Alternative Cures for Tennis Elbow

Cure Tennis Elbow Ebook

All too many people every year run up a huge medical bill and spend a lot of time in physical therapy in an attempt to treat their tennis elbow But there is a better way! Often, traditional medical professionals don't know how to treat tennis elbow in a way that actually sticks. But now you know better! Learn how to treat your tennis elbow with this quality ebook guide that gives you the real advice that no one talks about You will be amazed at the results that you are able to get! You don't even need to break a sweat or get on a really tough exercise program And you don't need to waste time in order to get back to full health! Follow our treatment plan, and you will be back to full health and no pain in no time! All that it takes is a bit of time and you will back to full health just like that! More here...

Tennis Elbow Secrets Revealed Summary


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Fixing Elbow Pain

Jedd Johnson's amazing ebook gives you all of the tools that you need in order to fix all of the elbow pain that you are experiencing. Any sports-related pain that you are going through will go away once you start following the program that is outlined in this ebook. There is no need to go to a physical therapist to get treatment for your pain It is a lot easer than that! This ebook gives you the methods that you need to know in order to get rid of the really aggravating pain that you are experiencing, and get your normal life back. You will learn how to easily do self-rehab in order to fix the elbow pains that you are going through. You will also learn how to prevent common elbow injuries before they even start Don't just get rid of the pain; stop it from ever coming back at all! More here...

Fixing Elbow Pain Summary

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Author: Jedd Johnson
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Tennis Elbow The Gripes of the Grip

You certainly don't have to be playing tennis to experience the nagging and often disabling pain on the outside of your elbow that we commonly call tennis elbow. Tennis elbow, or lateral humeral epicondylitis, usually results from overuse of this joint, either on the tennis court or elsewhere. When patients talk about what was going on prior to the pain, typically there's a history of mini-aches or twinges around the bone that's on the outside of the elbow. Tennis elbow is a commonly treated condition in my clinic. Successful outcome and patient satisfaction are usually high. Oriental diagnosis of tennis elbow is stuck Qi or blood (pain ranging from dull and achy to sharp and stabbing). Treatment involves the use of needle acupuncture, electroacupuncture, and non-needle options such as electromagnetic or biomagnetic acupuncture.

Medial Elbow Tendinopathy

Medial elbow tendinopathy or medial epicondylitis, commonly called golfer's elbow, is caused by repetitive overuse of the wrist flexor and forearm pronator muscles that originate at the medial epicondyle of the humerus. Patients present due to pain in the medial aspect of the elbow, rarely weakness, and loss ROM. Pain is worsened by gripping and lifting activities, particularly with the hand in palm-up position. Common Figure 30-16 Medial epicondylitis may be diagnosed clinically by pain localized to the medial epicondyle during wrist flexion and pronation against resistance. There is often pain elicited after making a tight fist, and grip strength is usually diminished on the affected side. As with lateral elbow tendinopathy, plain radiographs are not needed to make an accurate diagnosis of medial elbow tendinopathy, but should be considered with a history of trauma, motion loss, locking, or chronic pain. Also similar to lateral epicondylitis, management of medial epicondylitis...

Lateral Epicondylitis

Frequently referred to as tennis elbow, rug beater's elbow, or jailer's elbow, lateral epicondylitis is a common condition found in athletes, workers, and musicians. Arising from the humeral lateral epicondyle, the extensor-supinator muscles may be strained or contused through repetitive shear activities that cause microscopic tearing and inflammation at the origin of the common extensor tendon. Gripping an instrument, a piece of sporting equipment, or a tool further aggravates the injury. The exact etiology of lateral epi-condylitis continues to be debated with mechanical, metabolic, and occupational theories cited. Riek et al. attribute lateral epicondylitis to the eccentric contraction at near maximum length of the extensor carpi radialis brevis,43 and Lieber et al point to the ECRB's biphasic sarcomere length as the elbow moves from full extension to full flexion, resulting in eccentric muscle contraction.17 Poor conditioning and or poor technique may result in stress and...

