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Download games elbow pain

Postby Tojabar В» 03.05.2019

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Physical conditioning and good playing technique and equipment can prevent golf elbow, tennis elbow, and similar overuse injuries. What racquet sports player or golfer hasn't gotten sidelined—sometimes for months on end—by elbow pain? Occurring on either the inside or outside of the elbow, the pain can be intense and persistent; recovering from it calls for physical therapy and retraining. Proper playing technique and overall physical conditioning can prevent many injuries from ever happening.

Here is what you need to know to stay in the game—or get back to it if you develop elbow troubles. Golf and tennis elbow are actually both a form of tendonitis called epicondylitis, which affects the anchor points on either side of the elbow joint the epicondyles. Muscle groups in the forearm that flex the wrist attach to the epicondyles with a fibrous tendon.

Over time, repeating the same body motion leads to overuse, causing soft-tissue damage to the tendon. If the trouble develops in the tendon that attaches on the inner side of the elbow joint, the condition is called medial epicondylitis see diagram.

If it happens on the outer side, it's called lateral epicondylitis. Medial epicondylitis is sometimes associated with overuse from playing golf; hence the nickname "golfer's elbow. The forearm muscles attach to the upper arm at two bony projections called epicondyles. Repetitive motions can exert enough stress on the tendons to tear the fibrous tissue.

The result is either medial epicondylitis tendon damage at the inside of the elbow joint or lateral epicondylitis damage at the outside of the elbow. Many different activities can lead to epicondylitis. The characteristic they all share is overuse, or stressing tendons and muscles past their tolerance. Tennis players can develop either variety of epicondylitis. Backhand swings, for instance, are associated with injury to the tendon on the outside of the elbow lateral epicondylitis , while serves or topspin shots are associated with medial epicondylitis.

Besides golf and tennis, a wide range of other repetitive motions that twist or flex the wrist can cause overuse injuries, including gardening, using hand and power tools, and carrying a briefcase. If the activity is repeated often enough, potential for an overuse injury exists.

Anyone who has ever whacked a ball with a club, racquet, or bat will tell you that you swing with your entire body, which is an intricately linked mechanical system. Wrists, elbows, shoulders, and back all work together to deliver speed and power. Zachazewski emphasizes that muscles and tendons need to have sufficient strength, flexibility, and endurance in order to withstand the forces unleashed during work or play without being injured.

This same concept applies not only to the elbow itself, but to the entire "kinetic chain" that extends from the ground up—from the legs, hips, trunk, spine, and shoulder through to the elbow, hand, and wrist. A "weak link" anywhere along the chain can affect another link where the problem may occur. Which one, when you stretch it, is more likely to fray or become torn or injured? The stiff, weak one.

Tennis players and golfers use the entire kinetic chain—the arm, shoulder, torso and legs—when hitting a ball. But if they lack overall conditioning, stresses can break the weakest link and adversely impact the elbow.

Conditioning is achieved through regular exercise and stretching. This helps to prevent injury by allowing a player to swing from the proper position. Explains Zachazewski, "If my lumbar spine and my hamstrings, quads, and hip muscles are tight or out of shape, and I can't get into the position I need to get into to hit the tennis ball, then I'm probably in a suboptimal position for my elbow—and putting more stress on it than I need to.

Once an injury occurs, it is important to figure out what caused it and institute changes in behavior or playing technique to prevent flare-ups or recurrences. For example, hitting a tennis ball late or in a poor position may cause a player to "reach" and be tempted to flick the ball using the more vulnerable elbow and wrist, rather than leading with the shoulder and rotating the torso to deliver power.

People also injure themselves delivering one-armed backhand shots without proper form. Zachazewski says that weekend athletes on the court or the course can learn a few things from the pros on how to get back to full speed after an injury and prevent additional injuries. One role of the physical therapist is educating the non-athlete like an athlete—so they take care of themselves as an athlete does.

If you have an off season, continue an exercise program to maintain your strength and flexibility. If you are a tennis player, make sure your racquet is right for you. A racquet that is too large or heavy, or has a grip too large for your hand increases risk of injury. So can a racquet that is strung too tightly. Finally, develop a good pre-game warm-up routine that allows you to ease into play.

It includes stretching, putting joints through their full range of motion, and a gradual increase in activity. Start with gentle practice swings and progress to gently hitting a few balls. Focus activity on the joints and muscles you use during play. Books and magazines for amateur athletes are a good source of ideas and routines.

For a more individualized program, you may want to consult a physical therapist or athletic trainer. Conditioning and good form do not guarantee a playing career without elbow ailments. After he turned 40, Alex Seaver Harvard '82 was struck with lateral epicondylitis.

It took him out of play for two years. Seaver played on the Harvard men's tennis team in college, and continued playing at a competitive level. He kept himself in shape, "and it's not like I was hitting the ball wrong," he says. Seaver attributes his misfortune to "wear and tear" from playing up to several times a week. After surgery and physical therapy, Seaver was eventually able to get back on the court.

Then, ten years later, he tore the tendon on the inside of the elbow medial epicondylitis. He's back now to playing, but not without another round of physical therapy to strengthen the weak rotator cuff muscles that Seaver believes led to his elbow injury.

Weekend warriors, take heart. Epicondylitis injury to tendons in the elbow is a soft-tissue injury. Right after injury, focus on relieving pain and inflammation and resting the affected area. REST: Stop playing to give the tendon time to heal. Down times of weeks to months are not unusual. ICE: Ice the joint for up to 20 minutes several or more times per day to combat inflammation.

Cooling "gel packs," a bag of frozen peas, or immersing the joint in an ice water bath are all effective. It wraps snugly around the forearm, reducing tension on the tendon. It can help you progress with physical therapy, too.

For severe, unrelenting pain that does not respond to conservative treatment and persists 6 to 12 months, these options could be considered. This "platelet-rich plasma therapy" PRPT is thought to stimulate a healing response in the damaged tissues. Some people try this before surgery. These are all still experimental.

Disclaimer: As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date of last review or update on all articles. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.

Harvard Men's Health Watch. Published: June, Pain Other Pain. E-mail Address. First Name Optional. Anatomy of Golf Elbow and Tennis Elbow Scott Leighton The forearm muscles attach to the upper arm at two bony projections called epicondyles. Treatments for Epicondylitis Epicondylitis injury to tendons in the elbow is a soft-tissue injury.

What Causes Elbow Pain? - Q&A with Dr. John Ingari, time: 6:57
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