हिंदी
💪

टेनिस एल्बो

Tennis Elbow

कोहनी का दर्द - संपूर्ण गाइड और इलाज

Lateral Epicondylitis - Complete Guide & Treatment

हिंदी टेक्स्ट
English text
हिंदी English
हिंदी
👥 1-3% लोग प्रभावित Population Affected
🎂 30-50 साल - Peak Age Years - Peak Age
90% बिना Surgery ठीक Heal Without Surgery
6-12 महीने Recovery Months Recovery
🔬

Tennis Elbow क्या है?

What is Tennis Elbow?

सरल भाषा में: Tennis Elbow कोहनी के बाहरी हिस्से में tendons की सूजन और micro-tears की condition है। Medical name: Lateral Epicondylitis।

🎯 Important Fact!

सिर्फ Tennis players में ही नहीं! 95% Tennis Elbow patients tennis नहीं खेलते। किसी भी repetitive arm movement से हो सकता है - painting, typing, carpentry, plumbing!

✅ Normal Elbow

  • Healthy tendons - मजबूत
  • कोई inflammation नहीं
  • Full range of motion
  • Strong grip strength
  • Pain-free movement

❌ Tennis Elbow

  • Tendons में micro-tears
  • Inflammation (सूजन)
  • कोहनी में दर्द
  • Weak grip - कमजोर पकड़
  • Movement में दर्द

🦴 कैसे होता है - Anatomy:

Lateral Epicondyle: कोहनी के बाहर की हड्डी का उभार

Extensor Tendons: Forearm की muscles को हड्डी से जोड़ते हैं

Main Affected: ECRB (Extensor Carpi Radialis Brevis) tendon

Problem: Repetitive wrist extension → Tendon पर micro-tears → Inflammation → Pain!

📊 Key Statistics:

1-3%आबादी
प्रभावित
30-50साल
Peak Age
50%दोनों हाथ
में हो सकता
95%Non-tennis
patients

⚠️ Common Misconceptions:

  • Myth: सिर्फ tennis players को होता है। Fact: किसी को भी हो सकता है!
  • Myth: Rest से 2-3 weeks में ठीक। Fact: 6-12 महीने लग सकते हैं।
  • Myth: Surgery जरूरी है। Fact: 90% conservative treatment से ठीक।
  • Myth: Activity बंद करनी पड़ेगी। Fact: Modify करके continue कर सकते हैं।

Simply: Tennis Elbow is inflammation and micro-tears of tendons on outside of elbow. Medical: Lateral Epicondylitis.

🎯 Important!

Not just tennis players! 95% don't play tennis. Any repetitive arm movement can cause it - painting, typing, carpentry!

✅ Normal Elbow

  • Healthy tendons
  • No inflammation
  • Full motion
  • Strong grip
  • Pain-free

❌ Tennis Elbow

  • Tendon micro-tears
  • Inflammation
  • Elbow pain
  • Weak grip
  • Painful movement

📊 Key Stats:

1-3%Population
30-50Peak Age
95%Non-tennis
🩺

लक्षण कैसे पहचानें?

Symptoms & Diagnosis

🚨 Main Symptom: कोहनी के बाहर दर्द!

खासकर grip करने, wrist extend करने या lifting में। धीरे-धीरे बढ़ता है।

🔴 Common Symptoms:

😣

कोहनी में दर्द

बाहरी हिस्से में! Lateral epicondyle पर। Touch करने पर tender। कभी forearm में भी फैल सकता। आराम से better, activity से worse।

🤏

Weak Grip

पकड़ कमजोर! Coffee cup उठाने में दर्द। Handshake में problem। Door handle घुमाना मुश्किल। Objects गिर जाते हैं।

🔧

Activity में दर्द

Wrist extend करने पर। Gripping activities। Lifting objects। Twisting movements (screwdriver)। Repetitive tasks।

🌅

सुबह में Stiffness

Morning में कोहनी stiff। First movement में दर्द। Gradually loosens up। Night में भी दर्द हो सकता (severe cases)।

📉

Progressive Worsening

धीरे-धीरे बढ़ता है। Weeks to months। अगर ignore करें तो severe हो सकता। Early treatment important!

