Tennis Elbow / Golfer's Elbow - Everything You Need To Know - Dr. Nabil Ebraheim
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- Опубліковано 3 лют 2012
- Dr. Ebraheim’s educational animated video describes the difference between the conditions know as tennis elbow and golfer's elbow.
Elbow problems typically occur where the tendon attaches to the bone. The problem occurs due to repetitive stress which causes interstitial tearing, inflammation and swelling.
Tennis elbow/lateral epicondylitis
Inflammation, soreness or pain on the lateral side of the elbow.
Degeneration of the extensor carpi radialis brevis.
Usually seen in patients who perform manual labor or spirts which require twisting and extension of the wrist against resistance.
Differential diagnosis
Radial tunnel syndrome: the pain is very similar to symptoms of tennis elbow. Pain usually radiates to the lateral epicondyle and radiates down the forearm.
If the symptoms of tennis elbow are not going away with treatment, rule out the possibility of the radial tunnel.
Golfer’s elbow/ medial epicondylitis
Inflammation, soreness or pain on the medial side of the elbow.
Pain due to repetitive overuse or overload activities which are aggravated by movement of the wrist.
Ultrasound evaluation of tennis elbow
•Elbow is placed into a semi-fixed position with the hand pronated.
•Ultrasound is used to visualize and inject the tendon. The transducer is positioned parallel to the lateral epicondyle and the radial head.
•The radial head is identified. The origin of the tendon is identified. The tendon is usually smooth and homogenous. The affected tendon may show tears, calcification or thickening.
Treatment of tennis elbow:
•Rest
•Job modification
•Nonsteroidal anti-inflammatory
•Physiotherapy-eccentric exercises
•Injection (can be blind or ultrasound-guided):
1.steroids injection provides short-term relief.
2.PRP(platelets with needle fenestration)
Blind injection
•The injection site is marked and disinfected.
Ultrasound-guided injection
•Needle fenestration
•Injection of steroid or PRP.
Surgery
•When conservative treatment fails
•Debridement of the involved tendon.
•Surgery is usually successful in about 85% of patients
•Avoid injury to the lateral collateral ligament
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![Golfers Elbow [Causes Symptoms Treatment]](/img/n.gif)
I used to do a lot of weigh lifting in gym. In july 2020, I had an accident at my home that caused pain in the medial side of my elbow. Initially, I was not able to do flexion and pronation. I saw a doctor and after ruling out fracture, she recommended resting. As the rest did not completely restore my elbow, I saw her again, she further recommended resting, with the diagnosis of "soft tissue inflation", as she put it. Initially, upon further rest, things improved but in 2021, I was very busy working with computers and typing, which resulted in the worsening of things. In july 2021 I saw another doctor, who told me I have had golfer's elbow. However, MRI revealed that I had inflation at the lateral, and not medial side of my elbow.
I have done 45 sessions of physiotherapy, 10 sessions of ergotherapy, and 6 sessions of acupuncture. Much of my hand force and range of motion is back, and I can do most things now, with the notable exception of typing and working with a computer and trying to move my fingers separately. It is also sometimes difficult for me to open a can with twist cap and write on a paper (which was initially very painful) . I do not have issues with tasks that need high force (lifting weights, pushing etc) but somehow typing is painful, which has rendered me unable to work (please note that I use an ergonomic split keyboard and a vertical mouse). My doctor told me that I might need to see a rheumatologist and/ or undergo surgery but I'm confused and afraid that the surgery might make me lose the sensitivity of my fingers.
The exercised I do: stretches, wrist curls similar to what is shown in this video, eccentric biceps curls (with dumbbells and stretch band), resisted wrist twist
(with dumbbells and stretch band) . I also used to have isometric exercises, but my physiotherapist told me that they might not be useful anymore and I stopped them. However, I recently have brought them back as I noticed my pain went up.
In addition, I have now started doing some exercises for my triceps (eucentric with a resistance band and biceps curl with dumbells), as my physiotherapist said that there is too much of imbalance between my biceps and triceps after many months of working on my biceps.
For all the weighted exercises, I started with 1.5 kg and am now at 3kg. I do not have pain with this weight.
Furthermore, I use a Powerball for ~5 mins a day before my workouts.
I have noticed that my pain immediately goes down when I do the exercises, especially the ones involving heavier weights and resistance. I also apply a warm press and a message gun after my exercises, which also seem to help a bit.
Touching and pressing on the interior side of the elbow was initially very painful, but now I almost do not feel any pain unless a major force is applied. In addition, I used to have numbness in this area, which is absent now unless I do a lot of typing.
Do you have any recommendations? Is there anything you think I should do? Also @everyone else
thanks and sorry for the long comment.
