Epicondylitis y Epitrochleitis
Epicondylitis, commonly known as “tennis elbow” is an insertional disorder (enthesitis). It is caused by repetitive wrist extension movements and supination of the forearm, leading to muscle strain and degenerative processes of the tendon, where it inserts into the epicondyle region, especially affecting the short radial extensor tendon of the wrist. When this same mechanical injury occurs in the medial epicondyle, it is known as medial epicondylitis or “golfer’s elbow”. As well as occurring during sporting activities, these injuries can also be observed in work activities involving similar repetitive movements.
Its three stages show how it develops:
1. Initial imitative stage.
2. Inflammatory stage with vasomotor disorders.
3. Degenerative stage with chronic process.
Presence of pain on the outside (epicondylitis) or inside (medial epicondylitis) of the elbow. Pain on palpation of the epicondyle or medial epicondyle, which subsides with rest. Functional disability and pain in wrist extension movements and pronosupination of the forearm, which can radiate to the arm and forearm.
Inability to handle objects. It can become chronic and sometimes require surgery.
Along with medical and rehabilitation techniques, such as massage, shock waves, laser, etc., various types of specially-designed orthosis exist that are very important for the orthotic treatment of epicondylitis and medial epicondylitis. Devices made from neoprene provide the necessary heat for the combined application of thermotherapy and bracing-compression.
Other orthotic devices such as braces with epicondyle and medial epicondyle supports specifically compress the area below where the tendon inserts, thereby preventing mechanical stress and reducing overloads, and enabling the patient to resume work and sporting activities. Using these types of orthosis is very helpful as a method of preventing recurrent injuries.