Pain in forearm...

Discussion in 'Health & Fitness' started by MikeHitsHard93, Mar 10, 2013.

  1. MikeHitsHard93

    MikeHitsHard93 Hall of Fame

    Joined:
    Oct 12, 2011
    Messages:
    4,454
    Location:
    Michigan
    Just started playing a lot more often, and I do stretches, but just after switching to full poly I'm feeling something I haven't felt before. Right above the bottom of my forearm pain goes from my elbow straight down to my hand. It basically follows a line all the way down my arm. I've never had this happen before and I'm kinda worried. My hand also feels a little numb when I hit the ball.
     
    Last edited: Mar 10, 2013
    #1
  2. charliefedererer

    charliefedererer Legend

    Joined:
    Feb 13, 2009
    Messages:
    5,639
    Worried enough to rest and give up the full poly?
     
    #2
  3. charliefedererer

    charliefedererer Legend

    Joined:
    Feb 13, 2009
    Messages:
    5,639
    Lots of posters in this section report benefit from using the Thera band Flexbar to build up the forearm muscles, so they can go back to bashing the tennis ball after a period of rest and not suffer an early recurrence:

    Tennis Elbow: Step-By-Step Instructions For Treating Elbow Pain Using Theraband Flexbar (Tyler Twist) http://www.youtube.com/watch? v=A2QQaVfeI4U

    [​IMG]

    Many start with the Flexbar red, then progress to the Flexbar green, so as not to do "overdo" it with the stiffer green model. (This is how the original study was done.)

    Thera-Band Flexbar Hand Exerciser - Tennis Elbow Relief Bar http://www.amazon.com/TheraBand-Y0A...e=UTF8&qid=1362934338&sr=8-2&keywords=flexbar


    The Flexbar allows a unique "twisting motion" that acivates the mucles on both the front and back of the forearm, as they course on a diagonal from the outer edges of the elbow down to the wrist:

    [​IMG]
     
    Last edited: Mar 10, 2013
    #3
  4. MeHere2PlayTennis

    MeHere2PlayTennis New User

    Joined:
    Feb 25, 2013
    Messages:
    24
    Thanks for the info, Charlie.
     
    #4
  5. Muppet

    Muppet Hall of Fame

    Joined:
    Nov 13, 2011
    Messages:
    2,875
    Location:
    Boston
    Did you change your grip/mechanics at all? You were discussing maybe changing to flatter hitting in a previous thread.
     
    #5
  6. comeback

    comeback Professional

    Joined:
    Oct 13, 2010
    Messages:
    1,192
    I had very serious forearm/elbow issues and the Flexbar didn't help me.It actually hurt it more. I was able to completely rehab with http://www.flextend.com
    The Flexbar is better when you arm is healthy thus strengthening it more. But sometimes the twisting motion of the flexbar can make the condition worse, as you are "gripping", thus shortening the already tight, restrictive flexor tendons, while simultaneously shortening / contracting the extensor group, thus subjecting the injured area(s) to even more stress and damage. All extension motions for tennis elbow need to be pure, isolated motions with no barriers in the motion. In this case, the flexors are fighting the extensors...
     
    #6
  7. MikeHitsHard93

    MikeHitsHard93 Hall of Fame

    Joined:
    Oct 12, 2011
    Messages:
    4,454
    Location:
    Michigan
    I probably won't rest, but I can ditch the poly.

    The flexor Capri ulnaris on the bottom of the arm hurts. It's like the shin of the arm
     
    Last edited: Mar 10, 2013
    #7
  8. MikeHitsHard93

    MikeHitsHard93 Hall of Fame

    Joined:
    Oct 12, 2011
    Messages:
    4,454
    Location:
    Michigan
    I haven't gotten back to the courts yet. The pain just started after I posted that thread. Think the flatter hitting would help?
     
    #8
  9. Muppet

    Muppet Hall of Fame

    Joined:
    Nov 13, 2011
    Messages:
    2,875
    Location:
    Boston
    I'd stick with your regular game until the pain goes away, that is if you have to play at all. I think new strokes would invite new injuries.
     