Lateral Elbow Tendinopathy

Lateral Elbow Tendinopathy

Lateral elbow tendinopathy or lateral epicondylitis, commonly called tennis elbow, is caused by repetitive overuse of the wrist extensor and forearm supinator muscles that originate at the lateral epicondyle of the humerus more specifically, the extensor carpi radialis brevis tendon. Once thought to result from inflammation, lateral elbow tendinosis is probably caused more by chronic changes in the musculotendinous matrix (Nirschl, 1992), with minimal inflammation present, particularly with symptoms present for more than 4 to 6 weeks. Microtears, chronic granulation tissue, and scar tissue formation are often seen in pathologic specimens of surgical cases of tennis elbow. Plain radiographs are not needed to make an accurate diagnosis of lateral epicondylitis but should be considered in patients with a history of trauma, motion loss, or locking or with a prolonged period of pain. Management focuses on pain control and restoration of normal elbow function. Cryotherapy, ice massage, and...

Medial Epicondylitis

Medial epicondylitis is similar to lateral epicondylitis but involves the muscles originating on the medial epi-condyle of the humerus. Repetitive pronation with wrist flexion often leads to medial epicondylitis. Stress and microtearing to the pronator teres, flexor carpi radialis, flexor digitorum sublimus, and flexor carpi ulnaris occur in pitchers in the acceleration phase of throwing, during tennis serves, hitting a forehand shot, and with golf swings. Gymnasts place stress traction on the medial collateral ligament and epicondyle by using the upper extremity as a weight-bearing surface as when working on a vaulting horse.53 Golfer elbow, another term for medial epicondylitis, may be caused by not pulling the club through with the left side using the legs, back, and shoulder.22 Symptoms include medial epicondyle tenderness upon palpation and pain on the medial aspect of the elbow with resistive wrist flexion or with passive wrist extension with the elbow extended. Conservative...

Tennis And Other Racket Sports

Racket sports, such as tennis, squash, racketball and badminton can sometimes be prescribed as alternative training for general fitness development and during convalescence for a number of injuries. Modifications may be required for example, a sore knee may allow baseline tennis play on grass but not allow sprints and turns on a hard court. A stiff shoulder may not allow overhead serves but be perfectly all right for baseline play. Elbow injuries, such as lateral epicondylitis, may require double backhands to avoid pain. Double or mixed games do not involve the same amount of running as singles. Squash is more demanding for the wrist and elbow than the shoulder badminton is very demanding for the Achilles tendon but may be played with a non-dominant shoulder injury. Thus, instead of resting completely, a keen player can maintain parts of their play until treatment and rehabilitation is completed. Meeting and playing with friends is also very important for encouraging the return to...

General Considerations

Diseases of the musculoskeletal system are divided into two categories systemic and local. Patients with systemic disease, such as rheumatoid arthritis, systemic lupus erythematosus, or polymyositis, may appear chronically ill, with generalized weakness, pain, and episodic stiffness of the joints. Patients with local disease are basically healthy individuals who suffer restriction of motion and pain from a single area. Included in this group are patients suffering from back pain, tennis elbow, arthritis, or bursitis. Although these patients may have only local symptoms, their disability can greatly limit their work capacity, and the disease can have a severe impact on the quality of their life.


Always observe the skin for abrasions or lacerations in the elbow area. Infections are a common secondary complication to elbow injuries. Valgus stress Varus stress Tennis elbow test Golfer's elbow test Tinel sign ulnar nerve Elbow flexion test Pinch test Reflex testing Biceps reflex Brachioradialis reflex Triceps reflex Sensation testing Circulatory testing

Pathogenesis and pathohistology

Epicondylitis is a result of repeated, very high loads on the extensor muscles (in lateral epicondylitis) or flexor muscles (medial epicondylitis) where the conjoined tendons insert onto the humeral epicondyles. When the tennis ball hits the racquet, high impact is transferred to the musculature controlling the hand and wrist. During the one-handed backhand smash, the load is on the extensor muscles in particular, and lateral epicondylitis can develop. During the forehand smash, impact is applied to the flexor muscles, creating the basis for medial epicondylitis. Symptoms often develop in connection with increasing number of training hours, introduction of a new and tightly strung racquet or heavier balls.

