Dry needling offers relief from golf, tennis elbow

col-defalcoAs orthopedic physical therapists we treat musculoskeletal disorders of all sorts.  Living in a premier golf resort area like Myrtle Beach can lead to a higher percentage of a couple disorders in particular. Two of the more common disorders we treat are “golfers elbow” (medial epicondylalgia/tendinosis) and “tennis elbow” (lateral epicondylalgia/tendinosis ).  Epicondylalgia is synonymous with tendinosis, which in its simplest description is defined as tissue breakdown of the tendon.

Collectively we will term both of these conditions elbow epicondylalgia, regardless of which side of the elbow the pain is on. One of the hallmark findings with these conditions is chronic degeneration of the musculotendinous junction (the attachment of the muscle to the bone).  Tendons attach muscle to bone and are inherently hypovascular, meaning they do not get as good a blood supply as other parts of the body. As such, when they are injured, they take a long time to heal, or do not heal at all.

Symptoms of elbow tendinosis include tenderness to touch, increased pain with strenuous activities, and pain with gripping objects. Patients are normally between the ages of 35-50 and are usually participating in regular higher level activity that has a repetitive movement. Activities can include regular participation in sport or repeated movements done regularly at work.

Let me be clear in saying that you do not need to be a golfer or a tennis player to have either of these conditions.  In fact, athletes, laborers, clerical staff, and anyone who performs repeated movements with the arms and hands can have either of these conditions.
Lateral epicondylalgia/tendinosis is associated with pain along the outside aspect of the elbow and is commonly seen in tennis players as a result of an inability to control backhand forces of the dominant arm. It is also seen in golfers in the leading elbow during the golf swing.

Medial epicondylalgia/tendinosis is associated with pain along the inside or medial aspect of the elbow. It occurs as a result of a sudden increase in stress or repetitive movements that strain the musculotendinous junction, subsequently leading to micro tears and degeneration.

Some of the more conventional treatment options include rest, ice, stretching, corrective exercise, ultrasound, and manual therapy. Patients commonly will report wearing a brace just below the elbow when performing activity. The problem with bracing is that the tissue is never fully recovered; bracing just moves the point of pull away from the irritated area.  The problem never gets fixed! What we have found to be the most effective treatment for this condition in our office is the implementation of dry needling. Not only are we experiencing better results, but also faster results.

When an injury is sustained, our tissues go through a healing process that starts with inflammation/swelling and ends with reconstruction of the injured tissue.  It is during this healing process, where inflammation, contracture of tissues, formation of adhesions between neighboring tissues, and scar formation become the causes of chronic soft tissue dysfunction.  These changes result in blockage of fluid into and out of an area, as well as a decrease in blood circulation.  The tissues that we are speaking of include muscles, tendons, ligaments, bursae, capsules, fascia, nerves, blood and lymphatic vessels.  Injured tissues eventually become weakened and deformed due to a lack of nutrition, resulting in increased pain, disuse, and altered movement patterns.  These symptoms eventually become chronic, meaning they last longer than six months.  They become painful most of the time, but more so with activities.

Dry needling is a process by which fine gauge solid filament needles are inserted into the symptomatic dysfunctional areas to create tiny lesions (micro trauma) in the underlying soft tissue. These lesions stimulate the body’s natural response of healing by way of secretion of molecular proteins to the affected areas and stimulation of the central nervous system to create an anti-inflammatory reaction.  In other words, the micro trauma that is caused to the tissue creates an environment that allows the tissue to remodel and repair itself. Because the needles are of an extremely fine gauge, the procedure has minimal to no pain associated with it.

We are very excited about the success thus far that patients are experiencing with dry needling.   It is yet another method by which we can treat patients who may have otherwise had limited options to address their soft tissue injury and pain in the past and have just had to “learn to live with it.”

Physical therapy is a regularly covered service by most health insurance plans. Free 15 minute consultations are a great way to identify if you are a candidate for treatment! Feel free to visit our website at www.prsrehabservices.com or contact Dr.Richard DeFalco at 843-839-1300 for more information.

