Theraputic Supports for Tennis Elbow

Golf or Tennis Elbow Pain?

  Golf Elbow Or Tennis Elbow - The Tell Tale Signs

Many athletes suffer from pain in their elbow that is generally attributed to repetitive stress. Golfers and tennis players are susceptible to conditions that are very similar to each other; they are called golf elbow and tennis elbow. Sometimes it may be a little hard to tell the difference between the two conditions. But there are signs that can distinguish between the two.

Due to the amount of time spent using their arms, many golf and tennis players, especially the pros, can suffer from one of these conditions, but the fact is anyone can get either of these conditions. Tennis elbow is caused by the overuse of the muscles that pulls your hand in a backward motion. When you overwork these muscles they begin to swell and become sore from being inflamed. Golf elbow is basically the same but affects the inside of your arm instead of the outside.

Tennis Elbow

If you notice that trying to pick something up or simply just moving your elbow is painful, then you may be suffering from tennis elbow. This condition affects the back side of your arm between your elbow and hand. This is why trying to pick something up is painful. If the outside of your elbow feels tender to the touch and you feel discomfort when picking up items with this hand, chances are good you have tennis elbow.

Golf Elbow

If moving your elbow or trying to lift something upwards causes pain that runs from the inside of your elbow to the inside of your wrist then, this is a good sign you have golf elbow. This condition is seen more frequently because it affects the muscles on the inside of your arm which pulls the wrist in. Golfers elbow can also be associated with neck pain so you if you have not done anything to overwork your arm, the problem may be caused by a neck condition. An injury or a medical condition such as arthritis can also cause you to have this condition.

Knowing the signs will help you be able to distinguish between the two conditions. For both golf and tennis elbow, the treatment is generally R-I-C-E; rest, ice, compress and elevate along with taking some anti inflammatory medications. However, a proper diagnosis is always recommended from a medical professional.

By: Susan Hill    Article Directory: http://www.articledashboard.com

Susan Hill is a nationally recognized fitness trainer, CHEK golf biomechanic and sports nutrition specialist. For more information on golf specific nutrition, exercises or stretches, visit www.fitnessforgolf.com.

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Golfer Elbow or Joint Pain in Elbow

Golfer’s elbow, more technically called medial epicondylitis, is a similar type of condition to tennis elbow or lateral epicondylitis, but is less common. Since there is little or no inflammation present in these syndromes, they are known as tendinopathies, where degeneration of the tendon occurs and gives symptoms. Typical aggravating factors are racquet sports, golf and sports which involve throwing, although other sports people may be affected such as weight lifters, archers and cricket bowlers.

The medial epicondyle is the bone prominence on the inside of the elbow where the forearm and rotatory muscle originate from. The muscles become tendinous near the bone and the tendon inserts into the bone to anchor the muscles. This area is where the pain occurs but no inflammatory process, rather a degenerative one. As the elbow is stresses by forces which would tend to push the elbow out into "knock elbow", the tendon takes a lot of stress and changes occur.

High stresses occur in the cocking phase of a throw and during the subsequent acceleration, and in the golf swing from high backswing down to near the ball strike. Golfers are more likely to have their dominant hand affected and tennis players who use heavy topspin in their forehands are also more at risk.

The medial epicondyle is the bone prominence on the inside of the elbow where the forearm and rotatory muscle originate from. The muscles become tendinous near the bone and the tendon inserts into the bone to anchor the muscles. This area is where the pain occurs.and scientific work has not shown an inflammatory process but degenerative one. As the elbow is stresses by forces which would tend to push the elbow out into "knock elbow", the tendon takes a lot of stress and changes occur. High stresses occur in the cocking phase of a throw and during the subsequent acceleration, and in the golf swing from high backswing down to near the ball strike. Golfers are more likely to have their dominant hand affected and tennis players who use heavy topspin in their forehands are also more at risk.

 
Patients complain of aching pain over the front of the inner epicondyle, worse with repeated wrist flexion and better with rest. Pain can occur in the shoulder, elbow, forearm or hand, with weakness in the lower arm and hand also. The physiotherapist will examine the bony areas and joints of the elbow, check the muscles and their tendinous insertions. The physio palpates the ulnar nerve in the groove behind the elbow, called the "funny bone" when it’s hit. The nerve can give pins and needles or weakness in the forearm and a neurological examination excludes other causes of pain or weakness.

The main treatment of golfer’s elbow is conservative, including anti-inflammatories, wrist and forearm splinting, corticosteroid injection and physiotherapy. Modifying the provoking activity is a first line of management, making patient education about the condition and the eliciting factors vital. An example is modifying the golf swing mechanics to avoid setting the problem off continually. The patient is taught to avoid aggravating positions and activities, such as leaning on the elbow if there is nerve involvement.

Non-steroidal anti-inflammatory drugs are used in the initial acute phase to reduce pain and inflammation along with avoiding painful movements, use of ice, gentle stretches, friction massage and ultrasound. As the problem settles and becomes sub acute the aims change to improving flexibility by stretching, increasing strength and normal activities. A forearm brace may also be used or a wrist brace to rest the wrist muscles. Once the problem is chronic the programme continues with reduced use of the splint and re-introduction of sporting activities.

Scientific work shows that steroid injections can be useful in the early stages of golfer’s elbow to reduce pain and the time to recovery, but they are also used in chronic situations. There is no evidence that shockwave or laser therapy has any effectiveness and surgery is contemplated when a significant period of physiotherapy has been attempted without success. The surgeon removes the abnormal tendinous tissue and if the ulnar nerve is involved may move it around to the front of the elbow from its posterior groove.

