Tennis Elbow Procedures

#51
I've listened to a few of Ben Greenfield's podcast episodes and yes, the amount of things he peddles/endorses is definitely suspect. Trust me, I'm just as skeptical as you are. I only linked that article to spread some awareness of BPC-157. Simple google searches can find you many more sources of information on it and many different user experiences (of which they're pretty overwhelmingly positive).

Played three sets of dubs last night using my APD+ with RPM strings that have been in there for several months now (so they've gotta be super dead but they still play well for me somehow) and I played/served full power without a brace just to see how much my elbow might ache. As of right now - the morning after - my GE tendons feels completely fine with only a slight tenderness to the touch when I press down. My triceps tendinitis behind my elbow is only a slight pain/discomfort when I fully extend my arm, but other than that it feels remarkably fine. Definitely some improvement from times past. I'll have to do a heavy bench press day to really see how far my elbow has come. This is still only day 7 of injecting BPC, so still too early to call, but I'm becoming more convinced of it. I intend to make a post on here after at least a month or so.
 
#54
Well.. yes..? That's why I'm here lol

Granted, I'm probably not as injured as you or others may have been during your bout of TE from what I've read.
shocking that for so many yrs, knowingly 50% of tennis population got the notorious te/ge though still let the 'virus' spreading free.........

the itf 50% figure could be dramatically increased if the 50% non te/ge-ers most of whom are wkly oncers/twicers were less cautious rkts/strings/etcetc-wise or raise their playing time.........but anyway it's not a life threatening issue so have a few mths or a few yrs break/rest n everything'll be fine, no hurry:-D:-D:-D:-D:-D:-D:-D....................

who'r profiting from all these:?)))..............ie let's say no te/ge at all worldwide, who'd be losing $$$.....n(n+1)$:?))):eek::eek::eek::eek:........
 
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#55
As I mentioned last week. My family got me a TENS machine for my birthday. I have been using it before bed so far every night starting Sunday. So far, it is the only thing I have tried that has shown results. I have been pain free since Monday. I set up four of the pads, think a baseball diamond with my injured tendon being the pitching mound. The pads on home plate and second base talk to each other, and the pads on first and third talk to each other.

I set it to an intensity that I can feel, but just a notch or two lower than an intensity that causes pain.

It’s fun to watch my tendon pulsate or flutter.

I’m not trying to say this is a miracle and trying to commit fraud here, I’m just saying it has worked for me and I have had positive results. And as I mentioned the only thing that has resulted in progress for me, other than rest. Which I have rested for 6 months and the tendon was still weak and painful.

I have done PT, strength training, stretching, ice, heat and a few others.
 
#56
As I mentioned last week. My family got me a TENS machine for my birthday. I have been using it before bed so far every night starting Sunday. So far, it is the only thing I have tried that has shown results. I have been pain free since Monday. I set up four of the pads, think a baseball diamond with my injured tendon being the pitching mound. The pads on home plate and second base talk to each other, and the pads on first and third talk to each other.

I set it to an intensity that I can feel, but just a notch or two lower than an intensity that causes pain.

It’s fun to watch my tendon pulsate or flutter.

I’m not trying to say this is a miracle and trying to commit fraud here, I’m just saying it has worked for me and I have had positive results. And as I mentioned the only thing that has resulted in progress for me, other than rest. Which I have rested for 6 months and the tendon was still weak and painful.

I have done PT, strength training, stretching, ice, heat and a few others.
it might be well causing more damages as the elec-magn pulses disrupted/interfered/silenced the 'pain' warning signals sent to ur brain. u'll 'feel better' for time being n mislead that 'healed' so back on tennis court again..........u know the result of that.

chk out if whatever u'r using:
1. if it can provide the essential healing nutrients
2. if it can increase the blood flow in the injured area
3. if it can stop the movement of the relevant section/area which might disrupt the healing

if dat thing can't do any above but only makes u 'feel' better, stop using it.
simple massage by urself or some1 else could be much better, or just rest n do nothing:-D:-D:-D:-D:-D:-D................
 
#57
it might be well causing more damages as the elec-magn pulses disrupted/interfered/silenced the 'pain' warning signals sent to ur brain. u'll 'feel better' for time being n mislead that 'healed' so back on tennis court again..........u know the result of that.

chk out if whatever u'r using:
1. if it can provide the essential healing nutrients
2. if it can increase the blood flow in the injured area
3. if it can stop the movement of the relevant section/area which might disrupt the healing

if dat thing can't do any above but only makes u 'feel' better, stop using it.
simple massage by urself or some1 else could be much better, or just rest n do nothing:-D:-D:-D:-D:-D:-D................