    #9
  10. MikeHitsHard93

    MikeHitsHard93 Hall of Fame

    Joined:
    Oct 12, 2011
    Messages:
    4,454
    Location:
    Michigan
    Do you think this is tennis elbow or is it just tendon strain?
     
    #10
  11. Say Chi Sin Lo

    Say Chi Sin Lo Legend

    Joined:
    Aug 30, 2005
    Messages:
    9,272
    Sorry man, but it sounds like it's more in line with tennis elbow.

    Strains/sprains are incidental, or acute injuries. You KNOW as it happens. Such as a pull, pop, twist, etc.

    Whereas tennis elbows are a very specific form of gradual and degenerative changes to the tissue. :(
     
    #11
  12. mikeler

    mikeler G.O.A.T.

    Joined:
    Sep 26, 2008
    Messages:
    19,850
    Location:
    Central Florida
    Most likely TE but nobody can say for sure except a doctor who examines you. Full poly is so low powered, you get the double whammy of having to swing hard plus the string stiffness.
     
    #12
  13. scotus

    scotus Legend

    Joined:
    Jul 5, 2005
    Messages:
    7,709
    Mike, don't hit so hard.
     
    #13
  14. MikeHitsHard93

    MikeHitsHard93 Hall of Fame

    Joined:
    Oct 12, 2011
    Messages:
    4,454
    Location:
    Michigan
    Sorry about all the jokes lol now I know how it feels! I hope it goes away soon
     
    #14
  15. mikeler

    mikeler G.O.A.T.

    Joined:
    Sep 26, 2008
    Messages:
    19,850
    Location:
    Central Florida
    I used to make a lot of bald jokes. Now I'm the butt of them...
     
    #15
  16. Say Chi Sin Lo

    Say Chi Sin Lo Legend

    Joined:
    Aug 30, 2005
    Messages:
    9,272
    I think you should look to "manage" it, instead of hoping it'll go away soon. Just so you won't be disappointed if you've got higher expectation.
     
    #16
  17. MikeHitsHard93

    MikeHitsHard93 Hall of Fame

    Joined:
    Oct 12, 2011
    Messages:
    4,454
    Location:
    Michigan
    Yeah my arm felt fine when I was playing but now it hurts when I make a fist and curl it and rotate it
     
    #17
  18. MikeHitsHard93

    MikeHitsHard93 Hall of Fame

    Joined:
    Oct 12, 2011
    Messages:
    4,454
    Location:
    Michigan
    Please tell me how to manage it
     
    #18
  19. MikeHitsHard93

    MikeHitsHard93 Hall of Fame

    Joined:
    Oct 12, 2011
    Messages:
    4,454
    Location:
    Michigan
    I just hope it isn't too serious and now I know exactly what you feel, however my case is probably a minor one. I can still play for now.
     
    #19
  20. Say Chi Sin Lo

    Say Chi Sin Lo Legend

    Joined:
    Aug 30, 2005
    Messages:
    9,272
    I was speaking in general terms. I've never had tennis elbow.

    But as with all overuse/tendinitis/degenerative condition:

    - Rest
    - Inflammation control
    - Flexibility
    - Building/strengthening up surrounding structures to provide support for the weakened structure.
     
    #20
  21. mikeler

    mikeler G.O.A.T.

    Joined:
    Sep 26, 2008
    Messages:
    19,850
    Location:
    Central Florida
    Here goes:

    1. Ice immediately after playing and 1 or 2 times more that day.

    2. Apply heat before playing. Considering wearing a sleeve while playing to keep heat on it. Try a TE arm band.

    3. Google Theraband flex bar.

    4. Try Epsom salt baths.

    5. I use home ultrasound and electro stimulation.

    6. Google trigger point therapy.

    7. Do strength exercises once there is no pain.

    8. Google tennis elbow.

    9. Did I mention Google?
     
    #21
  22. limitup

    limitup Professional

    Joined:
    Oct 28, 2005
    Messages:
    808
    Location:
    End of the rainbow
    Struggling with a minor case of TE myself. I took the past 2 weeks off to be safe, and I've been doing the red flexbar daily, but it hasn't seemed to help. I went out today and hit with my 9 year old, and just hitting a few 1HBHs with the light kid ball causes minor pain. Totally disappointed, and not exactly sure what to do. It's only been 2 weeks, so about all I know to do is take another 2 weeks off and see what happens?

