Why Cervical Treatment is Essential for Intractable Elbow Pain Patients?

by Son PMR(Physical medicine &Rehabilitation ) & Chiropractic Clinic in Seoul


Why Evaluating the Cervical Spine (Especially C5-C7) and Upper Thoracic Spine is Crucial for Tennis Elbow (Lateral Epicondylitis)

Tennis elbow (lateral epicondylitis) is a common condition among individuals who engage in repetitive tasks and physical activities. When experiencing elbow pain due to tennis elbow, it is essential to evaluate the cervical spine (especially C5-C7) and the upper thoracic spine for the following reasons:

1. Nerve Root Irritation and Referred Pain

The nerve roots of the cervical spine at C5-C7 supply the shoulder, arm, elbow, and wrist.
If these nerve roots are compressed or irritated, pain similar to tennis elbow may manifest in the elbow.
In such cases, simple local treatments (such as elbow stretching and physical therapy) may be ineffective, and addressing the underlying dysfunction in the cervical spine is necessary.

2. Issues with Neural and Vascular Flow

Poor cervical posture (such as forward head posture or a "text neck") can affect nerve function and blood circulation, slowing muscle recovery in the upper extremities.
Increased tension in the upper trapezius, scalene, and sternocleidomastoid muscles can compress nerves and blood vessels, making it difficult for the tissues around the elbow to heal.

3. Fascial Connections and Kinetic Chain

Elbow pain is not merely a local issue; it is often connected to imbalances in the shoulder, cervical spine, thoracic spine, and overall body mechanics.
A lack of scapular stability and poor cervical spine control can increase the strain on the elbow, worsening tennis elbow symptoms.
For example, if the shoulders are rounded forward or the scapula is not stable, the forearm muscles may be overused, leading to more inflammation in the elbow.

4. Upper Cervical and Central Nervous System Regulation

The upper cervical spine (Atlas - C1 and Axis - C2) plays a crucial role in maintaining overall postural balance and nervous system regulation.
If upper cervical dysfunction is present, it can disrupt the body's nervous system balance, slowing the healing process and leading to chronic pain patterns.
Studies and clinical experiences show that incorporating upper cervical treatment (such as upper cervical adjustments and posture correction) can significantly accelerate recovery from tennis elbow.

Conclusion

When treating tennis elbow, it is essential to look beyond the elbow itself and assess the alignment and function of the cervical and upper thoracic spine.
Identifying and addressing C5-C7 nerve root irritation, postural imbalances, scapular instability, and upper cervical dysfunction is crucial for effective recovery.
A comprehensive treatment approach, including upper cervical adjustments when necessary, can lead to better outcomes and faster recovery from tennis elbow.

Consultation and Appointment Information

Son PMR & Chiropractic Clinic( 2nd floor, 229-1 Gucheonmyun-Ro, Gangdongu, Seoul, South Korea)
Contact: 02-482-8875 in Seoul( +82-2-482-8875)

chson@daum.net

Feel free to reach out for further consultation or to schedule an appointment.

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