We've had the luxury of having Dr Ebs here in Toledo for quite some time.
Other places have benefitted from the orthopedic residents he's helped educate.
Thanks, Sir. *bowing*
Very useful distinguishing between two very common conditions. Nice.
Great video - thank you for sharing!
Excellent video. Your explanation is superb. In desperation,waking up at 4 am,in pain,I stumbled across your video,and,it makes all the difference when one can see exactly what the problem is,and,fully understand what caused it. Not golf,or,tennis,but.....stacking firewood blocks,and,doing a bit too much all at once. Now I suffer the consequences,but,watching your video has made me stop,and,take stock. Gawd,the things we do to ourselves. I'm an idiot.
I had a botox injection on the left side a couple of years ago. Amazing benefit with pain relief in three or four days and complete resolution. Of course, I had weakness of my fifth and fourth finger for too long - 3 months or so - but it definitely helped. The description of the injection site is in the Canadian Medical Assoc Journal around 2009.
THANKS
I like this very informative video! Thanks!
Very Informative video.Well done.
I am watching this to better my awareness in Tennis Injury Prevention and anatomy
i love your videos. thank you for educating.
Sports massage therapy is the best treatment possible for these type of injuries. Prior to injection and surgery. Therapy can not just rehabilitate but restores strength and a good therapist can give recommended ways to stop it occuring again.
Rest, ice, reduce repetitive motions, take an anti inflammatory ( short term) relief. If you have received a blow to the elbow it maybe a burst or inflammatory bursa. Ps I am a Remedial and sports massage therapist. Good luck
I have had tennis elbow for a couple of year, had 3 steroid injections but its just a quick fix. So painful so now iv been referred to a physio. Hope it helps. Thanks for the imformation
very useful and informative
excellent explanation
That's very informative and simple to study from , thank you so much 5/8/2018 😊
thanks
Thank you sir for sharing your content with me
VERY NICE INFORMATION. THANKS
your voice is amazing
All my videos .. love this channel!
A wonderful resource
Excellent information. I had an ultrasound guided injection for my golfer's elbow. Feels much better; now I intend to rest it for a number of weeks, at least three, and then begin some more strengthening exercises before I go back to my full exercise routine.
Excellent video content! Sorry for the intrusion, I would appreciate your opinion. Have you researched - Parlandealey Flexible Elbow Process (should be on google have a look)? It is a good one of a kind guide for learning how to cure tennis elbow minus the headache. Ive heard some great things about it and my buddy at very last got astronomical results with it.
How is your elbow now after 3 years of injection?
Love your videos and subscribed to your channel. Ty!
Thanks for the great video!!!
thank you Dr. u helped me alot. 😊
Thanks for the Video! Sorry for chiming in, I would love your opinion. Have you ever tried - Parlandealey Flexible Elbow Process (probably on Google)? It's a good one of a kind product for learning how to cure tennis elbow without the normal expense. I've heard some extraordinary things about it and my mate finally got cool results with it.
Really nice vedio.. thank you sir.
I can understand better when u speak thanks a lot 🌸
amazing thank you
Thank you for the explanation, detailed and understandable.
loved it👍
Great video
good job sir..
Excellent
Good informative Video! Is the tennis elbow more common than golfer's elbow? My husband, brother and a few others I know, had the tennis elbow. PRP helped my husband's tennis elbow. Thank You!
practical medical video, thank you...
Not certain about the points made but ,if anyone else wants to learn about cure tennis elbow naturally try Qwixie Elbow Pain Helper (should be on google have a look ) ? Ive heard some unbelievable things about it and my mate got amazing success with it.
Thank you, extremely helpful in identifying exactly where the pain originates and what causes it. I can imagine that a lot of people are here, motivated by their elbow/forearm pain. Very much appreciated! Thumbs up all the way. Since there is no such thing as "photographers" elbow, I fall in the category of tennis elbow :)
***** thanks!
@orthopassion ultrasound is very good for this area
형님, 정말 감사해요. 덕분에 열심히 공부하고 있어요! I really appreciate Dr. Ebraheim. Your videos are really good to learn about anatomy and injuries. Thank you again, from Korea.
Thanks for the video content! Sorry for chiming in, I am interested in your thoughts. Have you thought about - Parlandealey Flexible Elbow Process (Sure I saw it on Google)? It is an awesome one off product for learning how to cure tennis elbow minus the normal expense. Ive heard some super things about it and my buddy after a lifetime of fighting got amazing success with it.
Very informative , thank you
Save Over $789 on These 6 Traditional Treatments for Tennis Elbow
Go here ==> tenniselbowtips.tumblr.com/cure.html
Click it, hope it helps
pretty nice!
