Major golfer's elbow

Discussion in 'Health & Fitness' started by Audiodude, Jan 24, 2005.

  1. Audiodude

    Audiodude Rookie

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    I have for some unknown reason developed a major case of golfer's elbow. It has reached the point where the idea of hitting a tennis ball is laughable. I can't even pull up the zipper on my son's coat or push down on the lever of the electric can opener without significant discomfort. It's getting quite pathetic. I've been icing 30 minutes four or five times a day for about a week and using a tennis elbow band about two inches below my elbow off and on. I'm not sure that it's gotten any better. I have an appointment with an orthopedic on Thursday, but I'm starting to get concerned since there hasn't been any progress at all. Of course I've been resting it, but I am right handed, so I have to use my arm sometimes. The strange thing, to me at least, is that it seems to be worse when I wake up. My instincts tell me that it should be the opposite. I believe it started about 4 weeks ago when I started using more wrist snap on my serve and overhead, although I'm not sure that's the root cause. I can say that hitting a high forehand or serve will cause me to see billions and billions of stars while I lie writhing on the court. I'm not sure if anyone has any ideas beyond the age old RICE aronym, but any help at this point would be greatly appreciated. I can't imagine ever playing tennis again with this kind of pain.
     
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  2. Marius_Hancu

    Marius_Hancu G.O.A.T.

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    Check my posting at:
    Great fitness sites
    http://tt.tennis-warehouse.com/showthread.php?t=33800
    the
    TE (Tennis Elbow) and Golfer's Elbow
    section

    Also, search this forum and the site for
    tennis elbow
    and/or
    golfer elbow
    and you will find MANY threads on this subject.

    Read them all.
     
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  3. Audiodude

    Audiodude Rookie

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    Thanks. That's quite a comprehensive list you've compiled. I'm sure there are a lot of grateful readers.
     
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  4. Aykhan Mammadov

    Aykhan Mammadov Hall of Fame

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    Audiodude, did it start suddenly at one day, or you felt some light pain or discmfort in your elbow before ?

    I have some light pain which doesn't disappear already 6 months. I can move wrist and palm easily, no pain in that area, only in some part of elbow. Don't you play with small handle size of racquet ?
     
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  5. Marius_Hancu

    Marius_Hancu G.O.A.T.

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    TE is an accumulating thing, based on micro-tears and micro-scars in the tendon, which are adding themselves to each other.

    A small handle is just one of the potential causes.
     
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  6. Audiodude

    Audiodude Rookie

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    It seemed to come on rather quickly over a week or two. I had been trying to pronate my wrist more on serves. I think that may have aggravated it enough to bring this on. that really is nothing more than speculation on my part. I just returned from the orthopedic. As I suspected he recommended ice, some stretching and strengthening exercises, possible use of a wrist brace, and possible use of an elbow brace. All that and regular use of Advil/Aleve to help decrease the inflammation. He also said that I wouldn't do any more damage by continuing to play. That's something I didn't expect to hear. I'm on my way out now to shop for a tennis elbow brace. I'm going to try hitting a little on Sunday night, just to see how it feels. I'm going to stay with the ice, exercises, anti inflammatory meds, braces thing for a few more weeks. If I don't get some relief, I may go the injection route. That's a last ditch thing for me, though.
     
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  7. Marius_Hancu

    Marius_Hancu G.O.A.T.

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    Kind of strange. Is he an MD?

    Anyway, if the advice doesn't work, you might have to put a temporary stop to tennis.
     
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  8. Aykhan Mammadov

    Aykhan Mammadov Hall of Fame

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    I'm fan of tennis and for me stopping tennis is the last measure. I use elbow band, I even stopped for 1.5 months my training, but it didn't help.

    2 years ago I had weakness in my wrist and it went away after I strengthened it by pressing/depressing the rubber ring.
     
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  9. Marius_Hancu

    Marius_Hancu G.O.A.T.

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    We're all fans of tennis, but if you were in the situation I was in, when I wasn't even able to wash my hair with my right hand, and when every serve would bring me hard pain, you would stop temporarily, I tell you.

    And what I am talking about is a stoppage for only 1-2 months, letting the pain to totally disappear and to rehabilitate your arm muscles. If you have pain with low weights (say 3lbs) you shouldn't play, but concentrate on rehabilitation.

