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Tennis elbow pain, what is going on, difficult to heal do?

Lu indignant 3A2010-02-16 23:10:52 +0000 #1
My child is almost 5 years old, but some time ago I found that I have always carrying a child's hand (tennis elbow position) in great pain, played close to the pin, about 2 months before another attack, and I do not know how to run
WeiYLand2010-02-16 23:26:39 +0000 #2
tennis elbow (lateral epicondylitis) is inflammation of the tendon lateral elbow pain. The pain was the result of wrist and fingers is responsible for turning its back stretch of the muscles caused by repeated force. Patients in the grip force or lifting an object to feel the lateral elbow pain. Tennis Elbow is a classic example of overuse syndrome. Studies have shown that stretching the wrist muscles, especially the extensor carpi radialis brevis, conducting wrist straight and to the radial force, the tension is very large, muscular physique prone part of the fiber connections over-stretched, to form a slight tear.

Therapy

1. Rest and changes in activity patterns.

Proper rest for the acute stage (severe red, swelling, pain) is particularly important, however, to change the patterns of activity are more important. Identify the causes of injury, and then make the appropriate changes, it can slow the disease. Studies have shown that tennis players suffering from tennis elbow, simply reduce the intensity of training and scientific movement, can be reduced by 90% of the disease.

2. Physical Therapy.

Rest, ice, fixed, elevation, and electrical stimulation can control the inflammation, so that in a good environment for tendon healing.

3. Drugs.

Anti-inflammatory drugs can help alleviate the pain and inflammatory conditions. Those who wish to quickly reduce the pain, then select local steroid injection, but in fact it has a lot of the harmful effects of the organization, it is not recommended.

4. Acupuncture and Massage

Acupuncture and Massage produced by acupuncture stimulation, the activities of the elbow muscles, is an effective therapy now treatment of tennis elbow. The disadvantage is that a longer treatment period, benefits to the body no side effects.

Tennis elbow

tennis elbow because tennis players easy to contracting this disease, named after its medical name for humeral epicondylitis. Housewives, brick work, carpentry and other long-term activists repeatedly forced to do the elbow, but also easy to contracting this disease. As a long-term strain will enable a number of parts attached to the elbow tendons and soft tissue, occurred some fiber tear or injury, or trauma due to friction caused by the periosteum, causing periostitis. Mainly in the lateral elbow pain, radiation to the lateral forearm, grip material weakness, in the fastening screw or squeeze a towel, the local pain intensified. Some affected area swelling, palpable bone hyperplasia uplift, tenderness evident. For diagnosed the disease, can be used for rotating arm wrist flexion test method is to straighten the elbow, wrist flexion, and then try forearm backwards, and external rotation, at this time if the elbow pain got worse, it is clear that suffering from tennis elbow.

Happened after the tennis elbow, should pay attention to rest, to stop some of the use of the elbow, wrist force action. A variety of diathermy of physical therapy, or hot-water bottle, hot towels, hot packs, combined with acupuncture, massage and so have some effect. Tenderness at the injection of triamcinolone acetonide, if the injection site accurate and better effect. Can be injected one time per week, 2

3 times as a course of treatment. In addition to individual patients after injection 1 to 2 days, the local inflammatory response may exacerbate the pain, the local injection in general not lead to systemic complications. If, after all kinds of therapy still no effect, and has seriously affected the work and life can be surgery treatment,

tennis elbow How did it happen?

Tennis elbow refers to the humeral epicondylitis, due to repeated inversion caused by force pain, mainly referring to the outer elbow tenderness. Because often occurs in tennis players named, but also occur in other athletes, or other professional person. In fact, any in sports or labor, the opportunity for excessive use of forearm and wrist strength is too large when you are prone to the disease.

Tennis elbow pathogenic factors, but generally considered to be due to the long-term repeated forearm extensor group of the strong contraction of traction make these tendon attachment took place varying degrees of acute or chronic cumulative damage to muscle fibers produce tears bleeding, machine-based, adhesion, formation of aseptic inflammation and disease. Chinese medicine believe that this disease is injured workers blood, tendons and caused discord.

Tennis Elbow What is the clinical performance?

Most of the incidence of this disease is slow, the patient consciously outside the top of the activities of elbow pain, the pain can sometimes be upward or downward radiation, sensory Suanzhang unwell, unwilling to activity. Hand grip objects can not be forced, grip spades, to mention pot, twist towel, playing sports such as sweaters can increase the pain. Generally lateral epicondyle at the limitations of point tenderness, and sometimes may be down to diffuse tenderness, and sometimes even in the extensor tendon is also a mild pain, tenderness and activities. No local swelling, elbow flexion is not affected, but the activity can be painful forearm rotation. In severe cases, straight fingers, wrist, or enforcement action when chopsticks can cause pain. Limb at the elbow, forearm supination position when the extensor group in a relaxed state, which was to ease the pain. A few rainy days in conscious patients with increased pain.

