What is "Extensor Tendinopathy"?

“Tendinopathy” refers to a non-inflammatory degenerative change that occurs in tendons, near their attachment to bone. It is a result of “overuse”, complicating risk factors relating to you and/or the activities you have been involved in. If you have been playing sport, involving the upper body, it is likely this is a factor too.

The outcome is that the tendon has weakened, making it more prone to further injury. This viscous cycle needs to be broken, by preventing injury, addressing the factors that are contributing to the problem and working on strengthening the affected tendon.

The tendon affected is almost always extensor carpi radialis brevis (ECRB), which attaches to the back of the hand, and extends the wrist.

Only 5% of people presenting with this condition play tennis! In tennis players it is the backhand stroke that is classically responsible.

As this is a non-inflammatory condition, it is not surprising that anti-inflammatories do not change the long-term outcome of the condition.