Golf, tennis seasons can be a real pain in the 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.

To understand how dry needling can be an effective technique to reduce pain and promote healing of elbow epicondylalgia/tendinosis we must first understand what happens when an injury is sustained. Injuries to tissues are caused by varying degrees of stress, ranging from repetitive overuse, to sudden high velocity traumatic forces.

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.

At Professional Rehabilitation Services, we treat a wide variety of musculoskeletal conditions using the latest in evidence based therapies provided by highly credentialed physical therapists. For further information, visit our website at www.prsrehabservices.com.

Comments

comments

Conway sweeps Socastee; NMB, SJ games postponed

Conway sweeps Socastee; NMB, SJ games postponedThe Conway High boys and girls basketball teams swept visiting [more]

Boys Hoops: Green breaks CA record; Braves beat CF

Boys Hoops: Green breaks CA record; Braves beat CFChristian Academy of Myrtle Beach junior Michael Green reached another [more]

Lady Panthers' second-half surge knocks off Socastee

Lady Panthers' second-half surge knocks off SocasteeThe Carolina Forest High girls basketball team broke up a [more]

Coastal adds Michigan OL transfer to recruiting class

Coastal adds Michigan OL transfer to recruiting classCoastal Carolina head football coach Joe Moglia announced Sean Fitzgerald, [more]

Earnhardt clears air about interest in buying Panthers

Earnhardt clears air about interest in buying PanthersRetired NASCAR driver Dale Earnhardt Jr. says he is interested [more]

CCU's Ruiz picked to play in Latin America Amateur

CCU's Ruiz picked to play in Latin America AmateurCoastal Carolina junior golfer Luis Ruiz has been selected to [more]

CAC swimmers clean up on medals at Tiger Invitational

CAC swimmers clean up on medals at Tiger InvitationalThe Coastal Aquatic Club (CAC) sent 37 swimmers to compete [more]

MB grad Sessions waived during 11th NBA season

MB grad Sessions waived during 11th NBA seasonFor the first time since his high school days at [more]

Horry/Georgetown Invite: CF, NMB, MB finish 1-2-3

Horry/Georgetown Invite: CF, NMB, MB finish 1-2-3The Carolina Forest High wrestling team captured the bi-county championship [more]

Battle at the Beach: MB makes it rain 3s; CA falls

Battle at the Beach: MB makes it rain 3s; CA fallsOn Friday night, a leaky roof forced the Myrtle Beach [more]

CCU Hoops: Coastal splits with visiting Georgia State

CCU Hoops: Coastal splits with visiting Georgia StateArtur Labinowicz scored a career, team and game-high 32 points, [more]

Hoops: Chiefs, Tigers use last-second shots for wins

Hoops: Chiefs, Tigers use last-second shots for winsNorth Myrtle Beach High's Cooper Chandler picked the right time [more]

MB Winter Bump tourney expects record crowd, field

MB Winter Bump tourney expects record crowd, fieldThe annual Myrtle Beach Winter Bump Volleyball Classic, hosted by [more]

Knaffle garners SCCAWS Player of the Year award

Knaffle garners SCCAWS Player of the Year awardSt. James High junior Smith Knaffle may need to add [more]

CCU Hoops: Chants split Sun Belt twinbill with GSU

CCU Hoops: Chants split Sun Belt twinbill with GSUJaylen Shaw moved into 13th place on the Coastal Carolina [more]

North Myrtle Beach boys, girls cruise past St. James

North Myrtle Beach boys, girls cruise past St. JamesThe North Myrtle Beach boys and girls basketball teams swept [more]

Wrestling: Locals earn top rankings; Chiefs take two

Wrestling: Locals earn top rankings; Chiefs take twoThe latest rankings were released Tuesday for SCHSL wrestling, but [more]

Boys Hoops: Socastee, Conway win region debuts

Boys Hoops: Socastee, Conway win region debutsThe Socastee High boys basketball team won a thrilling Region [more]

Girls Hoops: Seahawks knock off No. 1 Wilson

Girls Hoops: Seahawks knock off No. 1 WilsonThe Myrtle Beach High girls basketball team saw region rival [more]

CCU student-athletes post top semester in classroom

CCU student-athletes post top semester in classroom A record 264 Coastal Carolina student-athletes posted at least a [more]

Riptides make successful plunge at Polar Bear meet

Riptides make successful plunge at Polar Bear meetRiptides Racing's swimmers braved the cold weather and icy roads [more]

Local teams break ice with region rivals, reschedules

Local teams break ice with region rivals, reschedulesThe new year is only one week old and already [more]

Panthers suffer tough loss to Saints, face uncertainty

Panthers suffer tough loss to Saints, face uncertaintyThe Carolina Panthers' season ended in a heap atop sacked [more]

Ragin' Cajuns sweep CCU in Sun Belt doubleheader

Ragin' Cajuns sweep CCU in Sun Belt doubleheaderCoastal Carolina faced the top men’s basketball team in the [more]

Moglia announces return to role as CCU head coach

Moglia announces return to role as CCU head coachCoastal Carolina’s Joe Moglia announced he has been medically cleared [more]

Conway sweeps Socastee; NMB, SJ games postponed

Conway sweeps Socastee; NMB, SJ games postponedThe Conway High boys and girls basketball teams swept visiting [more]

Boys Hoops: Green breaks CA record; Braves beat CF

Boys Hoops: Green breaks CA record; Braves beat CFChristian Academy of Myrtle Beach junior Michael Green reached another [more]

Comments are closed.

© 2017 Grand Strand Sports Report · RSS
Myrtle Beach Web Design
Kayaking in Myrtle Beach