Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.
Risks of tennis elbow include activities that can
strain the elbow.
Tennis elbow symptoms include dull
pain and tenderness at the
outer elbow often with a sensation of weakness and
A physician uses a patient's history and physical examination to diagnose tennis elbow.
The standard treatment for tennis elbow involves measures to reduce the local inflammation.
The prognosis for tennis
elbow is excellent.
It's possible to prevent tennis elbow by avoiding activities that
strain the elbow.
What is tennis elbow?
Tennis elbow is inflammation of the tendon at the outer portion of the elbow,
leading to pain. Classically, tennis elbow is a strain injury to this tendon
from hitting a backhand shot at tennis. The medical term for tennis elbow is lateral epicondylitis because it involves inflammation at the insertion point of
the tendon at the outer portion of the humerus bone at the elbow joint (the
epicondyle). Most people with lateral epicondylitis acquire it from activities
other than tennis playing.
In contrast, when the tendon that attaches at the inner portion of the elbow
is inflamed, the condition is referred to as medial epicondylitis (or "golfer's
elbow" because golfers commonly injure this area after striking the ground to
take a deep divot).
A strain injury to the tendon at the outer portion of
the elbow causes tennis elbow. While this can occur by straining during a backhand tennis shot, it
can also occur from many repetitive activities that can strain the elbow. These
activities include using a screwdriver or work that includes similar motions, Frisbee
disc throwing, and lifting objects by extending the wrist, etc.
Tennis elbow is usually easily
diagnosed by a physical examination. Up to 90% of cases can be remedied by
nonsurgical treatments, and symptoms usually diminish within four to six weeks
with appropriate treatment.
Treatment goals include pain relief and prevention of