Epicondylitis (Tennis and Golfers´ Elbow)
"Lateral Epicondylitis"(ep"i-kon"di-li'tis) is the most common form of tennis elbow, and is mostly caused by overstress of the muscle attachement to the bone at the outside of the elbow. Another variant of tennis elbow is "Posterior Epicondylitis", where the attachment to the back of the elbow is the site of pain.
Golfer's elbow or "Medial Epicondylitis" occurs when the attachment of the flexor muscles of the forearm is overstressed at the
inside of the elbow. Repetitive throwing activities, racquet sports, and
golf are particularly likely to cause such problems.
Treatment Body Chart Anatomy
Tendinitis and Tenosynovitis
(Wrist and Hand) Anatomy
Tendinitis and tenosynovitis in the wrist and hand are commonly seen as overuse injuries. The most common type is known as de Quervain's tenosynovitis, which may occur in athletes or workers. Excessive and repetitive wrist movements may result in tenderness, swelling and crepitus. Pain is experienced particularly over the area just proximal to the base of the thumb, when the wrist is moved into ulnar deviation (toward the little finger side). Golfers, tennis players, carpenters and other workers are prone to develop this problem. A physician must make the diagnosis, and x-rays and other tests may be needed to exclude other disorders. Other tendons in the hand and wrist may also develop inflammation. Recurrent tendon or tendon sheath inflammation can lead to narrowing of the tunnel through which a tendon glides, resulting in "stenosing tenosynovitis".
Careful clinical evaluation is necessary, since pain in these areas may be an early sign of impending tendon rupture. Standard treatment methods include anti-inflammatory drugs, splints, and sometimes a local steroid injection. Correction of any pre-disposing factors, such as poorly designed tools, faulty equipment or incorrect techniques must also be addressed. Rarely, surgical treatment is needed. Low dose Sonocur treatment can be effective in these disorders, and is applied at a low energy
The Sonocur® Orthopedic Extracorporeal Shockwave system is available in Canada and other countries where regulatory approval has been obtained. The Sonocur® Basic is FDA approved in the United States for the treatment of chronic lateral epicondylitis (tennis elbow).
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