🔴

Burning Sensation

कोहनी के बाहर जलन। खासकर activity के बाद। Forearm में radiating pain। Night में भी हो सकता।

🔍 Clinical Tests - Doctor ये Tests करते हैं:

👨‍⚕️

Cozen's Test

Wrist extend करने को कहते हैं (resistance के साथ)। अगर elbow में दर्द = Positive! सबसे common test।

Mill's Test

Doctor wrist को flex करते हैं (elbow straight रख के)। Lateral epicondyle में दर्द = Positive।

🤝

Grip Strength Test

Dynamometer से grip measure करते हैं। Affected side weak होता। Comparison with other hand।

📷

Imaging (कभी-कभी)

Usually नहीं! X-ray: Rule out arthritis। MRI: Severe cases में। Ultrasound: Tendon tears देखने।

🏠 घर पर Self-Test:

Coffee Cup Test: भरा हुआ coffee cup उठाएं (arm straight)। अगर कोहनी में दर्द = Tennis Elbow की possibility!

Fist Test: मुट्ठी बांधें और wrist को ऊपर की तरफ bend करें। Pain = Positive sign।

⚠️ Note: यह सिर्फ indication है - proper diagnosis के लिए doctor से मिलें!

⚠️ Differential Diagnosis - ये भी हो सकते हैं:

  • Golfer's Elbow - अंदर की तरफ दर्द (medial epicondylitis)
  • Radial Tunnel Syndrome - Nerve compression
  • Cervical Radiculopathy - Neck से referred pain
  • Arthritis - Joint inflammation
  • Bursitis - Bursa की सूजन

🚨 Main: Outer Elbow Pain!

Especially with gripping, wrist extension, lifting. Gradual onset.

🔴 Symptoms:

😣

Elbow Pain

Outer side! Lateral epicondyle tender. May radiate to forearm. Worse with activity.

🤏

Weak Grip

Pain lifting coffee cup. Difficulty with handshake. Door handles hard. Objects drop.

🔧

Activity Pain

Wrist extension hurts. Gripping activities. Lifting. Twisting (screwdriver).

📉

Progressive

Gradually worsens. Weeks to months. Severe if ignored. Early treatment key!

🔍 Clinical Tests:

👨‍⚕️

Cozen's Test

Resist wrist extension. Pain at elbow = Positive! Most common test.

📷

Imaging

Usually NOT needed! X-ray for arthritis. MRI for severe cases.

🔍

कारण क्या हैं?

Causes & Risk Factors

⚡ Main Cause: Repetitive Overuse!

Wrist और forearm की repeated movements से tendon पर micro-tears। Body repair नहीं कर पाती क्योंकि continuous use। Result: Chronic inflammation और pain!

🎯 High-Risk Activities:

🎾

Racquet Sports

Tennis, Badminton, Squash! Poor backhand technique। Heavy racquet। Tight strings। Late swing timing। 50% recreational tennis players में risk!

🎨

Painters

बहुत high risk! Repetitive wrist movements। Brush strokes। Roller painting। Long hours। Poor technique। Holding heavy paint cans।

🔨

Manual Workers

Carpenters, Plumbers, Mechanics। Repetitive tool use। Screwdrivers, hammers, wrenches। Vibrating tools। Heavy lifting।

💻

Computer Users

Poor keyboard/mouse ergonomics। Hours of typing। Improper wrist position। No breaks। Gaming (repetitive clicking)।

👨‍🍳

Chefs/Cooks

Chopping, stirring, lifting pots। Repetitive wrist movements। Heavy pans। Long shifts। Poor technique।

✂️

Others

Hairdressers (scissors)। Gardeners (pruning)। Musicians (violin, guitar)। Assembly line workers। Butchers।

🎯 Risk Factors:

🎂

Age 30-50 साल

Peak age group! Tendons की natural degeneration। Reduced healing capacity। Accumulated wear and tear over years।

⚖️

Poor Technique

Improper form in sports। Wrong grip। Poor body mechanics। Compensatory movements। Lack of training।

💪

Weak Muscles

Forearm weakness। Poor shoulder stability। Imbalanced strength। Lack of conditioning। Sudden increase in activity।

Duration & Frequency

2+ hours daily repetitive activity = high risk। No rest breaks। Continuous strain। Overuse without recovery।