I was thinking it was helping increase blood flow to the area. But I’m not a doctor. I have just tried many things and nothing works. I would be surprised if this was tricking my pain for 3-4 days. I could see if tricking my brain for a few hours but days?
 
#58
I was thinking it was helping increase blood flow to the area. But I’m not a doctor. I have just tried many things and nothing works. I would be surprised if this was tricking my pain for 3-4 days. I could see if tricking my brain for a few hours but days?
nothing wrong to be in 'pain'........lolololol manohman..........at least the 'early warning system' n the 'sensor' working fine. otherwise get 737maxed around n crashed in a much worse way:eek::eek::eek::eek::eek::eek::eek:........................

btw hv u ever heard of or seen any1 last very long n happy on pain killers:?)))..................
 
#59
With regards to icing, you hear many different things about it. Some say it helps, some say it doesn't. As with any other treatment, anything other than anecdotal evidence that it has an effect is lacking. I doubt there is any real high quality studies made on icing since such studies cost a lot of money and is often tied to testing new treatments that can bring in profit (i.e., new pharmaceuticals)

Over the years I've heard:

  • Don't ice - it will reduce circulation and delay healing
  • Do ice - after the ice releases, blood will flow to the area and increase circulation
  • Don't ice - it will inhibit what little inflammation is involved and cause defective healing (probably incorrect and an extrapolation and misunderstanding of the "tendinosis not tendinitis" paradigm. Ice doesn't inhibit inflammation on a biochemical level like corticosteroids or NSAIDs (asfaik - not a doctor).
  • Do ice - but heat afterwards - this will increase circulation
  • Do ice - it won't help but it is a consequence free way of managing the pain
It seems nobody knows.
 
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#60
In my TE battle I was told that ice helps reduce the inflammation and pain. Then once there is no more inflammation heat is best for long term healing.

So basically, once I start playing again, it would be best for me to ice my elbow as soon as I am done playing. Then once things calm down, if they even need to calm down, I would go to heat.

Who knows?
 
#61
I've listened to a few of Ben Greenfield's podcast episodes and yes, the amount of things he peddles/endorses is definitely suspect. Trust me, I'm just as skeptical as you are. I only linked that article to spread some awareness of BPC-157. Simple google searches can find you many more sources of information on it and many different user experiences (of which they're pretty overwhelmingly positive).

Played three sets of dubs last night using my APD+ with RPM strings that have been in there for several months now (so they've gotta be super dead but they still play well for me somehow) and I played/served full power without a brace just to see how much my elbow might ache. As of right now - the morning after - my GE tendons feels completely fine with only a slight tenderness to the touch when I press down. My triceps tendinitis behind my elbow is only a slight pain/discomfort when I fully extend my arm, but other than that it feels remarkably fine. Definitely some improvement from times past. I'll have to do a heavy bench press day to really see how far my elbow has come. This is still only day 7 of injecting BPC, so still too early to call, but I'm becoming more convinced of it. I intend to make a post on here after at least a month or so.
You have tendon issues in your arm, yet are using APD+ with RPM strings???
 
#62
I've been playing with the different iterations of the APD+ line my entire tennis career (~10 years) with all sorts of different poly (Hyper-G, RPM, and Cyclone) but have only begun having arm issues rise up in the past year. I bought an Angell TC100 RA64 strung with gut/alu power as a way to combat the arm issues - and using that racket does indeed help - but I just haven't been able to groove with it like I do my trusty APD's and find my performance suffers. Though I know that's probably a matter of just needing to practice more with it. I played Monday night with the APD+/RPM's just to experiment further on myself. (I'm a sucker for experimenting on myself)

The TENS machine is something I've never heard of and will definitely look more into it! Glad to hear that's provided some relief for you AZJ.

To touch on how BPC157 affects the blood flow aspect of joint healing: "current research suggests BPC-157 influences several growth factors usually involved in angiogenesis (the production of blood vessels) and other factors involved in regeneration following damage." (taken from https://examine.com/supplements/bpc-157/). Google "bpc157 and angiogenesis" and a fair amount of pubmed.gov studies pop up that corroborate this.

So the idea is you subcutaneously inject ~250mcg of BPC157 1x-2x/day with an insulin syringe as close to the site of injury as possible and it will aid in the formation of blood vessels to joints/ligaments which typically don't have the best of blood flow to them. Which is thought to be the reason why they heal sooooo slowly since they don't get the healing factors sent to that part of the body like they do elsewhere.
 
#64
Tennis elbow does not have swelling.
Even if it did, why would you want to reduce swelling?
I can't stand people who mindlessly advise heat and ice when they have no idea what the effect is.
My apologies. I was not trying to advise. I was just trying to share what medical professionals have told me.