Clinical presentation and findings

Examination reveals intense tenderness at the epi-condyle in question, directly by palpation, and indirectly by applying stretch on the muscle with lateral epicondylitis, dorsal flexion of the hand against resistance will provoke the typical pain. In medial epi-condylitis, pain is elicited by forced volar flexion of the hand. Pinpointing the tender tissue by palpation is important to rule out other diagnoses on the lateral side tenderness at the joint line is indicative of degenerative disease or osteochondral injury in the radiohumeral joint, and tenderness 2-3 cm distal of the radial head is seen with the pronator syndrome. On the medial side tenderness 2-3 cm distal to the condyles is indicative of overload or trauma to the ulnar collateral ligament tenderness 2 cm further distal of the pronator syndrome and tenderness behind the medial condyle is seen with irritation of the ulnar nerve. Fig. 6.7.7 Magnetic resonance image of lateral epicondylitis with changes and hypertrophy of...

Treatment and prognosis

If conservative therapy fails to cure the athlete of the symptoms of epicondylitis or reduce the pain significantly, operative treatment can be considered. Only about 5 of patients with lateral epicondylitis need surgery 26 . At least 6 months' conservative treatment should precede the decision for operation. Failed conservative treatment should always result in re-examination of the patient. Medial instability may be a reason why medial epicondylitis does not respond to therapy. Laterally, instability and degenerative joint disease are important differential diagnoses.

Laurence Laudicina and Thomas Noonan

Arcade Frohse

Lateral tendonosis (tennis elbow) Medial tendonosis (golfer's elbow) Olecranon bursitis Olecranon stress fracture Valgus extension overload Nerve compression syndromes LATERAL TENDONOSIS EPICONDYLITIS (TENNIS ELBOW) Lateral epicondylitis or tendonosis is usually an overuse injury, although it may be precipitated by minor elbow trauma. The condition is typically due to repetitive flexion extension or pronation supination with the elbow near extension. It generally presents as lateral-side elbow pain and tenderness directly over the lateral epicondyle (at the extensor origin), and just distal to it. Pain is elicited at the lateral epicondyle extensor insertion with passive wrist flexion and with resisted wrist and digital extension. The elbow is extended for both provocative maneuvers.1 Lateral epicondylitis (tennis elbow) occurs secondary to repetitive microtrauma involving extensor carpi radialis brevis, sometimes also involving the extensor carpi radialis longus and extensor carpi...

Accreditation Commission for Acupuncture and Oriental Medicine AGAOM

228-229 sciatica, 86 shiatsu, 23-24 sinusitis, 60 stress, 203 techniques, 104 tennis elbow, 71-74 tinnitus, 230-231 uterine fibroids, 179-181 weight management, 233-234 wony, 205-206, 211 acu-pros, 4, 10-13, 18-20, 39-40, 59, 239, 244-246, 250 acupuncture, 39-40 allergies, 116-117 228-229 sciatica, 86 sinusitis, 60, 128-131 skin, 199-200 smelling, 15 stress, 203 strokes, 108-112 tennis elbow, 71-74 tinnitus, 230-231 uterine fibroids, 179-181 visits, 239-241 vomiting of milk, 144-145 weight management, 233-234 worry, 205-206 acu-woman, 25 228-229 reflexology, 24-25 safety, 17 sciatica, 86 shiatsu, 23 sinusitis, 128-131 skin, 199-200 stationary pressure, 33-34 stress, 203 strokes, 109-112 supporting pressure, 33-34 techniques, 35-36, 109-112 tennis elbow, 72, 74 tinnitus, 230-231 treatments, 18 vertical pressure, 33-34 weight management, 233 Acupressure-Acupuncture Institute, 277 tennis elbow, 71-72 tinnitus, 230-231 treatments, 18-20, 98-99 trigeminal neuralgia, 111-112 uterine...

