Tennis elbow (elbow pain). Shock wave therapy
Tennis elbow (elbow pain). Shock wave therapy
Tennis elbow is a well-known disease that causes a lot of trouble for doctors and patients. The "official" name of the disease is lateral epicondylitis. This condition is caused by chronic overstrain of the muscles and tendons of the arm, which is manifested by pain in the elbow area. It is found not only among tennis players, but also among representatives of many other professions whose work is associated with the implementation of certain movements in the elbow joint (for example, hammering nails, painting and carpentry, etc.). More often men over 30 are ill.
The main reason for the development of lateral epicondylitis can be called minor injuries to muscles, bone surfaces, ligaments and tendons in the elbow joint. They provoke their frequent flexion-extension in the joint. The key symptom of this condition is elbow pain, usually aching or boring in nature. It is more pronounced in the area of the so-called lateral epicondyle (bony tubercle, which can be felt from the outside of the elbow joint). In the same place, there is swelling, redness and swelling of the tissues. The pain increases with the slightest exertion (elbow extension, gripping objects in the hand, shaking hands, etc.) and can spread to neighboring areas, up to the fingers. Without treatment, the disease progresses, the pain intensifies and can become an almost constant companion of the patient.
In the presence of the first signs of a tennis player's elbow, a consultation with an orthopedic traumatologist is indicated. The diagnosis is made mainly clinically: on the basis of patient complaints and examination data. Sometimes it is necessary to consult a neurologist in order to exclude neuropathies of the upper limb and tunnel syndrome. It may be necessary to conduct an MRI or ultrasound of the elbow joint to confirm the diagnosis, since it is these methods that allow the doctor to evaluate the condition of the soft tissues (muscles, ligaments and tendons). X-ray examination for this disease is not very informative.
Prevention of epicondylitis of the elbow joint consists in warm-up and self-massage before exercising in the elbow joint. In parallel, you can use warming ointments (for example, finalgon). Massage will not hurt even after the end of the load. Any warming up procedures (saunas, steam baths) are useful. Reasonable strength training is essential to strengthen the tendons and muscles of the elbow. It is necessary to treat chronic infections (tonsillitis, sinusitis, prostatitis, etc.) in time, to eliminate dental problems. For the full functioning of the ligaments, vitamins of the B group are necessary, therefore, taking multivitamin complexes can be a good preventive measure. Cold procedures are contraindicated: do not cool a sore elbow in snow or cold water, this can only delay the moment of recovery for a long time.
Conservative treatment of epicondylitis of the elbow (tennis elbow)
Treat tennis elbow conservatively. In 90-95% of cases, the prognosis is favorable. Rest for the elbow joint, light massage and dry heat on the area of the elbow joint are indicated. Sometimes they use immobilization with a scarf or plaster cast. From medications, pain relievers and non-steroidal anti-inflammatory drugs are prescribed (both locally and systemically). Also, injection blockade with a local anesthetic and a hormonal drug in the area of the affected joint is used.
Treatment of epicondylitis with shock wave therapy
Physiotherapeutic methods of treatment have a high effect in this disease. One of these techniques is shock wave therapy (SWT). It is the tennis elbow that is one of the many classic indications for shockwave therapy. For the first time with this disease, the method was applied by German sports doctors in the mid-90s. The first results were very encouraging, which gave rise to the era of shock wave therapy in sports medicine, and subsequently in orthopedic, neurological and many other fields of medicine.
Shock waves help to restore traumatized tissues, improve blood circulation and metabolism in muscles and connective tissue, and strengthen the structure of the ligaments. With a tennis player's elbow, the clinical effect appears after 1-2 procedures. It is expressed in reducing pain and swelling in the elbow joint, increasing mobility and exercise tolerance. In the Awatage medical center, in combination with shock wave therapy, the patented V-Actor biomechanical stimulation technology is used, which restores the elasticity of muscles and damaged tendons.
Medical center "Awatage" in the treatment of epicondylitis and pain in the elbow uses the equipment of the world leader - Gymna (Belgium) - the company's experience since 1967. This company has been producing physiotherapy equipment for over 50 years and is rightfully the most reputable in its industry.
The use of SWT both independently and as part of complex rehabilitation programs has proven its effectiveness in 98%. In most cases, 5 procedures with a weekly interval between them are enough for the course of epicondylitis treatment in the Awatage medical center. However, during the course of SWT, it is extremely important to avoid physical exertion and adhere to the most gentle regimen for the diseased limb.