I just finished my fifth PT appointment yesterday. Left confused. During my first 4 appointments my PT told me her goal was to make sure I didn’t have to have a procedure done to my elbow. The first 4 appointments went fine, but nothing she did seemed to make any progress. I came back for my fifth appointment and told her I have been pain free for 4 days due to the TENS machine I spoke of above.

She confirmed what was said above, indicating it wasn’t helping to heal the tendon, only tricking my brain to not feel pain. She mentioned her goal is to strengthen my healthy tendons. When I asked her what can we do to help heal the damaged tendon she said there is nothing I can do that is nonsurgical and would need to consider the PRP or TENEX. And based on previous appointments and communication with my doctor we both knew PRP was the recommended procedure but also the one that is not covered by insurance.

I respect doctors but man it feels like a roller coaster ride.
 
#65
much better to c a sports injury specialist even much better if the 'she' is a tennis player, ofc must b a good 1 w/ kc.....lolololol:love::love:......

otherwise simply......rest n it might take mths/yrs, simple.

i came across so many te/ge-ers n never seen any successful med procedure except massages help a bit, if lucky didn't make things worse:eek::eek::eek::eek::eek:........
 
#66
My apologies. I was not trying to advise. I was just trying to share what medical professionals have told me.

I just finished my fifth PT appointment yesterday. Left confused. During my first 4 appointments my PT told me her goal was to make sure I didn’t have to have a procedure done to my elbow. The first 4 appointments went fine, but nothing she did seemed to make any progress. I came back for my fifth appointment and told her I have been pain free for 4 days due to the TENS machine I spoke of above.

She confirmed what was said above, indicating it wasn’t helping to heal the tendon, only tricking my brain to not feel pain. She mentioned her goal is to strengthen my healthy tendons. When I asked her what can we do to help heal the damaged tendon she said there is nothing I can do that is nonsurgical and would need to consider the PRP or TENEX. And based on previous appointments and communication with my doctor we both knew PRP was the recommended procedure but also the one that is not covered by insurance.

I respect doctors but man it feels like a roller coaster ride.
The medical and science community does not fully understand TE yet, so neither does PT folks or ttw members (even the one's who claim they absolutely know).

The best is track record (past surgery results, but then you don't know if you would have healed anyway), and anecdotal evidence from professional PT folks, and tennis player experiences (ttw members that have battled TE). There are way too many of us that had positive results with massage, flexbar, changing racquets, dropping poly to ignore ... just read the ttw content. I mean ... just read the number of posts where the Prince racquet with the big ports was the only one that worked for a player. There is no better anecdotal evidence than a player with TE 's elbow immediate feedback. The problem I would think is there are some more severe TE tendon injuries that are either beyond our usual solutions, or just take much longer to heal than average.

What PT exercises did the gal have you do? I always wonder if they have anything better than a flexbar and a rollerbar?

I would think large PT outfits/chains might have expensive equipment that works. Here is what I mean. The medical community has seen good tendon injury healing results with eccentric loading exercises. For example, with Achilles injuries, slowly letting your heal drop below a step level. I read an article on why the flexbar was created. Expensive equipment existed to provide a eccentric exercise for injured TE tendons. They were looking for a solution that did not require access to the expensive equipment.

Here ... found the article/blog I had read:

https://well.blogs.nytimes.com/2009/08/25/phys-ed-an-easy-fix-for-tennis-elbow/
 
#67
Isn't the flex bar the same as just doing the reverse wrist curls with a 3-5 pound weight. In which you gradually lower the weight down, just using your wrist. Once you are lowered all the way, you lift the weight back up with your other hand and repeat.

 
#68
Isn't the flex bar the same as just doing the reverse wrist curls with a 3-5 pound weight. In which you gradually lower the weight down, just using your wrist. Once you are lowered all the way, you lift the weight back up with your other hand and repeat.

I have had that same thought ... with the key being using other hand to set it. I would think you would just set the weight to neutral (not flexed back), and then let drop below vertical. It's a fair question that challenges the idea that the flexbar was any different than that weight exercise. I have not heard any discussion or explanation why they would be different. It would be easier to keep the flexbar in a tennis bag. 8-B
 
#70
I've used BPC 157 on a couple of occasions. Pretty sure I mentioned it in a previous TE thread but admittedly didn't go in to any detail.

Sent from my Pixel 2 using Tapatalk
BPC 157, no doubt it's kind of steroids n 'profiting' in short term but much bigger 'loss' in long run:?)))...............at least it allows u ignore the 'warning signs' sent 2 u + abuse ur elbow even more:?)))...................
 
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