Tennis Elbow and Pitcher Elbow, a common sport injury, is a result of a disease of the tendons and ligaments which also always involves the musculature, particularly at the muscular point of insertion.
Typically it presents as painful changes at the point of insertion or point of origin of a muscle, tendon or ligament. Epicondylitis is caused by overexertion of the forearm musculature, i.e., extreme or repetitive movements or overstraining of the affected muscle. Patients describe strong pain in their elbow joint radiating out to their upper arm and forearm musculature. Studies show that ESWT may be a useful non-invasive treatment to reduce pain.
The use of focused shockwaves for the treatment of trigger points triggered by epicondylitis has been shown to additionally improve outcomes.