Low dose radiotherapy for tennis elbow: how does it work?

Written in association with: Dr Richard Shaffer
Published:
Edited by: Aoife Maguire

Tennis elbow, or lateral epicondylitis, is a painful condition involving inflammation of the tendons on the outer side of the elbow, often caused by repetitive wrist and arm motions. One option which can be used to alleviate the symptoms of this condition is low dose radiotherapy. Leading radiotherapy specialist and clinical oncologist Dr Richard Shaffer explains how radiotherapy can help pain caused by tennis elbow, and its benefits over other treatment methods for the condition. 

 

 

 

How does radiotherapy work to relieve symptoms of tennis elbow?

 

The pain in tennis elbow is produced as a result of small tears and inflammation in the tendons around the elbow. Radiotherapy helps with tennis elbow pain by reducing inflammation, promoting healing, and blocking pain signals transmitted by nerves in the affected area. It works by decreasing swelling and allowing damaged tissues to repair themselves, and interferes with the way nerves send pain signals from the affected area, reducing the pain experienced.

 

What are the potential benefits of choosing low dose radiotherapy over other treatments for lateral epicondylitis?

 

The majority of tennis elbow instances can be effectively addressed through conservative measures such as rest, icing, compression, and elevation (RICE). Additionally, some individuals may benefit from physiotherapy or using a brace. Radiotherapy is effective in alleviating pain in over 75% of cases. Typically, radiotherapy becomes a consideration when pain persists despite prior conservative interventions.

 

Given its non-invasive nature, radiotherapy offers an alternative to injections or surgical procedures. Because it uses a very low dose, there are minimal side effects.

 

Is radiotherapy a suitable option for chronic or severe cases of tennis elbow?

 

Radiotherapy can be used either early in the course of the disease to speed up healing, or later in the course of the disease, where previous treatments have proven ineffective. Occasionally, patients seek treatment after exhausting numerous other options, where they are still experiencing debilitating pain that hinders their daily activities. Even in cases of prolonged pain, radiotherapy can prove effective.

 

Are there any precautions or lifestyle changes patients should consider during and after radiotherapy?

 

The majority of people who get radiotherapy for tennis elbow find that their pain goes away and they can return to their daily activities with ease. There are no restrictions after radiotherapy for tennis elbow.

 

However, to prevent the pain from coming back, you should stick to the following recommendations:

 

  • Use the proper technique when you're playing sports, typing, or using hand tools.
  • Do exercises to strengthen the muscles in your forearm.
  • Don’t increase the intensity or duration of activities too quickly.
  • Warm up and stretch before doing activities that stress the forearm.
  • Think about ergonomics. For instance, adjusting your workstation and equipment to minimise strain on your wrists and elbows.
  • Use equipment that is suitable for your size, strength, and skill level. Consider using tools or sports equipment with handles that are comfortable and provide proper support.
  • Allow adequate time for rest and recovery after doing activities to avoid overuse injuries.
  • Use protective gear such as straps or braces to provide support to the elbow.
  • Take regular breaks during activities that involve repetitive arm movements.
  • Avoid dehydration as it can affect the elasticity of tendons and muscles.

 

 

 

If you are considering radiotherapy for tennis elbow and would like to book a consultation with Dr Shaffer, do not hesitate to do so by visiting his Top Doctors profile today.

By Dr Richard Shaffer
Clinical oncology

Dr Richard Shaffer is a leading radiotherapy specialist and clinical oncologist based in London and Surrey. He has a specialist interest in treating benign (non-malignant) conditions with radiotherapy, including Dupuytren's disease, Ledderhose (plantar fibromatosis), plantar fasciitis, insertional Achilles tendonitis and keloid scarring.
 
He was the first in the UK to treat patients with osteoarthritis (of the hand, hip, knee, foot, elbow, shoulder), tendinopathy (including tennis elbow, golfers elbow, patellar tendonitis, rotator cuff syndrome, de Quervain’s tendonitis) and bursitis (including trochanteric bursitis or greater trochanteric pain syndrome, GTPS). He also treats patients post-operatively with radiotherapy for heterotopic ossification and pigmented villonodular synovitis (PVNS). He uses the latest radiotherapy technology to do this.
 
Dr Richard Shaffer is president of the International Organisation for Radiotherapy for Benign Conditions. He is clinical lead for benign radiotherapy for GenesisCare UK. He is co-author of a 2015 and 2023 Royal College of Radiologists documents on the use of radiotherapy for benign conditions, and on the most recent German benign radiotherapy guidelines. Dr Richard Shaffer previously worked as the clinical lead for radiotherapy in Guildford and he chaired The Network Radiotherapy Group and the Radiotherapy Strategy Group.
 
Dr Richard Shaffer has also chaired the Radiotherapy Technology Development Group and led the Brain Tumour Working Group from 2010 to 2019. Dr Shaffer was the principal investigator on several treatment studies in prostate cancer, skin cancer and brain tumours. He supervised a clinical fellow in a programme of clinical and lab-based radiobiological research. Before working at Royal Surrey County Hospital, Dr Richard Shaffer undertook his oncology training in London and later completed a Clinical Fellowship in Radiation Oncology (treatment of cancer with radiotherapy) in Vancouver, Canada. Whilst in Canada he completed several research projects focused on technical radiotherapy, including the comparisons of VMAT with conventional IMRT therapy and RapidArc in several disease sites such as breast, prostate and high-grade glioma.

Dr Shaffer treats patients throughout the UK. Consultations can be arranged by email for the following locations:

  • GenesisCare Bristol
  • GenesisCare Southampton
  • GenesisCare Windsor
  • GenesisCare Elstree
  • GenesisCare Guildford
  • GenesisCare Birmingham
  • GenesisCare Maidstone
  • GenesisCare Milton Keynes
  • GenesisCare Cambridge
  • GenesisCare Chelmsford
  • GenesisCare Nottingham
  • GenesisCare London Cromwell Hospital
  • GenesisCare Oxford
  • GenesisCare Portsmouth

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