Tennis Elbow & Tendon Injury Treatment in Wakad

Tennis elbow, medically known as lateral epicondylitis, is a painful condition caused by overuse and micro-tearing of the tendons that attach the forearm extensor muscles to the bony prominence on the outer side of the elbow (lateral epicondyle). Despite its sporting name, tennis elbow is far more common in non-athletes. Repetitive hand and wrist movements — typing, mouse use, cooking, wringing, painting, and manual labour — are the primary causes. The condition results in pain on the outer elbow that worsens with gripping, lifting, or turning motions. At Star Ortho & Women Care, we see this condition frequently among IT professionals, homemakers, and manual workers in the Wakad and Hinjewadi areas.

While tennis elbow affects the outer elbow, golfer's elbow (medial epicondylitis) affects the inner aspect where the forearm flexor tendons attach. Symptoms include pain on the inner elbow, weakness in grip strength, and discomfort with wrist flexion. We also manage other common tendon conditions including De Quervain's tenosynovitis (pain at the base of the thumb), Achilles tendinopathy, and patellar tendinitis. These conditions share a common underlying mechanism of overuse and repetitive strain, and respond to similar treatment principles: load management, progressive rehabilitation, and targeted injections when needed.

Tennis elbow is primarily a clinical diagnosis. Dr. Kalekar performs specific provocation tests including the Cozen's test (resisted wrist extension with the elbow extended), Mill's test, and grip-strength assessment to confirm the diagnosis and assess severity. Tenderness is characteristically localised over the lateral epicondyle. X-rays are generally normal but may be performed to rule out other conditions. Ultrasound evaluation can reveal tendon thickening, tears, or calcification in chronic cases. MRI is rarely needed but may be used in atypical presentations or when other diagnoses such as radial tunnel syndrome need to be excluded.

Our treatment approach follows a progressive pathway. Initial management focuses on activity modification — reducing the aggravating movements — and ergonomic correction for desk workers. A counterforce brace (tennis elbow strap) worn just below the elbow can significantly reduce tendon loading during activities. Ice application and short courses of anti-inflammatory medication help manage acute flare-ups. Structured physiotherapy with eccentric strengthening exercises is the most evidence-based long-term treatment. For persistent symptoms, we offer targeted injections — corticosteroid injections for rapid short-term relief, and autologous blood or PRP (Platelet-Rich Plasma) injections for chronic, refractory cases to promote tendon healing.

Preventing recurrence is as important as treating the current episode. For IT professionals, we recommend ergonomic keyboard and mouse positioning, regular micro-breaks during prolonged computer use, and forearm stretching exercises. For homemakers and manual workers, we advise on proper grip technique, using tools with padded handles, and distributing load across both hands. Strengthening the forearm extensors through progressive resistance exercises helps build tendon resilience against future overuse. We provide all patients with a home exercise programme and ergonomic checklist tailored to their specific activities and occupation.

Common questions about tennis elbow and tendon conditions.

• What causes tennis elbow? Repetitive forearm extensor use — typing, mouse use, cooking, manual work — causes micro-tearing of the tendon.
• How long to heal? Most cases improve in 6–12 weeks with appropriate treatment; chronic cases may take longer.
• Is surgery needed? Rarely — over 90% of patients respond to conservative management and injections.
• Can I continue working? Yes, with ergonomic modifications, bracing, and activity breaks.
• Tennis elbow vs. golfer's elbow? Tennis elbow affects the outer elbow (extensors); golfer's elbow affects the inner elbow (flexors).