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It is important to recognise which movements tend to bring on the pain and avoid these as much as possible.
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How to treat tennis elbow Modifying activities that bring on your symptoms The specialist may suggest tests such as a magnetic resonance imaging (MRI) scan. Tests are not usually needed to diagnose tennis elbow but if, after a few months, the symptoms are not improving then a specialist referral might be suggested. Moving the wrist in a particular way ill also usually bring on your pain.

Tennis elbow can usually be diagnosed by a clinician asking questions about the symptoms and by examining the arms It is typical to experience pain when the clinician examines the outer part of the elbow. In most people, tennis elbow affects the arm used to write with (the dominant arm). However, despite being called tennis elbow, racquet sports are only thought to be the cause in about 5 in 100 cases. Playing tennis or other racquet sports can also cause tendon injuries. This damage is usually caused by overuse of the forearm muscles in repeated actions such as wringing clothes or manual work (particularly with twisting movements such as using a screwdriver). The pain is thought to be caused by swelling or thickening of the tendon initially and eventually degeneration (wearing) of the tendon. The site of the pain in tennis elbow is where some tendons from the forearm muscles attach to the bone around the elbow. Golfer's elbow is the name given to a similar condition that produces pain around the inner side of your elbow, also known as medial epicondylitis. Some people also notice a stiffness in the affected arm.

It may be difficult to hold items such as a knife or fork, a cup or a pen, or to straighten the arm fully. The pain may travel down your arm from the elbow towards the wrist. However, for some people the pain is constant it occurs at rest and can affect their sleep. For most people with tennis elbow, the pain only occurs when they use their forearm and wrist, particularly for twisting movements such as turning a door handle or opening a jar.