🚬

Smoking

Reduces blood flow to tendons। Slower healing। Increased inflammation। Higher risk और worse outcomes।

🔧

Equipment Issues

Wrong racquet size/weight। Vibrating power tools। Improper keyboard height। Poor chair/desk setup।

🎯 Occupational Risk - सबसे ज्यादा risk:

  • 🎨 Painters/Decorators - 15-20% prevalence!
  • 🔨 Carpenters - 10-15%
  • 👨‍🍳 Chefs/Butchers - 8-12%
  • 💻 Computer Workers - 5-10%
  • 🎾 Tennis Players - केवल 5% cases!

⚠️ When Risk Highest:

  • नया job/activity शुरू करना
  • Sudden increase in intensity या duration
  • Poor warm-up या technique
  • Fatigue की condition में continue करना
  • Previous injury का history

⚡ Main Cause: Repetitive Overuse!

Repeated wrist/forearm movements cause tendon micro-tears. Body can't repair due to continuous use. Result: Chronic inflammation!

🎯 High-Risk Activities:

🎾

Racquet Sports

Tennis, Badminton. Poor backhand. Heavy racquet. 50% recreational players risk!

🎨

Painters

Very high risk! Repetitive brush strokes. Long hours. Heavy paint cans.

🔨

Manual Workers

Carpenters, Plumbers, Mechanics. Repetitive tools. Vibrating equipment.

💻

Computer Users

Poor ergonomics. Hours typing. Improper wrist position. Gaming.

🎯 Risk Factors:

🎂

Age 30-50

Peak group! Natural tendon degeneration. Reduced healing capacity.

⚖️

Poor Technique

Improper form. Wrong grip. Poor mechanics. Lack of training.

💪

Weak Muscles

Forearm weakness. Poor conditioning. Sudden activity increase.

💊

इलाज कैसे होता है?

Treatment Options

✅ अच्छी खबर!

90% cases बिना surgery के ठीक होते हैं! Conservative treatment से 6-12 महीने में recovery। Patience जरूरी है!

🏆 Treatment Approach - Step by Step:

Phase 1: Acute Phase (0-6 weeks)

😴

Rest & Activity Modification

सबसे जरूरी! Painful activities reduce करें। Complete rest नहीं - relative rest। Alternative hand use करें। Work modifications।

🧊

Ice Therapy

15-20 min, 3-4 times daily। खासकर activity के बाद। Towel में wrap करें। Direct skin पर नहीं। First 2-3 weeks crucial!

💊

NSAIDs

Ibuprofen या Naproxen। Pain और inflammation reduce। Short-term use (2-3 weeks)। Doctor की सलाह से। Dosage: As prescribed।

🎗️

Elbow Brace/Strap

बहुत effective! Counterforce brace। Tendon पर pressure reduce। Daily activities में पहनें। ₹300-1500। 2-3 cm below elbow पर!

Phase 2: Recovery Phase (6 weeks - 3 months)

🏃

Physical Therapy

Core of treatment! Stretching exercises। Strengthening program। Manual therapy। Ultrasound therapy। 2-3 sessions/week, 8-12 weeks।

Advanced Therapies

PRP Injections: Platelet-rich plasma। Healing promote। ₹5000-15000। Shockwave Therapy: ESWT। Non-invasive। 3-5 sessions।

💉

Cortisone Injection

Short-term relief! Severe pain में। Maximum 2-3 injections। 3 months apart। Long-term नहीं - tendon weaken कर सकता।

Phase 3: Return to Activity (3-6 months)

💪

Progressive Loading

Gradually activity बढ़ाएं। Eccentric exercises। Strength building। Sport-specific training। Technique correction।

🎯

Ergonomic Changes

Workplace modifications। Proper equipment। Technique training। Regular breaks। Posture correction।

🔪 Surgery (Last Resort - केवल 10%):

⚠️ Surgery सिर्फ अगर:

  • 6-12 महीने conservative treatment fail
  • Severe pain जो daily life affect करे
  • Imaging में significant tendon damage
  • Other treatments से कोई improvement नहीं

Procedure: Damaged tendon tissue remove। Reattach healthy tendon। Recovery: 4-6 months। Success rate: 80-90%।