I have both. I was a nurse for 10 years. I've had therapy and i received a steroid injection. I was told not to get them too often because they could make the problem worse. I have to have surgery. If I can give any advice to anyone, please don't hesitate to see your doctor with this because it's painful no matter what you do if you don't get some sort of treatment. You don't want to HAVE to have surgery.....try to avoid it if you can. Great video.
Thanks
Thanks .
@kaleidoscopekay thanks
@trizk1000 great
So if i have lateral epicondylitis, does this mean the lateral head will be less defined?
Thank you wish you were in florida. 😁! Excellent video 👍
hello sir my question is though tennis elbow is non inflammtory condition why there is a pain as a symptoms??
Before I had shoulder surgery, I was having pain in my wrist and elbow, after surgery I noticed on the lateral side of my elbow was swollen and puffy like there was fluid build up for a few weeks. It is over two years now and sometimes the pain is unbearable. The doctor said it's tennis elbow, but nothing is been done. I hurt myself at work. What's your advise. By the way, your video is very clear and helpful. Thank you.
I have a very painful table tennis elbow can u make a video about that?
The last part of the video made my day. Lol
I forgot to include my question - have you tried this and what are your thoughts on how to reduce the length of time of the residual weakness?
Funny video at the end. Shouldnt the elbow pain be on the skeletons roght hand however?
is there an error in the video when he ddx'd tennis elbow with radial tunnel syndrome? lateral epicondylitis and radial tunnel syndrome are two completely different pathologies, but he said if tx of tennis elbow doesn't improve, rule out radial tunnel too -- that doesn't make sense. wouldn't you possibly begin to treat radial tunnel syndrome if tx of tennis elbow doesn't improve? am i understanding this video correctly?
Can stanazolol/winstrol repair tennis elbow ?
I have both on my left elbow and just golfers elbow on my right .Just been managing to get through day by day at work with the aid of pain killers and anti inflammatory medication.Until you get it you never know the condition is hell on earth.
@LBNANY thanks
How do you know if you need surgery or not???
I have been suffering from golfer elbow pain from last one year.. Under gone many treatment but no luck.. I stop gyming due to this pain.. Please advice
I never hurt myself but my hand hurts just at the elbow joint. Its like the little bone at the elbow hurts. The pain is at night. During the day the hand is heavy and it feel like blood is not flowing
How treatment
Cortisone injection should be avoided as the condition is usually not inflammatory but rather a stress reaction ie. a result of repeated microtraumas. Cortisone has a short-term effect, but recent studies suggest that cortisone is prognostically negative in the long run.
it just gets worse unless you stop using your arm and put a good wrist brace on and for the first few weeks a sling. I'm in week 4...ridiculous slow heal time for this injury...
How long does it usually take to heal? A heavy blow when soccer goal keeping gave me golfers elbow. Been 6 weeks so far but still some pain at certain times of the day when bending the elbow especially in the mornings.
Ice it at these times of day when it gets irritated. Stop it getting irritated. Buy a epicondyl strap. Rub the area lightly as it cancels the pain.
Good luck
Looking for effective rehab non invasive
it say here that you rest, but also exercise what is dis?
interesting points ,if anyone else wants to discover how do you cure tennis elbow try Sovallo Elbow Formula Fixer (Have a quick look on google cant remember the place now ) ? Ive heard some pretty good things about it and my neighbor got amazing results with it.
I was exercising while half asleep and flexed my elbow and not my bicep when doing curls 😪
Plz advise
I would definitely see a good massage therapist.. The reason there is inflammation on the tendons is because the muscles are pulling on the tendons
dr. i lost both legs as a infant. im now 44. i have had 14 elbow aurgeries from 4 ulnar nerve trans. 8 ir more scopes and i keep tearing tendons now. i have had 3 surgeries on elbow since last april. i tore it again and now face another operation. do you have any thoughts on how to keep from retearing everything. ladt timee it was flexor tendon mass . they think its even going again. i need help sir. last surgery was done by dr morrey at mayo. cant afford to go back so osf in peoria il is doing next surgery on friday. dr jeff garst is surgeon.
would just replacing or grafting a new tendon be better than fixxing all my tearing
I wonder if a chiropractor would help. also last resort would be stem cell treatment but I hear it's a temporary relief.
good video.
OH SHIT I HAVE TENNIS ELBOW FROM USING THE COMPUTER ALOT WILL IT GO AWAY PLEASE THIS IS MAKING ME VERY DEPRESSED :(((
10 PERCENT
Great Video! Sorry for butting in, I would love your initial thoughts. Have you heard about - Kiyaria Yanenry Rule (probably on Google)? It is a smashing one of a kind guide for unlocking the secret to get rid your tennis elbow minus the hard work. Ive heard some great things about it and my old buddy Taylor after a lifetime of fighting got cool results with it.