    Question: are you doing anything for strengthening your arm? Check the exercises listed at the links in my previous posting here. If your arm and forearm muscles are weak, the whole effort is transmitted to the tendons.

    And yes, the rubber ring is a very good idea, but not enough for TE.
     
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  10. Audiodude

    Audiodude Rookie

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    He's an Orthopedic surgeon, specializing in sports medicine, so he's the real deal. I haven't played for two weeks now. That's probably the longest I've gone without playing for 4 or 5 years. The Aussie Open is preventing me from going crazy.

    I like to think that I'm fairly strong. I'm only 5' 8" 145 lbs, but I bench about 185 and can curl 35 lb dumbells fairly easily. Apparently golfer's elbow is brought on by excessive flexion of the wrist, which makes sense since I was working on getting some wrist snap on my serves and overhead. Throwing a football is a real joy too. I've had a tennis elbow pillow band on all day, which has really reduced the discomfort. I'm also going to start wearing a wrist support with a built in splint, to prevent me from flexing my wrist unneccesarily. I'm not going to do anything stupid to make it worse, but I sure would like to hasten the healing process.
     
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  11. Marius_Hancu

    Marius_Hancu G.O.A.T.

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    Yes, the orthopedic surgeons are the best you can get to.

    Very possible to be caused by flexion of the wrist, but there are many other potential causes.

    Question: during biceps/forearm workouts with light weights do you have any pain? Do you have pain when clicking/mousing at your PC?

    Also, didn't you change other elements: racket, strings, string tension?

    I'd suggest to do the flexibility exercises indicated at the sites, but only after the pain has totally subsided.
     
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  12. Audiodude

    Audiodude Rookie

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  13. andfor

    andfor Hall of Fame

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    Did you change string recently? I have the same thing, not as much pain as you. Just annoying at this time. I went to a poly/syn.gut hybrid a few months ago and it has progressed a little worse each time. I am going to cut the stings out after this tournament I am playing in and go to something soft and arm friendly.
     
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  14. Marius_Hancu

    Marius_Hancu G.O.A.T.

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    I think it's good NOT to lift weights while you have elbow problems and when you re-start start with low weights and stop if you feel pain.

    You might consider switching the mouse to your left hand, I did that 5 years ago, it's not difficult and you will thus reduce the strain on your right hand.
     
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  15. tennissavy

    tennissavy Hall of Fame

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    i have golfer's elbow too

    audiodude:

    I really empathize with you. You described your condition well and it matches mine to the T! You are also the same size as myself and we lift about the same amount of weight! I also went to a surgeon who specializes in elbows and told me the same things: ice, massage, brace, airbubble strap, rest, stretching... My condition started all of a sudden though. I was at home practicing my serve motion, without a ball though and overpronated my wrist. As soon as I snapped my wrist, I felt pain in my elbow(inside elbow) and my bicep. This happened in early november and I played in pain two times after I injured it as well as continued to work out. Big mistake. I just stopped lifting weights this week because even though I had discontinued arm curls and wore my airbubble strap I must have been placing strain on the area indirectly. I called the doctor's office yesterday and spoke with the physician's assistant who advised me to cease all weight lifting until I can wake up in the morning with no pain. Like you, I have a lot of pain and stiffness in the morning-hard to straighten my arm-really hurts. I feel pain in my elbow and bicep even when I wash my hair! I need to get better by february 11 when I leave for florida-tennis of course. I hope to be pain free by then but I don't know how it will go. I will be out of practice and without weight training probably not have my usual power. All I can say is stop all activity with your injured arm and even do the stretches gingerly when you have no more pain. For me, the anti-inflammatory medicines have masked the pain so I have continued to re-injure the area and now without meds the pain is bad and the condition has become chronic. I think we both have to stop working out and stop tennis until we are pain free. I fear that you, like myself, needs to show this injury major respect or we will be sidelined way too long.

    Please e-mail me: tennissavy@yahoo.com.
    At least I know someone else who has exactly the same problem I have. Maybe if we correspond with each other we can help one another with feedback on what is working or not.
    Michael
     
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  16. Marius_Hancu

    Marius_Hancu G.O.A.T.

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    Tell me about it.

    I had to stop 2 months any physical efort with that arm before the pain in the elbow disappeared.