Multiple choice questions

1 Medial elbow pain in throwing athletes a is usually caused by tennis elbow b can be caused by elbow instability c in most cases develops after a traumatic elbow injury, e.g. dislocation 2 Posterior elbow pain during sports activity b is often seen in athletes with medial elbow instability c is usually caused by collision (impingement) between the ulnar nerve and olecranon d can be treated by arthroscopic operation e often resolves with conservative treatment in active throwing athletes. a elicited in the late cocking phase of throwing can be a symptom of posterolateral rotatory elbow instability b elicited in the late cocking phase of throwing can be a symptom of medial elbow instability c elicited during racquet sports in the middle-aged, recreational athlete is most likely lateral epicondylitis d caused by nerve entrapment is usually not combined with muscle fatigue e caused by tennis elbow usually resolves with rest, NSAIDs and eventually corticosteroid injection.

Acute and overuse injuries

Tion, elbow pain, and strains, sprains and fractures of the wrist. With increasing training load in children and adolescents over the last decades, overuse injuries have become more and more frequent in this age group. These injuries usually present initially with pain during exercise, but may, if not treated appropriately, lead to continuous pain, loss of function and disability. During physical examination, overuse injuries present with pain which is elicited by pressure or stress applied to the body part under examination. Most injuries involve the muscle-tendon unit (e.g. tennis elbow, little league elbow, shin splints). However, other structures may also be affected. Repetitive stress to the apophyses may induce a disruption of the apophyseal structure (Osgood-Schlatter disease). Likewise, repetitive stress to bones during training may lead to stress fractures, especially in long-distance runners and gymnasts. Various bones in the foot, the tibia and lumbar vertebra...

Articular Nonarticular

Splints employ coaptational, two-point pressure forces to stabilize or immobilize isolated body segments. These splints do not include joints and to differentiate them from articular splints, the term nonarticu-lar is always included in the technical name. Splints that are classified in the nonarticular group include pulley rings for protection of healing digital pulleys (Fig. 4-7), tennis elbow cuffs, and some fracture braces.

Acupressure The Match Points

Acupressure is an effective and timesaving technique for healing tennis elbow. The acu-points are located along the channels that affect the outside of the elbow. As you'll see by their names, these acu-points are famous for treating elbows just like yours. Tennis elbow. If you have tennis elbow, the pain will hi't at the outside of the elbow, the smackit of the racket Tennis elbow. If you have tennis elbow, the pain will hi't at the outside of the elbow, the smackit of the racket Use these ocu-points to relieve tennis elbow Another technique to use on tennis elbow is the cross fiber Tui-Na pushing.

Acupuncture Yoga and Homeopathic Remedies

Excellent reviews of acupuncture's theory, efficacy, and practice (Kaptchuk, 2002 Nielsen and Hammerschlag, 2004) cite the 1997 NIH Consensus Development Panel findings on acupuncture. After reviewing all available evidence from RCTs up to 1997, the panel concluded that clear evidence shows that acupuncture is efficacious for adult postoperative and chemotherapy nausea and vomiting and for postoperative dental pain. The panel also reported that acupuncture should be considered a useful adjunct for addiction, stroke rehabilitation, osteoarthritis, headache, low back pain, tennis elbow, menstrual cramps, carpal tunnel, and fibromyal-gia (NIH, 1998).

Patient Encounter 2

A 40-year-old woman presents with right elbow pain. On questioning, you determine that she works in a factory performing repetitive tasks with her right arm. She reports the gradual onset of pain over the last few months. When she wakes in the morning, she has minimal pain after rest, but the pain intensifies after a few hours at work. She tends to have less pain on weekends. She reports decreased range of motion compared with the left side. She is a nonsmoker and does not drink. She has no significant past medical history or allergies. She takes no medications. Given this information, what is your assessment of the patient's elbow pain Based on the information presented, create a care plan for this patient's elbow injury. Your plan should include (a) the goals of therapy and desired outcomes, (b) a patient-specific therapeutic plan, including nonpharmacologic therapy, and (c) a monitoring plan to determine if goals of therapy have been met and adverse effects avoided.

