Golfers Elbow Information

Golfers Elbow Information

Golfer’s elbow, also called medial epicondylitis, is a common form of tendinitis. Tendinitis injuries involve inflammation of the tendon from excessive use or traumatic injury. As the name infers, golfer’s elbow is a common sports injury, especially for those consistently or professionally participating in golf play. To best understand what causes Golfer’s elbow, a brief look at the anatomy of the elbow might be helpful.

 

 

 

 

Golfer's Elbow


Anatomy As It Relates To Golfer’s Elbow

The elbow is functionally comprised of two joints, one allowing flexion (bending) and extension (straightening) and one allowing for supination (palm up) and pronation (palm down) movements. The medial collateral ligament protects the medial (inside) aspect of the joint. Whereas, the lateral collateral ligament protects the lateral (outside) aspect of the joint. In the elbow, tendons are tough bands of connective tissue that connect flexor and extensor muscles to the humerus (arm) bone. The medical name for tennis elbow, lateral epicondylitis, is derived from the name of the bony prominence, the epicondyle, where elbow tendons insert on the humerus. This junction is often the location of inflammation and pain for each type of elbow tendinitis.

Golfer's Elbow

Golfer's elbow is inflammation in the elbow joint region where the pronator and flexor forearm muscles fasten to the medial epicondyle of the humerus, causing medial elbow pain.

Golfer's Elbow Causes

It’s caused by repetitive stress, overuse, or trauma to the medial epicondyle area. It’s important to understand that Golfer’s elbow can affect anyone, not just those that play golf. Golfers do have a high incident of this injury, but this is mainly because of the specific movements and grips they make while playing the game. Anyone that heavily utilizes their wrist and forearm in adduction movements are at risk of developing Golfer's elbow.

Common causes of golfer's elbow include the following:

* An occupation, activity, or sport that involves repetitively moving the forearm in toward the core of the body (adduction movements).
* A trauma to the medial epicondyle area from a fall; direct blow; or impact, such as a car accident.

Golfer's Elbow Symptoms

* Pain or dull ache and tenderness over the medial epicondyle that radiates into the forearm
* Pain that’s aggravated by wrist flexion and pronation (grasping objects, shaking hands, or opening a jar)
* Pain usually intensifies over time during an overuse or stress injury and has more sudden intensification with trauma injuries.

 

Strengthening Exercises

These Elbow Exercises are ideal to build strength and flexibility.

Massage Treatment

These Elbow Massage Techniques are of great value in pain relief; circulation stimulation; dispersing blood and fluid accumulations; swelling reduction; and relaxing muscle spasms, especially when used alongside the Sinew Therapeutics liniments and soaks.

 

ACUTE STAGE SYMPTOMS AND TREATMENT

 

This stage is characterized by swelling, redness, pain, and possibly a local sensation of heat, indicating inflammation. If coolness makes your pain feel better, then the Acute Stage Treatment is recommended.

 

ACUTE STAGE SYMPTOMS:

 

The acute stage starts the moment an injury occurs and lasts until the swelling and inflammation are gone. The swelling is the result of the blockage of blood, tissue fluids and circulation in the elbow because their normal movement has been disrupted by the force of the injury. Just like cars back up behind a traffic jam, causing congestion, exhaust and overheating; blood and fluids back up behind the injured elbow, causing pain, inflammation, lumps and swelling.

The sensation of heat is due to the warming action of the blood and fluids overheating in the injured elbow as they back up and accumulate. Stiffness and decreased mobility are due to spasms in tendons and ligaments that have contracted reflexively beyond their normal range from the impact of the injury.

As ligaments and tendons stretch and tear, blood from ruptured blood vessels becomes trapped in the local tissues. As the trapped blood clots up, it sticks the tissues together creating adhesions. Adhesions cause pain, inflammation and restricted movement because the layers of tissue that used to slide smoothly across one another now adhere and snap which interferes with normal functioning. It is essential to break up clotted blood as quickly as possible to prevent adhesions and scar tissue from forming.