Comments

comments

Birds split doubleheader, return to open homestand

Birds split doubleheader, return to open homestandThe Myrtle Beach Pelicans split a doubleheader Sunday with the [more]

Local track athletes capture first at S.C. Junior Olympics

Local track athletes capture first at S.C. Junior OlympicsThe Myrtle Beach Track & Field Club played host to [more]

Native son Drew Brophy returns for art retrospective

Native son Drew Brophy returns for art retrospectiveThe Myrtle Beach Art museum drew over a thousand folks [more]

Drew turns softball skills into memorable summer

Drew turns softball skills into memorable summerOlivia Drew was crying, and her mother, Brittany Drew, was [more]

Pelicans limited to one hit as offensive woes continue

Pelicans limited to one hit as offensive woes continueAlex Lange fired six excellent innings Thursday, but the Myrtle [more]

All-County Track & Field: Second shots strike silver

All-County Track & Field: Second shots strike silverThe frontrunners in this year's My Horry News All-County Girls [more]

Mutiny gives Strand fans small taste of World Cup

Mutiny gives Strand fans small taste of World CupAmerican soccer fans don't have a rooting interest in this [more]

Pelicans open second half with eye on playoff streak

Pelicans open second half with eye on playoff streakThe Myrtle Beach Pelicans begin the second half of the [more]

Pelicans help propel South to victory in All-Star Game

Pelicans help propel South to victory in All-Star GameA pair of Myrtle Beach Pelicans played key roles in [more]

NMB's Ballard, MB's Coble reconnect at North-South

NMB's Ballard, MB's Coble reconnect at North-SouthA pair of former teammates and rivals joined forces for [more]

Pelicans fail to finish .500 after losing first-half finale

Pelicans fail to finish .500 after losing first-half finaleThe Myrtle Beach Pelicans dropped their final game of the [more]

CCU's Biermann, Lancaster make All-American squad

CCU's Biermann, Lancaster make All-American squadCoastal Carolina shortstop Seth Lancaster and designated hitter Zach Biermann [more]

Ibarrondo comes to rescue to rally first-place Mutiny

Ibarrondo comes to rescue to rally first-place Mutiny The Myrtle Beach Mutiny needed a wake-up call late Saturday [more]

Pelicans split twinbill with Mudcats, play finale today

Pelicans split twinbill with Mudcats, play finale todayAfter the Myrtle Beach Pelicans fell 2-1 to the Carolina [more]

Pelicans lose fifth straight, play doubleheader today

Pelicans lose fifth straight, play doubleheader todayVictor Diaz's seven strong innings for the Carolina Mudcats were [more]

All-County Boys Tennis: Johnson, MB duo top list

All-County Boys Tennis: Johnson, MB duo top listThe future looks bright for the sport of high school [more]

Hess carves his way to Team USA surfing nod

Hess carves his way to Team USA surfing nodCarter Hess carved his way to a spot on the [more]

Pelicans' bullpen spoils Thompson's perfect start

Pelicans' bullpen spoils Thompson's perfect startAfter Keegan Thompson was removed following seven perfect innings for [more]

Piggot feasts, scores four goals to lead Mutiny win

Piggot feasts, scores four goals to lead Mutiny winThe Myrtle Beach Mutiny rolled to a 6-0 victory over [more]

CCU trio makes all-region; Lancaster an All-American

CCU trio makes all-region; Lancaster an All-AmericanCoastal Carolina shortstop Seth Lancaster was named to the Perfect [more]

Braves' icons Avery, Jones to appear at Pelicans game

Braves' icons Avery, Jones to appear at Pelicans gameThe Myrtle Beach Pelicans will welcome former MLB All-Stars and [more]

Coastal guard Labinowicz announces plan to transfer

Coastal guard Labinowicz announces plan to transferCoastal Carolina University men's basketball player Artur Labinowicz plans to [more]

Report: Myrtle Beach Bowl 'near lock' for 2020 kickoff

Report: Myrtle Beach Bowl 'near lock' for 2020 kickoffIn yet another development in the Grand Strand's booming sports [more]

Adaptive surfers depart for US Surfing Championship

Adaptive surfers depart for US Surfing ChampionshipLocal surfers, volunteers, and family members gathered at the Charleston [more]

All-County Boys Golf: MB's Jarman trades bat for club

All-County Boys Golf: MB's Jarman trades bat for clubIf things had worked out differently, Myrtle Beach High senior [more]

Birds split doubleheader, return to open homestand

Birds split doubleheader, return to open homestandThe Myrtle Beach Pelicans split a doubleheader Sunday with the [more]

Local track athletes capture first at S.C. Junior Olympics

Local track athletes capture first at S.C. Junior OlympicsThe Myrtle Beach Track & Field Club played host to [more]

Comments are closed.

© 2018 Grand Strand Sports Report · RSS
Myrtle Beach Web Design
Kayaking in Myrtle Beach