Forearm pain associated with tennis?

Question

I've been having some forearm pain recently and I don't know if it's associated with tennis or not, but I'm assuming it is. To explain exactly where the pain is, it's on my left arm if you extend your arm fully, palm facing up. If you imagined your arm as a clock, it would be at about four o'clock (on the lower right side.) It's almost like a rectangular patch about an inch or so wide and running nearly the entire length of my forearm from my wrist to elbow. It doesn't hurt that much if I'm not doing anything, but if I touch it it hurts and if I hit a backhand (I'm right-handed and have a two-handed backhand.) It's mostly just pressure that hurts it. It almost feels like how a bruise would feel, but there's nothing like a bruise there and it looks pretty normal to me. It really sucks though because I'm in the middle of highschool tryouts all week and I even had to pull out of one of my practice matches today because it hurt so much. Any thoughts on what it could be or how I can treat it? I'm 15 and I've played for about 7 years and I have pretty good form, and my coach said it didn't seem like tennis elbow by the way. Thanks for any answers! :)

Answer 1

If you don't have an appointment with an orthopedic doctor, preferably one who specializes in hand/wrist/elbow/shoulder, then you need should get on the phone and make an appointment ASAP. Strange if you haven't done this already.



Interesting that as a right-handed player, your LEFT arm is bothering you. Normally, the serving arm is the one that gets injured, at least in my experience. OTOH, I am NOT a doctor, so take this advice with a grain of salt :-)



Possible causes I could think of:

Too large a grip

Incorrect technique

Too many off-center hits

Failure to warm up slowly

Overuse

Failure to strengthen the muscle area involved

Holding the racket too tightly

Traumatic blow to the injured area



http://tennismd.com/

is a nice basic web site for tennis injuries.



A couple of books on tennis injuries:

Answer 2

Tennis Forearm Pain

Answer 3

It depends. Some chiropractors extensively use ice, electrotherapy, and muscle work (e.g. strengthening exercises, stretching, etc) in their practice, so if her chiropractor is already doing this, then PT won't offer much more. Also, if she's performing repetitive elbow actions (i.e. forceful pushing and pulling, bending of the wrist, gripping, and pinching), then her problem can get worse. No matter who she sees for treatment, she needs to modify her work site or her duties, and yes that includes less use of the computer mouse. This is crucial for treatment to be successful. She also needs to take frequent breaks as she works, as well as limiting heavy pushing, pulling, and grasping. Sometimes a lightweight plastic arm splint is recommended during sleep. This would limit her elbow movements at night and eases further irritation. So, she may want to ask her doctor about this. That being said, how do you know that it's actually a supinator problem? Was that the "official" diagnosis, or are you guessing? I'm asking because there are several conditions that can cause pain in that area, and the supinator may or may not be involved. E.g. Tennis elbow, radial tunnel syndrome And of course, conservative treatment may have limitations. In some cases, surgery may be the best treatment option. It is generally considered a last resort.



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Answer 4

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