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Epicondylitis (Tennis elbow)

Epicondylitis is a typical painful syndrome that in most of the cases recognizes an overload pathogenesis and frequently affects tennis players, golfers, baseball players and fencers.

At first you feel pain only during exercise, or palpation the lateral epicondyle; after that the pain also occurs at rest and in the everyday life in simple gestures such as shaking hands, raise a bottle or turn a handle.

The diagnosis is essentially clinical. The doctor during the visit will then take specific clinical tests. He may also ask a muscle tendon ultrasound or magnetic resonance imaging (MRI).

The first treatment chosen is always conservative. In the acute phase you will be advised to rest for about 20 days from the activity thought to have caused the symptoms, local physical therapy accompanied by stretching exercises and massage to relax.

The gradual resumption of the sport activity will take place only after strengthening the flexor muscles of the shoulders. In case of recurrent chronic pain, also the shock waves can be added to the treatment.

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