Question of the Day - 01 March 2025

Tennis elbow (lateral epicondylitis) or computer elbow (cubital tunnel syndrome) is a common condition that causes pain on the outside of the elbow. It's an injury that occurs when the tendons that attach the forearm muscles to the elbow bone (epicondyle) become inflamed. Repetitive motions that involve gripping or twisting the forearm, such as playing tennis and golf or using a computer mouse, are the main causes. 

And yes, it's possible to develop tennis elbow from playing video poker, though it's certainly less common than from activities like racket sports or manipulating a mouse. Still, constantly pressing buttons or tapping the screen can strain the forearm muscles and tendons, leading to overuse injuries. Also, like a computer setup, if the chair at the video poker machine causes poor ergonomics, it can exacerbate the problem; an elbow resting on a hard surface or bent at an awkward angle for long periods can put pressure on nerves and tendons. And sitting at a machine for long sessions without breaks can cause cumulative stress.

To prevent "video poker elbow," keep your fingers in line with your forearm. Keep your wrist neutral rather than overly flexed, extended, or twisted. Stretch your arm and flex your wrist frequently. You can also alternate button-pressing hands when playing (if possible for you). A soft surface, such as a small pillow, under your elbow can reduce pressure. Strengthen your forearm muscles with various load-bearing exercises to help prevent strain.

In addition, since it's almost always cold in casinos, stiff cold muscles are more likely to be overworked or injured when performing repetitive motions. The low temperatures can cause muscles and tendons to tighten up, reducing flexibility and making them more prone to strain or injury. And blood vessels constrict, which can limit circulation to the forearm and elbow, slowing recovery and increasing discomfort. To counteract the cold, you can try wearing a compression sleeve, which provides warmth and support to the elbow and forearm. Use hand warmers, those small disposable heat packs, when you're stretching and flexing. And as always, take frequent breaks to keep the blood flowing and prevent stiffness from setting in.