During the acute stage it is very important to restore normal circulation to the elbow, break up clotted blood and stagnant fluids, reduce swelling, and reduce the redness and heat associated with inflammation. By restoring the flow of blood, fluids, and circulation in the elbow, then pain is relieved, damaged tissues can regenerate with healthy functional tissue, and the elbow can strengthen and regain it's mobility.

 

ACUTE STAGE TREATMENT:

 

1. Apply the Sinew Herbal Ice on your elbow to reduce redness, swelling, and inflammation while dispersing accumulated blood and fluids to help restore normal circulation to the elbow. This first-aid treatment is used in place of ice to significantly speed up the healing process. It reduces the swelling and inflammation more effectively than ice, allowing you to more quickly regain range of motion. Acute Sinew Liniment can be used in-between applications.

Ice is not recommended because it does not help repair damaged tissues and keeps everything in the injured area frozen, causing the stagnation of blood and fluids and the contraction of muscles, tendons and ligaments. In Chinese sports medicine ice is not used and is considered a culprit in injuries that donít heal well.

2. Massage your elbow with Acute Sinew Liniment to relieve pain, reduce swelling and inflammation, break up clotted blood and stagnant fluids, and stimulate circulation of blood and fluids to help cells quickly repair damaged tissues. Sinew Herbal Ice can be used in-between applications.

3. The Sinew Sports Massage Oil is recommended for use before and after exercise, sports and strenuous activity. It warms and stimulates your muscles, increases circulation and relieves tightness, hence improving your performance and helping to prevent injury.

 

 

CHRONIC STAGE SYMPTOMS AND TREATMENT

 

This stage begins once the swelling and inflammation are gone, but you still feel pain, stiffness, weakness, and/or sensitivity in cold and damp weather. If heat makes your pain feel better, then the Chronic Stage Treatment is recommended.


CHRONIC STAGE SYMPTOMS:

 

The chronic stage begins once the swelling and inflammation are gone, but you still feel aching pain and stiffness. This is because there are still accumulations of stagnant blood and fluids in your elbow that are blocking circulation and blood supply to damaged tissues, creating residual pain, stiffness and weakness. You may actually feel hard nodules like sand in the tissue, indicating accumulation, calcification, and adhesions, which all cause pain, stiffness, and joint instability.

Your elbow may feel more sensitive to the cold and ache in cold and damp weather due to impaired circulation. When you move your elbow you may hear a clicking or popping sound from the tendons and ligaments slipping very slightly in and out of their natural alignment indicating weakness and joint instability, causing chronic pain and a cycle of reinjury. These symptoms are often the result of failure to treat the injury properly from the outset and overicing.

Increasing circulation and blood supply to the damaged tissues is very important in treating chronic injuries because tendons and ligaments do not have an extensive direct supply of blood. That is why chronic injuries can be slow to heal. Increasing local circulation also prevents cold and dampness from penetrating the injured area, preventing pain and stiffness.

During the chronic stage it is very important to break up remaining accumulations of blood and fluids, and increase circulation and blood supply to the damaged tissues. By increasing circulation and blood flow in the elbow, then pain and stiffness is relieved, and the tendons and ligaments can strengthen to restore stability.


CHRONIC STAGE TREATMENT:

 

1. Massage your elbow with Chronic Sinew Liniment to relieve pain and stiffness, strongly stimulate circulation and blood flow to damaged tissues, and promote the healing of overstretched tendons and ligaments. Sinew Injury Poultice can be used in-between applications.

2. Apply the Sinew Injury Poultice on your elbow to relieve residual pain and stiffness, significantly stimulate circulation and blood flow to damaged tissues, and further promote the healing of overstretched tendons and ligaments. The Sinew Injury Poultice is particularly useful if your elbow is more painful in cold and damp weather. Chronic Sinew Liniment can be used in-between applications.

3. The Sinew Sports Massage Oil is recommended for use before and after exercise, sports and strenuous activity. It warms and stimulates your muscles, increases circulation and relieves tightness, hence improving your performance and helping to prevent injury.