repeatedly overused your arm. This overuse causes inflammation or tiny tears in the tendon. This may become worse if you continue doing the activity that triggered the pain and may cause a more serious tear or rupture your tendon.
Causes of tennis elbow
The most common cause of tennis elbow is repeated overuse of your arm. Playing tennis three times in a week when you haven’t played for some time is the sort of overuse that could cause tennis elbow. However, most people who develop tennis elbow haven’t been playing tennis. A range of different activities that involve repeated hand, wrist and forearm movements is more often the cause. This includes activities like using a screwdriver, using vibratory work equipment (such as a drill), or even using a keyboard.
Rarely, tendon damage can happen after a single and often minor incident, such as lifting something heavy or taking part in an activity which you don’t do very often, such as painting and decorating. These activities can cause a tear in your tendon.
Treating Musculo-skeletal Pain with Traditional Chinese Medicine
Pain conditions bring many people to a Traditional Chinese Medicine (TCM) clinic: back pain, knee pain, tennis elbow, the list goes on. Unfortunately, most of us can expect to suffer from pain at some point in our lives. Twelve percent of global population currently suffer from pain or discomfort that prevents at least a few of their activities, and low back pain is estimated to affect 60 to 80% of the population at least once in their life. The good news is that TCM can offer effective treatments.
Assessing your pain
Your first session will begin with an assessment of your pain; how long you’ve had it, what caused it, and what makes it better or worse. Your practitioner may also perform a range of motion test to determine how your pain is affecting your joint mobility.
Treating your pain
According to TCM, “where there is blockage, there is pain”. Most pain conditions are the result of some kind of blockage in the flow of Qi or Blood, so the treatment strategy is to open up the channels.
Acupuncture is very effective at “getting things unstuck”. It has two effects: first of all, it creates short-term pain relief by stimulating the release of serotonin and natural opiates and by creating electrical impulses that inhibit pain. Secondly, it encourages long-term healing and repair of the affected tissues by reducing inflammation, increasing blood circulation, and relaxing chronically tense muscles.
Herbs can also be used to open the channels, especially if the blockage is caused by a deficiency condition. They are also useful in nourishing tendons and ligaments. Keep in mind that not all pain is treated the same way. TCM always looks at the whole person, including their diet and lifestyle. So it’s not just a sore back that’s being treated, it’s your sore back. This means that the same kind of pain condition may be treated quite differently in different people.
The length of your course of treatments will depend largely on how long you’ve had your pain condition and how serious the condition is. As a very rough guide, you can expect one weekly treatment for every month you’ve had your condition.
You can expect that your pain level will decrease, even after a single treatment. It will likely return before your second treatment, but not always to the original level. After the second treatment, you can expect a greater reduction in pain and a longer lasting effect, and so on for each subsequent treatment.
A 1994 British study documented this analgesic effect in a group of patients with tennis elbow. After one treatment, 80% of acupuncture patients reported at least a 50% decrease in pain, compared to only 25% of patients in the control group3. Similarly, a recent meta-analysis of studies on acupuncture and low back pain found that patients were 2.3 times more likely to report improvement than control groups4.
At the same time, needling will heal the affected tissues. Over a course of treatments, acupuncture will resolve the underlying condition in addition to treating the pain. Many pain conditions are the result of sport injuries.
Many pain conditions are the result of sport injuries. You can reduce the likelihood of becoming injured by stretching regularly … every day or every other day. When you stretch, think “gentle” and think “sustained”. Stretch only to the point where you feel it, then hold for a slow count of 12. Don’t forget to relax and breathe as you do this! Stretching can become a rewarding daily ritual. Don’t be surprised to find it addictive.
Even if you are suffering from pain, gentle exercise is good for most conditions. Yoga, tai chi, walking, swimming or cycling can all be helpful … consult with your practitioner to find out what will work best for you.