Mysterious Elbow Injury

Discussion in 'Health & Fitness' started by PigPen, Nov 18, 2013.

  1. PigPen

    PigPen Rookie

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    Hi,

    I was wondering if anyone had this injury and what they did about it to get better:

    About two weeks ago I hit with low tension (45,49) cyclone mains and nrg crosses. I felt a little twinge in my forearm after 1 hour of hitting, so I stopped. Typically, I play with NG mains and soft poly crosses. After that hitting session, all was fine for 2 weeks. Then one morning I awoke with a sharp pain on the medial side of my elbow and between 2 bones. It has been 3 days since that incident and the pain has subsided somewhat. I am still tender if I press on the elbow and I have a sharp pain the forearm if I attempt to serve. The forearm is also slightly tender to the touch as well.

    Any ideas?

    Thank you in advance.
     
    #1
  2. justbecos

    justbecos New User

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    There is a couple of possibilities, the most likely is golfers elbow or medial epicondylitis which is much the same as tennis elbow just a different tendon.

    I unfortunately I have suffered with and it can all be pretty difficult to get rid of, unless you rest properly and let it heal. You need to rest completely for a couple of weeks at least if that doesn't help get a sports physio to have a look. It needs rest or it can become chronic and a real b'tch to get rid of.
     
    #2
  3. PigPen

    PigPen Rookie

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    Did you also have forearm pain? Is there anything else you did besides rest?
     
    #3
  4. Chas Tennis

    Chas Tennis Hall of Fame

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    Search this forum (box above): Golfer's elbow chas Tennis
    http://tt.tennis-warehouse.com/search.php?searchid=15916203

    Find posts on Tennis Elbow, Golfer's Elbow, Tendinitis, Tendinosis

    Google: pictures tennis elbow golfer's pain
    https://www.google.com/search?q=pic...iYJI-t4APVk4HgBQ&ved=0CEcQsAQ&biw=995&bih=606
    Where is your pain?
    (Often you can paste an image in this forum by right clicking on the picture and selecting "Copy Image Location" and paste using the icon (mountains) above in the reply box.)

    Johns Hopkins sports & orthopaedic medicine - see elbow injuries.
    http://www.hopkinsortho.org/conditions_diseases.html

    Basically, most tennis players when they get an injury continue to play on it to see how they will do. You are lucky if your were just injured two weeks ago. In a very short time - very few weeks or days - stress, especially from tennis, can interfere with healing and, in the case of a tendon injury, you risk chronic tendinosis. The players on the courts using elbow straps mostly have tendinosis or defectively healed tendon. Please stop until you see a well-qualified Dr and get a diagnosis.
     
    Last edited: Nov 18, 2013
    #4
  5. PigPen

    PigPen Rookie

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    Thank you Chas. My pain is both between two bones on the inside of the elbow and the inner forearm. It also bothers me when flexing or extending my arm. I will see an orthopedist about this issue. Not sure what caused it though. Woke up with it one morning.
     
    #5
  6. Chas Tennis

    Chas Tennis Hall of Fame

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    The pronator teres originates on two bone areas: 1) the medial epicondyle (inner elbow), and 2) the ulna. Check my anatomy. The medial nerve goes between those two muscle-tendon structures. I read that the medial nerve can be irritated.

    Here is a discussion from Eric Cressey that lists some elbow injuries.
    http://www.ericcressey.com/understanding-elbow-pain-part-2-pathology

    Pronator Teres Syndrome - irritated medial nerve.
    http://en.wikipedia.org/wiki/Pronator_teres_syndrome
    Any numbness or tingling?

    Pictures Pronator Teres Syndrome
    https://www.google.com/search?q=pic...fzFqLA4AOSuYHoCA&ved=0CCsQsAQ&biw=995&bih=606

    I don't see anything but these are some things you might research.

    Try to find some pictures of the arm's structures and locate the pain as best you can.

    My recent moderate Golfer's Elbow is is very distinct, small and localized, near the bone. However, the medial epicondyle has several tendons all joined before attaching to the bone. Serving I believe is the most stressful thing. I stopped after the match where I got the moderate pain 3 months ago. I should have stopped during the match. Feels good now, I can just barely detect some difference between the two elbows. But I feel I don't want start serving yet.
     
    Last edited: Nov 18, 2013
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  7. Chas Tennis

    Chas Tennis Hall of Fame

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    Last edited: Nov 19, 2013
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  8. PigPen

    PigPen Rookie

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    Thanks again Chas. You are extremely helpful as usual. I will go through the links you sent. I experience no tingling or numbness. I feel pain between the two bones in the elbow when flexing my arm and tightness in the same area when extending. I feel a sharp pain in the forearm to the medial side when serving.
     
    #8
  9. Chas Tennis

    Chas Tennis Hall of Fame

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    Not very knowledgeable of nerve issues - Numbness and tingling point to nerve pinching but pain can also occur.

    "between the 2 bones in the elbow" ? - there are 3 separate bones that meet at the elbow
    1) humerus (upper arm)
    2) radius (thumb side)
    3) ulna (little finger side)

    [​IMG]

    Where is the pain? Between the radius and ulna? Or between the humerus and ulna? Even humerus and radius? How far down away from the elbow joint itself is the pain?