By: Jonathan Blood-Smyth

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Golfers Elbow

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Tennis Elbow? Pain in Elbow

Tennis elbow, also called lateral epicondylitis is a very common injury that results from overuse, injury, or strain of the tendon that attaches the forearm muscles to the boney part of the outside of the elbow. Called tennis elbow because tennis players are prone to getting it (50% of tennis players may have this condition), this medical condition is not limited to tennis players. Tennis elbow can occur with any activity that involves repetitive gripping, turning, bending, or extending the wrist backwards.

Symptoms of a Tennis Elbow

The outer part of the elbow is rather painful and tender to touch. Movements of the elbow, and also movements, that involve lifting, with the hand on top, hurt real bad. Any sport, from badminton, to tennis, to golf involves both the massive movement of the wrist and the complete arm. The elbow is one such part which is most often neglected and once affected takes a rather long time to heal.

Tennis elbow appears in different ways. Some people get symptoms after doing the same type of work for several years. While others get the symptoms suddenly soon after starting a new type of work. The main symptom of tennis elbow is the pain on the outside of the elbow. The pain gets aggravated with the movements involving grasping and holding objects. The damage caused by tennis elbow consists of tiny tears in tendon parts and in muscle coverings. Even after the healing of injury, these areas remain susceptible to tear again that leads to hemorrhage and calcium deposits within the surrounding tissues.

Causes

Although the condition is called tennis/golfers elbow there are many causes. Generally damage is done at the point the forearm tendon is anchored to the upper arm bone (humerous) by shock travelling up the arm whist gripping something tightly, for example using a hammer or playing tennis. The result is small tears in the tendon at the anchor point and inflammation occurs. As the forearm muscles are in continual tension due to the opposing action needed by the hand for gripping, the tendon inflammation (tendinitis) has little chance to heal.

 
Tennis elbow is caused by overuse, strain or injury to the tendon that attaches to the bone on the outside of the elbow (lateral epicondyle). This tendon is attached to the muscle that bends the hand backwards from the wrist. This results in tiny, microscopic tears in the tendon that causes inflammation and pain in the tendon.

Treatment

Rest: This is normally the first thing suggested. If you have a job that involves use of your hands this simple advice could be quite difficult to follow. However if it is possible, it can be effective.

An injection of a steroid into the painful area of the elbow often eases the pain. For some people, the pain never returns after having a steroid injection. However, for others, the relief from pain is only for a short time - perhaps for a few weeks. Also, it is worth bearing in mind the long term outlook before deciding on trying a steroid injection. A large research study looked at long term outlook. It compared those who had a steroid injection with those who did not. In this study, although about 9 in 10 of those who had a steroid injection had good short term pain relief, after one year only about 7 in 10 were free of pain. This compared to about 8 in 10 who were free of pain after one year who had not had a steroid injection.

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Elbow Pain Facts

 Elbow pain can cause a lot of discomfort. Read on for more information on elbow pain.

The room was quiet and Joan lay on her side watching television. As she got up and began tidying the bed to go to sleep she felt an excruciating pain in his elbow. Taken by surprise, she sat down on the bed and touched the area and found that it was swollen. She sat in the same place for several minutes trying to recall where she could have hurt his elbow. Not able to recall a thing, she went into the kitchen and rubbed some ice over the spot, hoping that the pain and swelling would subside!

What the factors that cause elbow pain?

There are many factors that can cause pain in the elbow, with one of them being tendinitis, which is an injury and inflammation that is caused to the tendons. Most of the people who are at risk of developing elbow pain are those who play racquet sports. The term given to the injury caused because of the above is termed tennis elbow. Of course gardening, using a screwdriver, playing baseball and overusing your wrist may also be the cause of elbow tendinitis.

Apart from the causes mentioned above, a few other factors that contribute to the pain in the elbow are:

• Strain in the elbow
• Any type infection that occurs in the elbow
• Arthritis - This term refers to the narrowing of the joint space as also the loss of the cartilage in the elbow.
• Bursitis - In this case, there is an inflammation of a fluid-filled cushion that is located underneath the skin.

What are the symptoms associated with elbow pain?

Pain, numbness, swelling, tingling and weakness or changes in the color or temperature are some of the common symptoms of elbow pain.

Can I reduce the elbow pain at home?

Yes, you can reduce the pain in the elbow at home. Here are some steps to help you reduce the pain.

• Apply ice by wrapping it in a cloth for about 15 minutes every hour on the first day you notice the pain. Continue applying ice for up to 3 days while increasing the number of hours for e.g. use the application every 3 to 4 hours after the first day.
• Once that is done, wrap the elbow with a bandage. You can also use an air splint to prevent using the elbow.
• If possible, keep your elbow elevated above you heart and give the elbow rest for at least 2 days. It is advisable that you do not return to the activity that resulted in the problem for about 3 weeks.
• Once you find that the pain and swelling has subsided, gradually strengthen the muscles with the help of a physical therapist.

When is it advisable to contact a medical professional?

It is advisable to meet a medical professional if:

• The pain does not improve with the above steps.
• The elbow cannot be used effectively.
• The pain in the elbow is caused because of a direct elbow injury.
• The pain in the elbow is accompanied by fever, swelling and redness.
• There is deformity.

Can elbow pain be prevented? How?

Yes, you can prevent elbow pain. Follow these steps to prevent elbow pain.

• First of all reduce the amount of time you spend in the activity that is the reason for the pain.
• Than warm up slowly, by stretching the forearm before as well as during and after the exercise.
• While playing use an elbow sleeve and the correct grip size as also racquet strings that are not too tight. If you have already suffered an injury, you could use an elbow band too.
• If you have been told to exercise, carry of the regime without fail!
• By Rachna Gupta    Published 1//7/2008

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