Examples of tendon overuse injuries at the elbow include lateral epicondylitis (tennis elbow) and medial epicondylitis (golfers elbow).  Treatment includes activity modification, anti-inflammatory medications, therapy, bracing and occasionally a steroid injection.  These conditions most commonly resolve after one year without surgical treatment.  When non-surgical treatment is not effective some patients may benefit from surgical treatment.

 

The distal biceps tendon is responsible for bending your elbow and twisting the forearm to turn the palm upwards such as tightening a screw with a screwdriver.  Some patients may experience weakening of the distal biceps tendon (tendonitis) resulting in pain and decreased function.  Rarely some patients may experience a complete rupture of the tendon resulting in a pop followed by bruising and swelling.  Treatment options often include surgical intervention to reattach the tendon to the bone to avoid fatigue with repetitive motions.

 

Tendinitis at the wrist most commonly includes de Quervain’s tendinitis (pain at the thumb side of the wrist) and trigger finger or trigger thumb.  Often treatment includes ice or heat, splints, anti-inflammatory medications, and steroid injections.  If symptoms persist despite appropriate treatment, surgical treatment may be indicated in select patients.