✅ Treatment Success Tips:

  • Patience! Recovery slow है - 6-12 महीने normal
  • Exercises daily करें - consistency key
  • Brace regularly use करें
  • Avoid painful activities शुरू में
  • Gradual return - जल्दबाजी न करें
  • Technique improve करें

💰 Treatment Cost Estimate:

Doctor Consultation: ₹500-1500

Elbow Brace: ₹300-1500

NSAIDs: ₹50-300/month

Physical Therapy: ₹500-1000/session × 12-24 = ₹6000-24000

PRP Injection: ₹5000-15000

Surgery: ₹30,000-1,00,000

Total (Non-surgical): ₹10,000-40,000 typically

✅ Good News!

90% heal without surgery! Conservative treatment, 6-12 months recovery. Patience needed!

🏆 Treatment Phases:

Phase 1: Acute (0-6 weeks)

😴

Rest

Most important! Reduce painful activities. Relative rest - not complete. Modify work.

🧊

Ice

15-20 min, 3-4x daily. After activity. First 2-3 weeks crucial!

🎗️

Elbow Brace

Very effective! Counterforce brace. Reduces tendon pressure. ₹300-1500. Wear 2-3cm below elbow!

Phase 2: Recovery (6 weeks - 3 months)

🏃

Physical Therapy

Core treatment! Stretching, strengthening, manual therapy. 2-3x/week, 8-12 weeks.

Advanced

PRP injections (₹5000-15000). Shockwave therapy. 3-5 sessions.

🔪 Surgery (10% only):

Only if 6-12 months conservative treatment fails. Recovery: 4-6 months. Success: 80-90%.

🏋️

घर पर Exercise

Home Exercises & Rehabilitation

💪 सबसे Important Treatment!

Exercises ही long-term cure हैं! Regular stretching और strengthening से tendon heal होता और recurrence prevent होता। रोज 2-3 बार करें!

⚠️ Before Starting:

  • Acute pain कम होने के बाद start करें (2-3 weeks)
  • Gentle stretching से शुरू करें
  • Pain के साथ push न करें - discomfort OK, pain नहीं
  • Progressive overload - धीरे-धीरे intensity बढ़ाएं

🎯 Stretching Exercises (Daily - 2-3x):

🤚 1. Wrist Extensor Stretch

कैसे करें:

  • Arm को सामने सीधा रखें (elbow straight)
  • Palm नीचे की तरफ
  • दूसरे हाथ से fingers को नीचे की तरफ खींचें
  • Forearm के बाहर में stretch feel होगा
  • Hold: 20-30 seconds
  • Reps: 3 times, 2-3x daily

Benefit: Extensor muscles stretch होती हैं - main affected area!

🤲 2. Wrist Flexor Stretch

कैसे करें:

  • Arm सीधा, palm ऊपर की तरफ
  • दूसरे हाथ से fingers नीचे खींचें
  • Forearm के अंदर में stretch
  • Hold: 20-30 seconds
  • Reps: 3 times

Why: Balance के लिए - दोनों sides stretch जरूरी!

🔄 3. Forearm Rotation Stretch

कैसे करें:

  • Elbow को 90° bend करें
  • Forearm को slowly rotate करें (palm up to palm down)
  • Full range of motion
  • Reps: 10 rotations each direction

💪 Strengthening Exercises (Pain-free होने के बाद):

⬆️ 4. Wrist Extension (Eccentric)

कैसे करें:

  • Forearm को table पर रखें (palm down, wrist hanging off edge)
  • छोटा weight hold करें (500gm से start)
  • दूसरे हाथ से wrist को ऊपर लाएं
  • अब affected हाथ से धीरे-धीरे नीचे करें (5 seconds)
  • Reps: 10-15, 2 sets
  • Frequency: Daily या alternate days

⭐ Most Important Exercise! Eccentric loading tendon healing promote करती है।

5. Grip Strengthening

कैसे करें:

  • Stress ball या tennis ball squeeze करें
  • Hold: 5 seconds
  • Reps: 10-15, 2-3 sets
  • Gradually harder balls use करें

Progress: Hand gripper use कर सकते हैं later।

🔧 6. Forearm Pronation/Supination

कैसे करें:

  • Hammer hold करें (या similar weighted object)
  • Elbow 90° पर, forearm supported
  • Slowly rotate thumb up to thumb down
  • Controlled movement
  • Reps: 10 each direction, 2 sets

👊 7. Wrist Flexion Strengthening

कैसे करें:

  • Forearm table पर, palm up
  • Light weight hold करें
  • Wrist को curl करें (up towards ceiling)
  • Reps: 10-15, 2 sets

Balance: दोनों muscle groups strong होने चाहिए!

