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Elbow Pain

Elbow pain can be localised, refer pain up into the shoulder and neck or down to the forearm and fingers, all of which can be debilitating but most of all worrying. Our Chiropractors, Osteopaths and physiotherapists are all qualified to assess and diagnose many types of elbow pain. We can create management plans to treat and prevent your symptoms and put your mind at ease.

Here are a few common causes of elbow pain that we manage regularly at Summit East Sheen and East Grinstead.

Medial epicondylalgia

Golfers elbow is exactly the same issue as tennis elbow, involving tendon overload due to a sudden increase in activity or lack of use leading to deterioration. Pain is located on the inside of the elbow when the palm is facing up.

It is less common but treated in a similar way. We suggest rest and graded loading for tendon pain under 6 weeks and Shockwave Therapy plus loading for those over 6 weeks. For golfers and racket sports players certain swing characteristics and grips can predispose to these conditions and technique analysis should be included in your management program.

Ulnar, Median or Radial Nerve Compression

Nerves travel close to and around the elbow. Ulnar nerve compression is common as it travels close to the surface at the inside of your elbow. Symptoms include pain, numbness, burning and tingling along the inside of the arm to the the 4th and 5th finger.

Median Nerve compression in the pronator teres muscle of the forearm can cause pain, numbness and tingling in the thumb, index and middle finger.

Radial nerve compression at the arcade of Frohse can cause weakness and changes in sensation of the dorsum of the hand and forearm.

Lateral epicondylalgia

Tennis elbow is the most common condition seen at the elbow, but it doesn’t just happen in tennis players. The pain originates from the tendon attaching the muscles of the forearm to the lateral epicondyle and can last for many months and even longer in some cases. The tendon will have undergone change because of too much or too little loading and will affect most day to day activities like opening jars and gripping door knobs.

Tennis elbow rarely occurs in isolation. It stems from tightness lower and/or higher up the chain,
commonly the muscles and fascia of the forearm, shoulder or thoracic spine. It can also be caused by lack of use, leading to tendon deterioration. Treatment should be directed at the area but also address issues further up and down the chain.

A thorough management program will incorporate specific loading exercises that aim to work directly on the forearm muscles and extensor tendon itself. For tendon pain present more than 6 weeks Shockwave Therapy is the preferred treatment option over 3-6 weeks alongside a loading program with a gradual return to your normal activities.


East Sheen, Richmond and East Grinstead

1hr – Initial Consultation with treatment – £79

30 minute follow up – £59


East Sheen, Richmond and east Grinstead

1hr – Initial Consultation with treatment – £79

30 minute follow up – £59


East Sheen, Richmond

1hr – Initial Consultation with treatment – £79

30 minute follow up – £59

Our clinics are based in Richmond and East Grinstead. As Chiropractors, Osteopaths, Physio’s, Sports Therapists and Massage Therapists we regularly see patients with neck pain, back pain, sports injuries and other musculoskeletal issues, tailoring our treatments individually to each patient along with a full rehab program. Our therapists in are fully registered and undergo extensive training to treat pain using various techniques including Chiropractic, Osteopathy & Physiotherapy plus acupuncture & dry needling.

If you live in East Sheen, Mortlake, Kew, Barnes, East Grinstead or the surrounding areas feel free to drop in to discuss your pain and how our Chiropractor can help, or contact us via email or phone. Alternatively you can simply book online!

We look forward to meeting you!

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