    Then started flexibility exercises on the forearm. No weights.

    Then after 1 month started low weight (3lbs) exercises. Then after 4 months from the beginning of the break was able to start playing tennis with no recurrence within 3 years and start increasing the weights for my lifting and do stuff like rowing.

    Any pain signals you're getting back at the beginning of the cycle:-[[

    Even carrying light groceries home could be too much. Or typing or mousing.
     
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  17. Aykhan Mammadov

    Aykhan Mammadov Hall of Fame

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    Marius, my very light discomfort started approximately 6 months ago. During play when I was keeping the racquet firmly in my hand I felt some extra effort of the muscle which is connecting elbow bend and wrist on the upper side of the forearm, precisely in the point appr. 3 cm = 1" below from the bend to the side of the palm.

    I play with heavy, standard length, headlight, small headsize racquet, precisely with i.Prestige MID which is condsidered one of the best for elbow, wrist and shoulder shock. But handle size is 2 because my palm is not so big. I ususally played with arm friendly strings, mostly multifilament, a few months passed as my stock was over and I'm using Gamma TNT2 16 now and just ordered strings from TW ( I'm far from USA).

    I'm experienced and have complete knowledge of racquets theory and etc. I'm lazy and I don't do any excercises. I'm playing 3 times a week by 1 hour each. Before starting I'm warming up 10 minutes, in particular I'm lifting myself on my hands at least 30 times upon the floor ( I don't know how in English this excercise).

    Discomfort which I have does allow me to play, it is not pain as pain of teeth, it is very light, as if when you cold the muscle, and when you press to some points near the bend by your fingers you feel light pain. I started 2 days before lifting 7 pounds dumb bells, no pain I feel and can do this excercise easily.

    The main thing is that one time by other reasons I missed training for about 1.5-2 months, and last a few months either I'm cold or by other reasons I miss training for 15 days , then I'm playing again , shortly last a few months I'm playing with intervals 1-2 weeks, what mean that I'm playing say 15-20 days 3 times a week, then stop for 15 days and so on. When I start it appears again. Truth be said that I strang my racquets at 60 lbs.

    It happened with me 2 years ago when I couldn't lift even the kettle from the oven. But at those times I had problem with my wrist. All gels and etc. didn't help. Only strengthening with a rubber ring helped, and it completely vanished.

    What I wanted to know is what I have now and I feel now is something close to symptoms of TE ?
     
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  18. Marius_Hancu

    Marius_Hancu G.O.A.T.

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    Honestly, I do not understand where your pain is located.
    Check this pic:
    http://www.tennis-elbow.net/tenniselbow.htm
    if it's there, it's tennis or golfer's elbow.

    That Head racket seems to be indeed good for TE.
    I am using 68lbs myself, but perhaps 60 is too high for you.
    I am a little bit concerned about grip size, check it with:
    http://www.tennis-warehouse.com/Features/Gripsize/Gripsize.html
    it might be too small and small or large grips CAN lead to TE.

    Those exercises are called pushups, if you can do 30 you're are in pretty good shape, but that doesn't necessarily indicate you're immune to TE.
     
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  19. kobun

    kobun New User

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    I've just recently gotten into golfer's elbow and i've read lots of info you guys posted.
    Thanks a bunch.

    I tried most of the exercises... but for someone like me who's always on the run in college... i find the best exercise is the ball squeeze. My golfer's elbow originally came becasue of my serving and sometimes i'd hit the frame and cause a whole lot of shock to my arm.

    I just keep a ball in my coat pocket and squeeze it all day. lol. Sounds ridiculous.. but it really really really helps.
    I thought i'd end up like most ppl here, where it goes on for months... i've had it for the first time for about 2 months... but this ball squeezing is so easy yet so helpful. And it's really convienient. the only thing you need to remember is that you have a ball in your pocket and continue to squeeze it throughout lectures and walks.

    I can't bear to not play tennis, even with injury. I played regardless of pain. hehe. Also... do those wrist flex exercises, those are good too.
    That is all i seem to need to keep my pain to a very low, to nothing.
     
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  20. Marius_Hancu

    Marius_Hancu G.O.A.T.

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    yes, or rubber rings.

    however, one must sooner or later work out the whole arm and shoulder.
     
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  21. serhaus

    serhaus Guest

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