🎯 Advanced Exercises (3+ months):

🎾 8. Resistance Band Exercises

Wrist Extension with Band:

  • Resistance band को step करें
  • Band का दूसरा end हाथ में
  • Wrist extend करें (upward)
  • Controlled return
  • Reps: 15-20, 2-3 sets

✅ Exercise Guidelines:

  • Progression: Week 1-2: Stretching only। Week 3-4: Add light strengthening। Week 5+: Progressive loading।
  • Frequency: Stretching 2-3x daily। Strengthening daily या alternate days।
  • Weight: 500gm-1kg से start। Gradually increase।
  • Pain Rule: Mild discomfort OK, sharp pain = stop!
  • Warm-up: 5 min gentle movement या warm towel।
  • Ice After: Exercises के बाद 10-15 min ice।

⚠️ Exercise DON'Ts:

  • Pain के through push न करें
  • बहुत heavy weights शुरू में नहीं
  • Jerky movements avoid करें
  • Warm-up के बिना नहीं
  • Daily exercises skip न करें

📊 Progress Tracking:

Week 1-2: Pain में कमी। Daily activities easier।

Week 4-6: Grip strength improve। Less morning stiffness।

Week 8-12: Significant improvement। Most activities pain-free।

Month 3-6: Near normal। Return to previous activities।

Month 6-12: Full recovery। Prevention exercises continue।

💪 Most Important Treatment!

Exercises are long-term cure! Regular stretching & strengthening heal tendon, prevent recurrence. Do 2-3x daily!

🎯 Stretching (Daily 2-3x):

🤚 Wrist Extensor Stretch

  • Arm straight ahead, palm down
  • Other hand pulls fingers down
  • Feel stretch in outer forearm
  • Hold 20-30 seconds
  • 3 times, 2-3x daily

Main affected area!

💪 Strengthening (After pain-free):

⬆️ Wrist Extension (Eccentric)

  • Forearm on table, palm down, wrist off edge
  • Hold small weight (start 500gm)
  • Use other hand to lift wrist up
  • Slowly lower with affected hand (5 sec)
  • 10-15 reps, 2 sets
  • Daily or alternate days

⭐ Most important! Eccentric loading promotes healing.

Grip Strengthening

  • Squeeze stress/tennis ball
  • Hold 5 seconds
  • 10-15 reps, 2-3 sets
  • Progress to harder balls
🛡️

दोबारा कैसे रोकें?

Prevention & Return to Activity

🎯 Prevention is Critical!

30-50% cases recur अगर precautions नहीं लिए। सही prevention strategy से permanent cure possible!

🛡️ Prevention Strategies:

💪

Strength Maintenance

  • Continue exercises forever!
  • Maintenance program: 2-3x/week
  • Both forearm flexors और extensors
  • Grip strength maintain करें
  • Never completely stop!
⚖️

Proper Technique

  • सबसे important!
  • Sports: Coach से technique check
  • Work: Ergonomic assessment
  • Two-handed backhand in tennis
  • Avoid wrist-dominant movements
🎾

Equipment Modification

  • Tennis: Larger grip size, softer strings, lighter racquet
  • Work: Ergonomic keyboard/mouse, adjustable chair
  • Tools: Padded handles, anti-vibration
  • Regular equipment check
🔄

Regular Breaks

  • 50-10 Rule: हर 50 min काम, 10 min break
  • Stretch during breaks
  • Change positions frequently
  • Avoid prolonged repetitive tasks
🏃

Warm-up & Cool-down

  • 5-10 min warm-up before activity
  • Gentle forearm rotations
  • Wrist circles
  • Light stretching before work/sports
  • Ice after intense activity
🎗️