Thank you for your interesting video sir.
I am a menigomyelocele and use elbow crutches to mobilise. For some time now I have had left lateral pain radiating from elbow to forarm and obviously it is not possible to rest the elbow so I am considering using axilla crutches at least for a while.
Blessings and peace
There are many factors in ways to treat tennis elbow. One plan I found that succeeds in merging these is the Freds Elbow Helper (check it out on google) definately the most helpful guide that I've heard of. Check out all the extraordinary info .
@@teymyneytor Thanks JR I will do that as you suggest
Is it possible to have tennis, golfers and olearon bursitis at the same time...I had an accident!
dirkdigglerxxxx ✌
Very informative video. However, why wouldn't you recommend massage therapy as a form of treatment? There is a lot a good therapist can do to alleviate symptoms of both tennis and gofers elbow.
*golfers
This is a good resource too.
www.amazon.com/Treat-Your-Own-Tennis-Elbow/dp/1457540193/ref=pd_sim_14_13?ie=UTF8&dpID=419cbqOjAlL&dpSrc=sims&preST=_AC_UL160_SR120%2C160_&refRID=1XCAGTPT78XSTQ3XNQN8
wow
Not looking for this
What percent patients with Golfer's elbow need surgery ?
Excellent video content! Sorry for butting in, I would appreciate your thoughts. Have you heard the talk about - Mackorny Tennis Play Blueprint (do a search on google)? It is a good exclusive product for Eliminating Tennis Elbow Pain without the headache. Ive heard some great things about it and my work buddy got excellent results with it.
I developed golfers elbow by using my wrist and fingers vigorously......but at least I left her satisfied.
all these spam testimonials though....
My paper on lateral epicondylitis is due today by 4pm. Guess what i'm doing right now by 9am.
Yet to receive the feedback. Thanks for asking.
Kobi Okoye This one has helped me Get rid of my Elbow Pain... I hope it can help you too...
Go here ==> tenniselbowtips.tumblr.com/cure.html
Bad grip led me to have it. Check yt videos.
hahaha come right awayyy yeee
the ending -- lol
hi everyone ,if anyone else needs to find out about best tennis elbow relief try Sovallo Elbow Formula Fixer (just google it ) ? Ive heard some decent things about it and my mate got great success with it.
SEE A DOC
GET AN EXAM AND TREATMENT
This is just superb, I been tryin to find out about "best tennis elbow support" for a while now, and I think this has helped. You ever tried - Eiyamilla Reputable Expediency - (search on google ) ? It is an awesome one off product for discovering how to end your tennis elbow problem without the normal expense. Ive heard some great things about it and my partner got great results with it.
To anyone out there with tennis elbow or golfers elbow check my transformation out for some motivation i'd greatly appreciate it. Im 17 got injured at 15 and thought my lifting career was over after 8 months of recovery i came back and i want to share my story with everyone.
Anmol raina you had golfers elbow ? How did u recover ?
dude my fucking arm hurts so bad...I can't lift 5 pounds without severe pain
ATLHooligan what’s up man? 5 years later how are you now?
Could tennis elbow be the root cause of my severely itchy anus? I wake up in the mornings, and my fingers are heavily soiled, brown, and smell of feces. Can you treat this with an adjustment, or some shoe inserts? Thanks.
It's not, I have Neuro deficits from an explosion and shrapnel striking my head. I used to be able to sleep ok, but now I have to stick my finger up my anus to fall asleep.
+jsj297 I've been investigating treating tennis elbow naturally and discovered a great resource at Freds Elbow Helper (google it if you're interested)
Tennis elbow from IAS?
jsj297 you need a man to ease ur homosexuality. Lol
Great Video clip! Forgive me for the intrusion, I am interested in your opinion. Have you considered - Parlandealey Flexible Elbow Process (probably on Google)? It is a smashing one of a kind guide for learning how to cure tennis elbow without the headache. Ive heard some pretty good things about it and my best friend Jordan after a lifetime of fighting got cool success with it.
I'm researching ways to treat tennis elbow and found an awesome website at Freds Elbow Helper (google it if you're interested)
Thank u Arnold Schwarzenegger for that narration...
Cc
Sharing a solution that helped this subject immensely when typical PT failed to eliminate the "persistent pain": ua-cam.com/video/XWsY31nHNY4/v-deo.html
This is a painful condition which can be easily treated by using planet Ayurveda's orthovita oil and with that we can use yograj guggul both will help in relieving the pain and treating this condition
Whtsp s vo pli ❤
you sound like you have a C4 dynamite chest and want to self-destruct.
@orthopassion ultrasound is very good for this area
@ELF3945 thanks
How treatment