    Just not sure about the flexbar ... do you guys think it's OK to do if there's still very minor pain? Like when I'm actually using the flexbar there is a tiny bit of pain, maybe a 2 on a sale of 1 to 10.

    Seems like there's just so much contradictory info out there. For example, the flextend guy says you have to do these strengthening exercises with the flextend glove in 3 different planes (palm down, thumb up, palm up) etc. The guy sounds like he knows what he's talking about, but ...

    On the other hand, a lot of stuff says you should really ONLY do slow wrist curls focusing on the eccentric and that's the "secret" to getting rid of TE.

    Well, which is it? lol

    Normally I'd go with the latter since I assume the flextend guy is obviously biased and wants you to buy the flextend glove, but at the same time I've been doing the eccentric stuff and no tennis for 2 weeks with no noticeable improvement ...
     
    Last edited: Mar 10, 2013
    #22
  23. MikeHitsHard93

    MikeHitsHard93 Hall of Fame

    Joined:
    Oct 12, 2011
    Messages:
    4,454
    Location:
    Michigan
    Are you guys sure this is TE? It's pretty much just the forearm that hurts. I don't feel anything in my actual elbow
     
    #23
  24. Say Chi Sin Lo

    Say Chi Sin Lo Legend

    Joined:
    Aug 30, 2005
    Messages:
    9,272
    None of us can be sure, because we're not physicians with a specialty in sports medicine and upper extremities, nor have such qualified physician examined you. That latter part is the key.

    But as tennis players with experience, and having heard your problems, all signs point to tennis elbows.

    Sounds like it was building up, and your recent use of polyester broke the threshold of significant discomfort.

    Mike, before you hit hard again, have it checked out. :)
     
    Last edited: Mar 10, 2013
    #24
  25. limitup

    limitup Professional

    Joined:
    Oct 28, 2005
    Messages:
    808
    Location:
    End of the rainbow
    Tennis elbow doesn't hurt in your actual elbow joint the way you're thinking. If you hold your arm straight out in front of you with your palm facing down, it generally hurts in the meaty part of the top of your forearm just below the elbow joint.
     
    #25
  26. MikeHitsHard93

    MikeHitsHard93 Hall of Fame

    Joined:
    Oct 12, 2011
    Messages:
    4,454
    Location:
    Michigan
    Alright man thanks. I think I'm gonna take maybe a week off and also cut out the poly. But that means that I need to order a multi to replace it...right now I only have scorpion and black ice. Haha love the edit
     
    #26
  27. MikeHitsHard93

    MikeHitsHard93 Hall of Fame

    Joined:
    Oct 12, 2011
    Messages:
    4,454
    Location:
    Michigan
    Damn that happens to me all the time :shock: I always just played through it!
     
    #27
  28. limitup

    limitup Professional

    Joined:
    Oct 28, 2005
    Messages:
    808
    Location:
    End of the rainbow
    Yeah, that's bad. TE can be a real problem if you play through the pain. I've heard of guys who have literally had to take 6-12 months off - literally NO tennis - to get rid of a really bad case. Another guy I know was in the same situation and he decided to switch to a 2 handed backhand rather than not play for that long (it's generally the 1HBH that causes the problem)
     
    #28
  29. MikeHitsHard93

    MikeHitsHard93 Hall of Fame

    Joined:
    Oct 12, 2011
    Messages:
    4,454
    Location:
    Michigan
    Wow...this is so enlightening and I'm glad I posted! After I rest, do you think string change will solve it? Btw I hit a 2hbh usually but sometimes 1hbh when I feel like it.
     
    #29
  30. Say Chi Sin Lo

    Say Chi Sin Lo Legend

    Joined:
    Aug 30, 2005
    Messages:
    9,272
    You're welcome, and if it is indeed tennis elbow, consult with your specialist and physical therapist on a management plan, allowing yourself to play to your maximum potential but within the joint's current capabilities.

    I hope I'll never have to deal with tennis elbows.
     
    #30
  31. MikeHitsHard93

    MikeHitsHard93 Hall of Fame

    Joined:
    Oct 12, 2011
    Messages:
    4,454
    Location:
    Michigan
    I might wear a wrist brace or something as that may help. Pretty sure my doctor doesn't really know much about te.
     