Counterforce Brace

  • Use during high-risk activities
  • Sports या heavy work में
  • Prevention में भी effective
  • First sign of pain पर use करें

🎾 Return to Sports/Work - Gradual Plan:

📅 Progressive Return (सिर्फ pain-free होने के बाद):

Stage 1 (Weeks 1-2):

  • Very light activity - 25% intensity
  • Short duration - 10-15 min
  • Daily monitoring for pain
  • Ice after activity

Stage 2 (Weeks 3-4):

  • Moderate activity - 50% intensity
  • 20-30 min sessions
  • 3-4 days/week
  • Continue exercises

Stage 3 (Weeks 5-8):

  • Normal activity - 75% intensity
  • 30-45 min sessions
  • Monitor for any recurrence
  • Technique focus

Stage 4 (Week 9+):

  • Full return - 100% intensity
  • Normal duration
  • Prevention strategies in place
  • Maintenance exercises continue

🔑 Rule: अगर pain return करे किसी भी stage पर, तो previous stage पर वापस जाएं।

✅ Long-term Prevention Checklist:

  • ☐ Forearm exercises 2-3x/week (lifetime)
  • ☐ Proper technique in sports/work
  • ☐ Equipment modifications done
  • ☐ Regular breaks during repetitive tasks
  • ☐ Warm-up before activities
  • ☐ Counterforce brace for high-risk activities
  • ☐ Ergonomic workspace setup
  • ☐ Early intervention if pain starts

🚨 Warning Signs - Immediate Action:

  • Elbow pain return होता है
  • Grip weakness notice होती है
  • Morning stiffness वापस आती है
  • Pain बढ़ता है activity के साथ
  • Difficulty with daily tasks

Action: तुरंत activity reduce। Ice therapy restart। Exercises intensity कम। अगर 1-2 weeks में better नहीं = doctor।

🎯 Work-Specific Prevention:

💻 Computer Workers

  • Keyboard at elbow height
  • Mouse close to body
  • Wrist neutral position
  • Ergonomic keyboard/mouse
  • Breaks every hour
  • Desk stretches

🎨 Manual Workers

  • Tool handle padding
  • Anti-vibration gloves
  • Proper tool size
  • Alternate hands when possible
  • Regular tool breaks
  • Strength training program

🎯 Prevention Critical!

30-50% recur without precautions. Right prevention = permanent cure!

🛡️ Prevention Strategies:

💪

Strength Maintenance

  • Continue exercises forever!
  • Maintenance: 2-3x/week
  • Both flexors & extensors
  • Never stop completely!
⚖️

Proper Technique

  • Most important!
  • Coach technique check
  • Ergonomic assessment
  • Two-handed backhand
🎾

Equipment

  • Tennis: Larger grip, softer strings, lighter racquet
  • Work: Ergonomic keyboard/mouse
  • Tools: Padded handles
🔄

Regular Breaks

  • 50-10 Rule: 50min work, 10min break
  • Stretch during breaks
  • Change positions

🎾 Return to Activity Plan:

Stage 1 (Weeks 1-2): 25% intensity, 10-15 min. Stage 2 (3-4): 50%, 20-30 min. Stage 3 (5-8): 75%, 30-45 min. Stage 4 (9+): 100%, full return with prevention.

अक्सर पूछे जाने वाले सवाल (FAQ)

Frequently Asked Questions (FAQ)

सभी / All
Basics
Symptoms
Treatment
Prevention

कितने time में ठीक होगा? / Recovery time?

Usually 6-12 महीने। Mild cases: 3-4 months। Severe: 12-18 months भी। Patience जरूरी! Slow healing condition है। Regular exercises और compliance = faster recovery। Complete rest करने से slow healing - active rehabilitation better!

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सिर्फ tennis players को होता है? / Only tennis players?

बिल्कुल नहीं! 95% patients tennis नहीं खेलते। सबसे ज्यादा: Painters (15-20%), Carpenters (10-15%), Computer workers, Chefs, Mechanics। किसी भी repetitive wrist/forearm movement से हो सकता। Name misleading है!

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कौन सी exercises सबसे जरूरी? / Most important exercises?