Causes of the Creakin

Feeling better Little by little, we'll cover many of the health concerns that you have, and you can even pick up some tips for your friends. So far you've gotten some solid solutions to such nagging complaints as tennis elbow, bursitis, carpal tunnel, and arthritis. You've got stretches, acu-points, and herbs to chew on. What's next Your lower torso awaits to get on the healing path. ) Firm acupressure on L1-12, LI-11, or LI-10 can reduce tennis elbow pain. ) Electro- or laser acupuncture short-circuits carpal tunnel pain and numbness. ) Make an herbal soup to wash away your arthritic pain and stiffness.

Keeping Pain at Arms Length

- Stop courting the pain of tennis elbow When you experience pain in any of the joints of your arms, it makes it hard to do most anything. Most activities become a struggle. With shoulder bursitis, you can hardly comb your own hair. Tennis elbow makes it a challenge to pick up a pot full of water off your stove. Carpal tunnel limits your productivity at work, and arthritis in your hands can seem like an impregnable barrier to any task.

Magnets Whats the Attraction

Tn Oriental Medicine, magnets are used to set up specific patterns of flow, using the bioelectrical and magnetic properties of Qi. Although no one completely understands how they work, practitioners use magnets to treat such conditions as arthritis, back pain, bursitis, carpal tunnel, and tennis elbow.

Radial nerve high radial palsy radial tunnel syndrome posterior interosseous nerve syndrome

Radial Nerve Entrapment

Symptoms are pain laterally in the forearm during activity, and in the quite rare cases of PINS also decreased strength of the muscles extending the wrist. On examination there is often pain at the supinator muscle, 4-5 cm distally to the elbow, and pain can be provoked by resisted supination with the elbow extended. There is often pain at the proximal part of the extensor muscles, especially with resisted extension of the fingers, in particular the middle finger, but this is also typical of tennis elbow. If there are motor nerve symptoms, extension strength of the fingers and the wrist is decreased. There are no sensory symptoms in this syndrome.

Lateral and posterolateral rotatory instability

The symptoms of lateral and posterolateral rotatory instability are not typical. They vary according to the degree of instability. Redislocations are rare. Most commonly complaints are vague diffuse elbow pain, clicking, catching, locking and snapping during activity. Posterolateral rotatory instability most often shows as episodes of apprehension when the arm is supinated in extension, or during supination in slight flexion when valgus stress is applied to the arm 18,51 .

Elbow Dislocations Fractures

Dislocated Elbow Splint Uses

Hyperextension is the most common reason for elbow dislocations. The coronoid process and the medial and lateral collateral ligaments provide stability for anterior posterior movement while the biceps and brachialis supply negligible support in a hyperextension injury.51 If the injury is of greater magnitude, an associated coronoid, epicondylar, or radial head fracture may occur along with ligament damage requiring surgical repair. These injuries are commonly seen in contact sports, gymnastics, or traumatic injuries on the job and many will require surgical repair. It is not within the scope of this discussion to review surgical intervention or postoperative care for elbow injuries. Only nonoperative elbow problems will be discussed in this section. When treating acute elbow injuries, it is important not to force passive elbow extension, which may cause further injury or delay healing. Adjustable splints that control extension and flexion may be used to limit end range motion that may...

Little League Elbow

Commonly a result of the valgus stress during repetitive throwing movements, little league elbow is an injury to the supporting structures of the medical elbow. This microtrauma results in three classic findings (1) medial epicondylitis, (2) traction apophysitis, and (3) delayed or accelerated growth of the medial epicondyle. Delayed diagnosis and treatment can lead to growth plate disruption, leading to permanent deformity. Although athletes most often present with medial elbow pain, lateral and posterior pain can be provoked with palpation. Pain is most commonly elicited during the cocking and or accelerating phase of throwing. Importantly, pain during the deceleration phase is more suggestive of a posterior elbow injury.


