Golfers elbow / Epicondylitis humeri ulnaris
1. Kinds of risk sport:
Golf, kinds of throw sport (e.g. javelin)2. Function:
Attraction condition within the origin range of the hand and finger bend chords at the inside of the elbows.3. Injury mechanism:
- Overloading (kind of sport specific)- Overloading outside of the sport (increased working on the PC/Mouse, reconditioning, garden and housework)
4. Symptoms:
- Pain at the elbow inside- Pain radiant emittance into the lower arm inside
- Hardening the forearm musculature
- Pressure pain within the chord beginning range (elbow inside)
other pain causes:
- Complaints come of the cervical spine
- Complaints come of the shoulder
- Nerve compression syndrome (pressure on the musi edge nerves by restricting in the channel or fabric swelling)
- local inflammation
- elbow instability
- elbow arthrosis
5. First measures:
- Completion of the load- Cooling concerned the range (with it do not put the ice directly on the skin)
- Protection
6. Diagnostics:
A physician should be consulted in each case, since the complaints could come also e.g. from the neck spinal column (see there) in addition must are avoided that the complaints chronically werden.- Roentgen (to the exclusion of one osseous injury/participation, osseous tightness of the nerve channel)
- If necessary ultrasonic investigation
- If necessary Kernspintomographie
- If necessary additional investigation by a Neurologist
7. Therapy: (Caution, frequently lengthily!!!)
A) Conservative Therapie- Indulgence
- Physiotherapye (under expert guidance and additionally with the therapist co-ordinated self-exercises)
- Volume acting with pressure on the musculature underneath the joint for the discharge of the chord beginnings (e.g. Epispange)
- Medicines (anti-inflammatory, decongestant)
- Ointments
- Injections with and without cortisone add-on
- Shock wave therapy
- Depending upon findings slow structure of load (kind of sport specific)
b) Operational Therapie
- Separation, groove of the chords concerned of the bone, Denervation
8. Physiotherapy / rehablitation:
- Different methods of massage (e.g. Transverse friction, rod massage etc.)- Stretch of the musculature
- Strengthening the musculature concerned and the antagonists
- In the acuteness cooling
- Thermal treatment for the musculature
- Different forms of the electrotherapy
9. Prevention:
- Warming the musculature up without sport equipment, stressed in the kind of sport; (Stretch, loosening the arm musculature)- Warming up with the sport equipment (throw, an hitting in)
- Stretching particularly hand flexor and extensor
- Strengthening the hand flexor and extensor
- Examination of sport equipment and technology with the practice of the sport