Elbow tendonitis can occur as a result of
injury, overuse, or with aging as the tendon loses
elasticity. Any action that places a repetitive and
prolonged strain on the forearm muscles tend to strain
and overwork those muscles. Elbow tendonitis is also
known as Tennis Elbow and Golfer's Elbow.
Overuse is the most common cause of elbow tendonitis.
People beginning an exercise program or increase their
level of exercise can experience symptoms of tendonitis.
The tendon is unaccustomed to the new level of demand,
and this overuse will cause an inflammation and
tendonitis.
A tendon is a tough yet flexible band of fibrous tissue.
The tendon connects muscle to the bone. When a tendon
becomes inflamed, movement will become painful. This
condition is called tendonitis, which literally means
inflammation of the tendon.
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Elbow tendonitis is simply the
inflammation of the tendons connecting muscle to bone in
the elbow. Elbow tendonitis can be caused by a number of
factors. Some of the more common factors associated with
elbow tendonitis include:
_ A sudden increase in the intensity of training.
_ A rapid increase in the frequency of training.
_ Repeated training on rigid surfaces.
_ Poor core strength.
_ Genetic abnormalities.
Symptoms of elbow tendonitis include:
_ Pain and tenderness along a tendon, usually in
proximity to the elbow joint.
_ Pain is worse with movement or activity.
_ Pain at night.
_ Tenderness and swelling over the bit where the tendon
inserts onto the elbow bone.
_ Pain when you try to bend the elbow against
resistance.
_ Stiffness after exercise.
The goal of elbow tendonitis treatment is to relieve
pain and reduce inflammation. Often, rest, ice and home
care pain relievers are all that's needed. The goals of
elbow tendonitis treatment and elbow rehabilitation
include;
_ Protection of the injured tissues to allow healing and
to control the early inflammatory phase.
_ Ice packs or ice massage.
_ Rehabilitate flexibility, strength, proprioception,
and muscle imbalance, and control physical activities
with the aid of taping and splinting.
_ Non-impact aerobic conditioning, flexibility training
and strengthening exercises.
_ Return to full activity as elbow tendonitis symptoms
allow.
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The goal of rehabilitation should be
designed to decrease the symptoms, strengthen the
muscles of the affected area and increase flexibility.
The person with elbow tendonitis must return to sports
activity carefully and slowly. Criteria for resuming
full physical activity should be based on function, not
time.
Inflammation can also be treated with nonsteroidal
anti-inflammatory medications such as Motrin or Advil.
These medications can be helpful treatments for elbow
tendonitis but do have side effects. Side effects of
these medications can include stomach upset and bleeding
problems.
Your doctor might suggest treating your elbow tendonitis
with steroid drug injections. Injections of cortisone
reduce elbow tendonitis inflammation and can help ease
pain. However, this elbow tendonitis treatment should be
used with great care because repeated injections may
weaken the tendon or cause undesirable side effects.
Cortisone injections can also increase your risk of
rupturing a tendon.
Prevention is the best treatment for elbow tendonitis.
The key to avoiding problems such as elbow tendonitis is
to slowly increase the intensity of your exercise, avoid
repetitive movements that affect the elbow, and try not
to cycle between periods of activity and inactivity.
Follow these guidelines to prevent elbow tendonitis or
prevent the recurrence of elbow tendonitis:
_ Do not train hard when muscles are stiff from a
previous workout.
_ Introduce new activities or new training levels
gradually.
_ Allow ample warming up and cooling off time.
_ Monitor yourself daily for signs of fatigue. If
fatigued, give yourself a break for the day.
Proper conditioning should include aerobic fitness,
strength training, and flexibility training. Flexibility
is very important in preventing overuse injuries such as
elbow tendonitis.
If you experience elbow tendonitis, you are more likely
to have symptoms again down the road, but with an
intelligent approach to your exercise or activity
routine, this problem can often be avoided.
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