The medial region can indicate UCL sprain or rupture, a medial epicondyle avulsion fracture, ulnar neuritis, ulnar nerve subluxation, medial epicondylitis, osteochondral loose bodies, valgus extension overload syndrome, or pronator teres syndrome. The differential diagnoses for symptoms of the anterior region include anterior capsular sprain, distal biceps tendon strain or rupture, brachialis muscle strain, and coronoid osteo-phyte formation. Finally, symptoms in the posterior region can indicate valgus extension overload, posterior osteophytes with impingement, triceps tendonitis, triceps tendon avulsion, ole-cranon stress fracture, osteochondral loose bodies, or olecranon bursitis.1,2


There are only very few randomized, placebo-controlled studies concerning the effect of local corticosteroids and chronic tendon injuries, but some effect has been recognized in the treatment of tennis elbow 74,75 , rotator cuff tendinitis 76 and plantar fasciitis 72 . Often the effect has been of short duration. Newer randomized, doubleblind, placebo-controlled studies 76a,76b have shown a significant effect of ultrasound-guided peri-tendinous injection of long-acting corticosteroids in athletes with the most severe ultrasonography-verified jumper's knee or Achilles tendinopathy. Despite having had symptoms for an average of i1 , years 50 of the athletes were free of symptoms after 3 months but only 20 were free of symptoms after 6 months. The increased tendon diameter and the edema evaluated by ultrasonography were highly significantly reduced every week for the first 4 weeks following an injection despite the fact that the tendons were never totally normalized...


The incidence of lateral epicondylitis is about 50 in recreational tennis players over 30 years of age i . It is rarer in younger persons, probably because their tissue is stronger and more elastic, and in elite players, who in many cases have a better technique than recreational players. Besides racquet sports, lateral epicondylitis is also seen in squash and table tennis. The male female ratio is nearly i. The most important factors for development of lateral epicondylitis in tennis players are playing time per day and age 21 . Medial epicondylitis is 1 10-1 5 as common as lateral, and 80 occurs in males 22 .

Case story 671

A 45-year-old-man has played tennis for 30 years. He had never experienced problems until last year, when he had to stop playing 2 months before the end of the season, because of medial pain in the elbow during serving and smashes. Symptoms resolved. Two weeks into the new season he developed medial and lateral elbow pain during serving and slashing. The medial pain resolved after the matches, but the lateral pain is constant, and gets worse during daily activities. With continued playing he now also experiences paresthe-sia in the ulnar fingers.


Dilute the corticosteroid with local anesthetic before the injection. The diluted solution decreases the risk of adverse effects, and the anesthetic-induced disappearance of pain helps to confirm the diagnosis. The literature on the comparative efficacy of different preparations, doses and number of injections is scanty 74,79 . Price et al. 74 concluded in a double-blind study that more rapid relief of symptoms of tennis elbow was achieved with 10 mg triamcinolone than with 25 mg hydrocortisone and there was less need to repeat injections in the former group, and Vogel 79 showed an increase in the tensile strength of tendons after corticosteroid injections, but repetition of injections progressively weakened the tendons, suggesting a relationship between cumulative dose and the adverse effect.


(McShane et al., 2006 Housner et al., 2009). The most common form of autologous growth factor therapy is platelet-rich plasma (PRP) and is increasingly used to treat tendi-nosis. Although a relatively novel option for sports-related injuries, PRP has been used in other medical conditions for two decades. The use of PRP migrated to orthopedic procedures, where it has been used effectively to augment bone and soft tissue healing in the operating room, especially in poorly healing fractures and those at high risk for nonunion. Most recently PRP has been used in the outpatient setting for a variety of sports-related soft tissue injuries, including the treatment of chronic tendinopathies, as well as moderate to severe acute ligament, muscle, and tendon injuries. Autologous growth factor therapy in the treatment of chronic tendinosis can initiate a stalled or failed healing response, leading to a healthier and less symptomatic tendon. In the management of chronic lateral epicondylosis...

Cure Tennis Elbow Without Surgery

Cure Tennis Elbow Without Surgery

Everything you wanted to know about. How To Cure Tennis Elbow. Are you an athlete who suffers from tennis elbow? Contrary to popular opinion, most people who suffer from tennis elbow do not even play tennis. They get this condition, which is a torn tendon in the elbow, from the strain of using the same motions with the arm, repeatedly. If you have tennis elbow, you understand how the pain can disrupt your day.

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