Humeral epicondylitis among patients with localized tenderness, there are Mill's sign positive. In patients with forearm pronation-bit, to confront external forces supination movement, humeral epicondyle pain were at the Mill's sign (+). Elbow and a fist, bent wrist, forearm pronation and then took the initiative, if the pain caused by lateral condyle for Mill's sign (+).

How to treat tennis elbow?

Tennis elbow treatment, acute limb should be to reduce the workload of local pain points, closed, manual therapy, physiotherapy, hot packs, etc. have certain effects. The treatment approach is: The patient sat on the side bench is doctors who stand on their side, the patient elbow, relax muscles, doctor a hand wrist, one hand on the elbow and to the thumb dial from light to heavy rubbing brachioradialis and lateral articular condylar pain at 2 to 3 minutes later, with kneading to push forward the call to live the affected side of the palm of the hand dorsal elbow, supporting the wrist of the hand wrist to the forearm and wrist pronation, first for elbow flexion and extension activities, shaking several times, and then Meng a force (clever move) straight elbow can often hear the sound of a bullet, and then re-use thumb or the palm of your hand rub to relax soft tissue around the joints brachioradialis, when the patient feels relaxed limb pain relieve.

A variety of activities can lead to tennis elbow

tennis movement, elbow flexion and extension activities, and more forceful, more damage to the opportunity. Beginning to see foreign doctors is because the disease is more common in tennis who will be called tennis elbow. In fact, not just playing tennis, playing badminton, table tennis, and even engaged in hairdressing, repairing machinery, operate a computer, transplanting, hand laundry, cooking and other activities, much work elbow tennis elbow can be induced to produce the corresponding symptoms. Some of the elbow joint activities are not many people, because of local injuries or cold, etc. can also be disease. The elderly due to degeneration of tendon fibers, aging, injury often can not quickly restored, the incidence is higher. Therefore, the tennis elbow is not a sport, "patent", but not the tennis player occupational diseases.

Humeral epicondyle elbow inflammation is a root cause of the

body by the upper arm humerus and forearm ulnar, radial connections formed. Humerus, the lateral bony bump each one is located in the skin, it is easy to touch, respectively, called the medial epicondyle and lateral epicondyle. Within the condyle is the main starting point for the forearm flexors, lateral epicondyle is the main starting point for the forearm extensors. These muscle contraction, the co-ordination, co-completion of elbow flexion and extension movements. If the passive stretch of forearm extensor group (such as a fist, wrist flexion) and active contraction (eg, wrist) too much, the intensity is too large, more than tolerance limit, humeral epicondyle muscles at the starting point can be torn to varying degrees of , causing hemorrhage, edema, adhesions and other inflammatory changes. Inflammation stimulate nerve endings, people will feel pain. This disease, medically known as the humeral epicondylitis. Inspection can be found, joint appearance without irritation. Pressure with your fingers near the lateral epicondyle of humerus, the patient will immediately feel the pain.

Affect their work and life

Tennis elbow mainly the elbow continuous pain, activities affected, particularly when the straight elbow or forearm rotation is more severe symptoms, and sometimes diffuse forearm pain also affecting the work and life. Serious, and do basic household chores, such as the twist towels, sweep the floor will be so painful that can not be.

Treatment is not difficult

suffering from tennis elbow, the illness should be properly arm rest, avoid over-activity. Closure is the most common method of treatment. Closure is a small amount of Novocaine or lidocaine and triamcinolone acetonide or other similar drugs mixing, injection site in pain so that patients, pain, inflammation, reduce or disappear. If not cured, can be re-injected. Continuous injection, usually no more than 3 times. Other options such as hot packs, physiotherapy, plaster, massage is also effective. Combination of these methods, the effect will be better, in general patients are cured. However, the consolidation of treatment in patients with reduction of the elbow joint activities need to reduce the intensity of the elbow joint activities. If the above method in patients after treatment, the symptoms still can not lift, viable surgical treatment is common extensor tendon from stripping the total lysis. This procedure is simple and the risk is small, good effect.

Preventive measures to do well

people into sports before, we should make full preparations. The long-term physical activity less, shall be taken to avoid a sudden excessive activities of the elbow. Repeatedly engaged in the work of flexion in the elbow joint the elderly, should pay attention to work and rest, moderate exercise carried out targeted. Patients cured, they still prevent the elbow hair, cold, avoid fatigue, to avoid recurrence.
La_grand_bleu2010-02-16 23:21:07 +0000 #3
very, very difficult to treat, a month do not touch the ball

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