    #31
  32. Say Chi Sin Lo

    Say Chi Sin Lo Legend

    Joined:
    Aug 30, 2005
    Messages:
    9,272
    That's why you go see a sports medicine physician specializing in upper extremities. S/he would know PLENTY.
     
    #32
  33. MikeHitsHard93

    MikeHitsHard93 Hall of Fame

    Joined:
    Oct 12, 2011
    Messages:
    4,454
    Location:
    Michigan
    Alrighty! We shall see if the traditional nurturing and anti inflammatories help at all, and if not I shall take it a step further. The poly has to go though.
     
    #33
  34. mikeler

    mikeler G.O.A.T.

    Joined:
    Sep 26, 2008
    Messages:
    19,850
    Location:
    Central Florida
    I went back to a 2 hander last summer and generally avoid 1 handed slice backhands if it is hurting a little. As for your flexbar question, I would not use it until you feel no pain but that is just my opinion.

    I recently took 10 days off because I was starting to get pain in the elbow joint. Now that is gone and I have little pain on court but my arm gets weaker throughout the match.
     
    #34
  35. limitup

    limitup Professional

    Joined:
    Oct 28, 2005
    Messages:
    808
    Location:
    End of the rainbow
    Yeah, that was my first thought ... but then you see everyone talking about using the flexbar to rehab or get rid of TE which to me means they are using it while they still have at least a little pain. Otherwise the flexbar would only be discussed in terms of perhaps helping to prevent future TE once it's gone. Hmm...
     
    #35
  36. mikeler

    mikeler G.O.A.T.

    Joined:
    Sep 26, 2008
    Messages:
    19,850
    Location:
    Central Florida
    I think it is meant as a maintenance tool. Just bought some weights and resistance bands at lunch to start building up the muscles around my elbow.
     
    #36
  37. Chas Tennis

    Chas Tennis Hall of Fame

    Joined:
    Feb 17, 2011
    Messages:
    4,387
    Location:
    Baltimore, MD
    See a Dr & research pinched nerve

    I've never had a pinched nerve.

    This sounds as if one possibility might be a pinched nerve. When a nerve is pinched in the neck, shoulder, or elbow etc. there can be pain and other feelings downstream from the pinch location.

    Recent thread describing pinched nerve issues-
    http://tt.tennis-warehouse.com/showthread.php?t=455932

    Nerve illustrations - see radial, median & ulna nerve maps of the arm.
    https://www.google.com/search?q=uln...rthopod.com%2Fcontent%2Fwrist-anatomy;400;400

    My son would get similar symptoms after exercising at the gym for a few months. We thought that it was a pinched nerve. ?

    You have an undiagnosed injury and should see a Dr.
     
    Last edited: Mar 11, 2013
    #37
  38. comeback

    comeback Professional

    Joined:
    Oct 13, 2010
    Messages:
    1,192
    I wish i could get a commission but i get NOTHING ..I only pass along the info on the flextend.com glove because i had the worst case of tennis elbow and researched and tried everything..i was devastated not being able to wash my hair, sleep, brush my teeth, or lift a cup to the microwave without intense pain much less play tennis..Flextend is a proven medical device COVERED BY INSURANCE used by professional golfers guitar players etc that really works and then will strengthen your entire finger, wrist, forearm, and both sides of the elbow.
     
    #38
  39. LeeD

    LeeD Bionic Poster

    Joined:
    Dec 28, 2008
    Messages:
    37,428
    Location:
    East side of San Francisco Bay
    Manage it...
    Go back to HeadMicroGelMid, string it at 50 lbs., and don't squeeze so darn hard on the handle.
     
    #39
  40. charliefedererer

    charliefedererer Legend

    Joined:
    Feb 13, 2009
    Messages:
    5,639
    Thanks for posting about the flextend glove. It sounds like for you - and likely others - it is a great device.
     
    #40
  41. charliefedererer

    charliefedererer Legend

    Joined:
    Feb 13, 2009
    Messages:
    5,639
    If there is a little pain, it is probably okay to start with the flexbar red.

