It's Not Tennis Elbow
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- Опубліковано 19 лис 2023
- Tennis elbow is a “catch-all” diagnosis for lateral or outer elbow pain. Actual tennis elbow only involves the tendons that attach to the outer elbow, and is typically localized to where those tendons meet the bone. In our practice, we’ve found that the majority of people who come in thinking they have tennis elbow actually don’t have pain coming from those tendons. They’re usually coming from a nerve that is aggravated in that same area: your radial nerve.
Tennis elbow is often over diagnosed, and it’s likely over diagnosed because:
1. Physicians and orthopedists only know how to diagnose the condition after a 5 minute exam that includes a small handful of special tests, all of which aren’t great
2. All of the tests that would normally bring on outer elbow pain in traditional tennis elbow can also bring on the same pain from a nerve related issue
3. More time and understanding of competing conditions are required to diagnose outer elbow pain more specifically and appropriately, and the way that the American healthcare system is set up (15 minute appointments with a physician or orthopedist, both of whom do not specialize in the actual treatment of these conditions) sets patients up for failure
A good physical therapist can figure out what the others have missed, but only if they know where to look and how to put all of the data points together to create a full picture of what’s going on with the patient in front of them.
Nerves don’t like compression, and they don’t like stretch. Our body compensates in fascinating ways, and this common compensation of our entire arm from a scapula that rests on a compressed rib cage is a pattern we see often. When we treat the pattern, we get a profound result in the shortest amount of time possible. When we treat the symptom without understanding the pattern, we get marginally beneficial results, if any at all.
Fix the root cause, and not just the symptom. Treating the symptom will only get you so far, if anywhere at all.
TAG a friend below who has been dealing with some pesky “tennis elbow” that just doesn’t seem to be getting better with traditional rehab. We have the answers for ya.
#elbow #elbowpain #tenniselbow #ribcage #body #better #patient #bone #nerves #pt #physicaltherapy #symptoms
![Your Psoas Isn't Just Tight, It's WEAK [Don't Stretch, Do These Instead]](http://i.ytimg.com/vi/h_srhkcJxAY/mqdefault.jpg)
Hey Guys, I really want to thank for this video, it is important to raise awareness that not everything is simply an epicondilitis :) (I was doing physical therapy for over 6 months and the doctor was telling me straight up its 100% epicondilitis )
I feel like I have a very similar entrapment, have done a lot of physical therapy sessions to no avail and have done dry needling/botox injection on the supinator (both didn't really work) I am 23 and had this pain since july 2023 after overtraining tennis + gym. I was wondering if you could share more about the strenghtening exercises you reccomend for this issue. I would very gladly visit your therapy center as im already desperate to fix this issue but I am just a student living in Greece, and I don't have the means to travel and attend your center! Wondering if we can work something online?
Thank you so much and sorry for the big wall of text! Have a great week guys! Keep up the excellent work!
great video, im in a bad way suiffer with this pain and struggle to use my right thumb and index finger properly. ive messaged you on instagram.
Interesting
How about ulna pain any exercises for that?
My advice is go get assessed by a professional so that they can figure out exactly what is causing the ulnar sided pain (is it muscle/bone/tendon/ligament/joint/nerve/combination of the above), and then hopefully they can figure out why. This is the only way to get the most targeted treatment (the exercise(s) in question) for your issue. Cookie-cutter approaches don’t work for a reason; so, truly if I were to give you a cookie-cutter answer (everyone with ulnar sided pain benefits from these exercises), I’d be doing you a disservice.
What would most likely be the pain from after overdoing hammer curls at the gym? Pain in the upper forearm for almost 2 weeks when picking something up, even a cup of coffee.
There is a rotational component to every human movement. Oftentimes, discomfort in an elbow (whether it’s from normal bicep curls, hammer curls, cross-bodied curls, reverse curls, whatever it may be) from a seemingly sagittal plane motion (flex/extend), is a byproduct of compensatory rotation that is occurring at the elbow to make up for an inability for the normal rotation that needs to occur at the shoulder complex (shoulder/shoulder blade on rib cage). We need to first understand how the upper arm, forearm, and wrist/hand orient themselves around their foundation; and, how the movement (or limited movement) at the scapulothoracic joint (scapula on rib cage) dictates the orientation/movement/compensatory movement through the rest of the arm. Once we identify what doesn’t move well at the foundation of the rib cage/shoulder blade and we fix that, then your elbow pain from hammer curls will be a non-issue.
I have a slight winging of my shoulder blade especially the left side hurts a little. But I also have pain in the back of my shoulder. I've noticed that every time I have pain in my shoulder, the lateral side of my elbow hurts. But I also have pain in my triceps. Can the pain of my elbows and triceps be caused by my shoulders?
Yes. A professional would need to identify if the elbow, tricep, and shoulder blade pain are related. There are particular nerves that exit the neck that contribute to sensations to all of those areas, but there are also a handful of other structures (muscle related pain, joint related pain, referred pain from neighboring structures, etc) that need to be considered and systematically ruled in/out in order for you to identify the root cause of all of your pain to then provide the most specific treatment to get you well.
how about inside elbow pain?
Inside elbow pain could be a number of things, whether a tendon issue from the forearm attempting to over-rotate a forearm because of decreased shoulder mobility from improper shoulder blade-rib cage dynamics; or, could be from a nerve being impinged anywhere from the neck down to the forearm; or, could be a joint related issue, likely also secondary to a poor relationship between the upper arm and forearm secondary to the poor relationship of their foundation (shoulder blade on rib cage). A thorough assessment is needed to truly identify what’s going on so that you can treat the root cause
I have a similar issue can you please clarify what is the cause and how can I recover?
Oftentimes, the radial nerve gets compressed on the outside of the elbow where it runs through the supinator muscle. Because muscles have particular lengths that they exist between for optimal function, and because the orientation of the wrist, forearm, and upper arm are dependent on the orientation of the foundation on which they rest - the scapula and its relationship to the rib cage - if the foundational components are poorly functioning/malpositioned, your brain will find compensatory positions through the rest of the arm to help you accomplish tasks. This can then position the forearm such that the supinator is now excessively short or long, which can compress the radial nerve that runs through it Additionally, most human movement is expressed through varied ranges of rotation, and if your larger rotators (shoulder) can’t rotate like it should, the excessive rotation will occur through muscles that turn a forearm, subsequently overusing the supinator as well to help you accomplish your desired tasks, but eventually causing your symptoms. Your best bet is to get assessed by a professional to help identify what the root cause of your elbow pain truly is.
@@lpi_physicaltherapy thank you, i appreciate your help