    The UCL ligament is also in that area and a common injury for pitchers.
    http://www.hopkinsortho.org/ucl.html
     
    Last edited: Nov 19, 2013
    #9
  10. PigPen

    PigPen Rookie

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    Thanks again Chas!

    The elbow pain is between the ulna and radius. The forearm pain looks like it is on the Flexor carpi radialis. The injury certainly appears to be Golfer's elbow. I'm really disappointed since I can't get an ortho appointment until 12/2 and starting on Friday, Carlos Berlocq's coach is doing clinics at a local club at which I cannot participate now. Bummer!
     
    #10
  11. Chas Tennis

    Chas Tennis Hall of Fame

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    Golfer's Elbow - when they do surgery - most often is associated with damage to the flexor carpi radialis and pronator teres tendons. However, several tendons connect together before attaching at the medial epicondyle. My mild GE pain is right on the bone knob of the medial epicondyle (humerus). The tendon might be damaged farther out from the joint in your case, I guess. ? Between the radius and ulna seems a little different...? Search GE TW threads as many posters have posted good links on GE.

    See "Flexor-pronator tendinosis or rupture" in
    Biomechanics of the elbow joint in tennis players and relation to pathology
    http://www.ncbi.nlm.nih.gov/pmc/arti...5/?tool=pubmed

    Also, search Youtube tests for GE.

    I may be aware of 2-5 injuries of 20 common medial elbow injuries. Even if something seems to fit well, still keep researching it. It takes a Dr to know the other possibilities and diagnose your injury.

    Always good to start by searching the internet for 'common tennis injuries'. There are half a dozen excellent papers that cover 80% of the injuries in the threads here.
     
    Last edited: Nov 19, 2013
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  12. RogueFLIP

    RogueFLIP Semi-Pro

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    #12
  13. Chas Tennis

    Chas Tennis Hall of Fame

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    You must mean that rough scraping video! Not watching that thing again. Can't they rub with small rollers, why beat up the skin?
     
    #13
  14. RogueFLIP

    RogueFLIP Semi-Pro

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    Yeah, exactly. No one's playing tennis immediately after receiving that! You'd be too sore I'd imagine.

    OTOH, I've received some ART on my quads, and while during it didn't feel great, I was able to play tennis a few minutes later without incidence.
     
    #14
  15. PigPen

    PigPen Rookie

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    I'm praying I don't need surgery.
     
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  16. Chas Tennis

    Chas Tennis Hall of Fame

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    Surgery is rare for GE. I only mentioned surgery to show how the tendons most often found to be injured were examined.

    Look at the healing times for a new tendon injury, it takes quite a while, and pain and tenderness is very slow to go away, mine, 2-3 months? Learn what you can about it.

    You also may not have GE.
     
    #16
  17. garywsyu

    garywsyu New User

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    I am TE & GE sufferer for over a year. Try rub the affected area that to increase blood flow to heal the wound tendons(if it is). Sleeve up the elbow during bed time. Take rest.....rest.....
     
    #17
  18. PigPen

    PigPen Rookie

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    I will rest as long as it takes. Hopefully I can get a Dr. appointment next week for a diagnosis. It is perplexing that I woke up with this elbow and forearm pain one morning with no advance warning. I also wonder if the injury was caused from improper form while practicing yoga.
     
    #18
  19. Chas Tennis

    Chas Tennis Hall of Fame

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    If you did hand balances where the wrists are very extended - at right angles - that might put stress on the tendons in the GE area. Look up stretches for these wrist flexor muscles - but don't stretch them injured. Stretches like that, if done for Yoga moves, may take the muscle-tendon to the end of its range of motion. Also, high forces may be produced by high velocity muscle lengthening. Falling on the hand can produce tendon injuries.
    https://www.google.com/search?q=for...UpfiHNGzkAeJzYBo&ved=0CDUQsAQ&biw=995&bih=606

    Last year, I gave myself a mild GE injury of my non-tennis arm moving heavy logs in my backyard. I avoided stressing it and heavier exercises. The pain went away after about 3 months. Can't feel any pain in my left elbow now.
     
    Last edited: Nov 22, 2013
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  20. PigPen

    PigPen Rookie

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    Yes, we do quite a few reverse push ups and arm balances in yoga. Perhaps I am getting too old for such things! I have been doing the wrist stretches gently every day. They all produce sight discomfort. I was also told to wear a strap around the forearm.

    Thanks for the info.
     
    #20
  21. Doc K

    Doc K New User

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    Hey all-don't want to hijack the thread but this is very similar to what I'm going through. After 6 weeks PT (2x a week) and no tennis for two months, I had no improvement and got cortisone, which didn't help.

    Wondering if anyone on the boards has tried a PRP injection (platelet-rich plasma) for TE? I'll post the question elsewhere but I'm curious.
     
    #21
  22. mikeler

    mikeler G.O.A.T.

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    Put the following into Google:

    prp injection site:tt.tennis-warehouse.com
     
    #22
  23. PigPen

    PigPen Rookie

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    What is your Dr. saying about your issue?
     
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