    The idea is to do gentle twists with the idea you are not strengthening the muscle, but merely taking the muscles/tendons through a normal range of motion.

    This could help inflamed fibers from forming adhesions that can "glue" adjacent fibers together.
    If these "adhesions" occur, later when you go to exercise there will be "pulling" and disruption of the adhesions - but that can lead to a new round of inflammation. (It would be better to prevent the adhesions from occurring in the first place by doing the gentle exercise.)

    Certainly, if the pain is increasing doing the gentle movements, then that is a signal to hold off.
     
    #41
  42. charliefedererer

    charliefedererer Legend

    Joined:
    Feb 13, 2009
    Messages:
    5,639
    While the string change can help prevent a recurrence, the other thing is to exercise the forearm.

    SInce you "hit hard" it just may be that your hitting motion is so violent that there is undue stress on the tendons.

    Thus, even if you have stronger muscles/tendons than most tennis players, the forearm muscles in YOU may not be strong enough to withstand the forces generated by the body arm and transferred to this small area.

    So building up your forearm by working with the Flexbar (after the pain has diminished may be a key to prevent recurrence.

    Other exercises include forearm dumbbell curls, reverse curls and pronation/supination exercises.
     
    #42
  43. charliefedererer

    charliefedererer Legend

    Joined:
    Feb 13, 2009
    Messages:
    5,639
    Glad you decided to rest.

    We all get aches and pains and usually manage to "play through them."

    It is clear that the reason you posted is that this episode is something different.


    If you back through multiple tennis elbow threads you can see that unfortunately for many the process seemed to take on a life of it's own, and take many months for the pain/inflammation to subside.



    The biggest concern about playing through tennis elbow is that you can do permanent damage.

    The tendon becomes all scarred and can never go back to being normal - a process known as tendonosis:

    [​IMG]

    [​IMG]
     
    Last edited: Mar 11, 2013
    #43
  44. MikeHitsHard93

    MikeHitsHard93 Hall of Fame

    Joined:
    Oct 12, 2011
    Messages:
    4,454
    Location:
    Michigan
    I don't own one of those lol. I've been wondering whether or not I should ask about buying a less stiff racket...
     
    #44
  45. MikeHitsHard93

    MikeHitsHard93 Hall of Fame

    Joined:
    Oct 12, 2011
    Messages:
    4,454
    Location:
    Michigan
    Charliefederer, your posts have been super helpful!!! It's now day three and I still have arm pain...gonna take some ibuprofen in the morning for sure.

    I don't hit as hard now as I used to. I'm 20, but I'm not in as good of shape now as I was in highschool. Work has taken over! It's time to start training again though. My flexibility needs some work as well as my overall fitness...
     
    #45
  46. badmice1

    badmice1 New User

    Joined:
    May 2, 2005
    Messages:
    48
    I recently change forehand mechanic and am currently experiencing the exact same pain. It hurts the most when I am gripping something, then exerting weigh against it (ie gripping a suitcase then deadlifting it).

    A physician friend who I play with suggested that I do tricep pull to promote blood flow into the area, which also helps remove scar tissues from the injured area. He discouraged ice since it stops blood flow into the area basically worsen the injury.

    It's simply a turning old/out of shape kind of injury which he explains most ppl recovers from.
     
    #46
  47. mikeler

    mikeler G.O.A.T.

    Joined:
    Sep 26, 2008
    Messages:
    19,850
    Location:
    Central Florida
    You probably are squeezing the racket too hard on some of your forehands because that happens to me at times. For my problem, the Theraband Flexbar and a hand gripper have almost completely eliminated the pain. There are still some low slice backhands and forehands that I try to club that I still feel it a little bit.
     
    #47
  48. the cat petter

    the cat petter New User

    Joined:
    Aug 14, 2012
    Messages:
    75
    I find that letting the wrist drop during contact hurts. What grip are you using?
     
    #48
  49. limitup

    limitup Professional

    Joined:
    Oct 28, 2005
    Messages:
    808
    Location:
    End of the rainbow
    That's ridiculous. What do you think happens AFTER you ice an area of your body? That's right - blood RUSHES to that area to warm it back up (among other things). Is your friend a real doctor, or does he just play one on TV?
     
    #49

Share This Page