#1: Eccentric wrist extension! Forearm table पर, weight hold, धीरे-धीरे नीचे (5 sec)। यह सबसे effective - tendon healing promote। Daily करें। Plus: Wrist stretches (2-3x daily), Grip strengthening, Forearm rotations। Consistency is key - रोज करना जरूरी!

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क्या surgery जरूरी है? / Surgery needed?

केवल 10% में! Surgery last option है। पहले 6-12 months conservative treatment। Surgery सिर्फ अगर: Severe pain जो life affect करे, Failed conservative treatment, Significant tendon damage (MRI confirmed)। Recovery: 4-6 months। Success rate: 80-90%।

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Cortisone injection के बारे में? / About cortisone?

Short-term relief, not cure! Severe pain में helpful - 2-3 weeks relief। Maximum 2-3 injections (3 months apart)। Caution: Long-term में tendon weaken कर सकता। Exercises के साथ combine करें। Alternative: PRP injection better for healing (₹5000-15000)।

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Golfer's Elbow से कैसे different? / Vs Golfer's Elbow?

Location different! Tennis Elbow = बाहर (lateral), Extensor tendons। Golfer's Elbow = अंदर (medial), Flexor tendons। Tennis Elbow ज्यादा common (5x)। Treatment similar - rest, exercises, brace। Golfer's में wrist flexion hurt करता, Tennis में extension।

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क्या दोबारा हो सकता है? / Can it recur?

हाँ - 30-50% recurrence! अगर: Exercises बंद कर दें, Technique improve नहीं किया, जल्दी return to activity, Same mistakes repeat। Prevention: Lifetime exercises (2-3x/week maintenance), Proper technique, Equipment modifications, Regular breaks। Early intervention अगर pain start करे।

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Ice या heat - कौन better? / Ice or heat?

Acute phase (first 2-3 weeks): Ice! 15-20 min, 3-4x daily। Inflammation reduce करता। Chronic phase (2+ weeks): Heat may help। Warm-up के लिए। लेकिन ice generally safer - activity के बाद always ice। Never: Heat during acute inflammation।

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Computer work में prevention? / Computer work prevention?

Ergonomics crucial! Keyboard elbow height पर। Mouse close to body। Wrist neutral (not bent)। Ergonomic keyboard/mouse। Chair height adjust। Monitor eye level। Breaks: हर hour stretch। Wrist exercises। Switch mouse hand occasionally।

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इलाज का कुल खर्च? / Total treatment cost?

Conservative treatment: ₹10,000-40,000। Doctor consultations: ₹500-1500 × 3-5 visits। Brace: ₹300-1500। NSAIDs: ₹300-500। Physical therapy: ₹6000-24000 (12-24 sessions)। PRP injection (optional): ₹5000-15000। Surgery: ₹30,000-1,00,000। Most cases manage बिना surgery - cost effective!

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Doctor को कब दिखाएं? / When see doctor?

तुरंत अगर: Elbow pain 2+ weeks persist। Daily activities affect हो रहे। Grip strength significantly weak। Home treatment से relief नहीं। Swelling या redness। Pain बढ़ता जा रहा। Early diagnosis = faster recovery! Orthopedic या Sports Medicine specialist।

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Tennis में prevention tips? / Tennis prevention?

Equipment: Larger grip size, Softer strings (50-55 lbs), Mid-weight racquet। Technique: Two-handed backhand, Hit ball in center, Early preparation। Conditioning: Forearm strengthening, Regular stretching, Warm-up properly। Play: Limit sessions to 1-2 hours, Rest days between।

PRP injection क्या है? / What is PRP?

Platelet-Rich Plasma therapy। अपने blood से platelets concentrate करके inject। Growth factors release होते → healing promote। Cost: ₹5000-15000। Better than cortisone - actually heals। Results: 2-3 months में। Success rate: 60-70%। Alternative to surgery।

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घर पर कैसे confirm करें? / Home confirmation?

Coffee Cup Test: भरा cup उठाएं (arm straight) - pain = positive। Fist Test: Mुट्ठी बांधें + wrist extend - pain = positive। Cozen's Test (self): Wrist extend करें, दूसरे हाथ से resistance - elbow pain। ⚠️ Note: Proper diagnosis के लिए doctor essential!

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