Elbow Pain

Recently we have treated a few cases of elbow pain.

TennisElbowandGolfersElbow

There are two common site for elbow pain, the outside edge of the elbow which is often an indication of tennis elbow or lateral epicondylitis and the inside edge of the elbow which is often an indication of glofer’s elbow or medial epicondylitis.   With both of these conditions the pain may radiate up the arm and / or down along the forearm.

Both conditions can be caused by precise wrist movements from using a mouse or keyboard.  As the name suggests tennis elbow can be caused by faulty backhand technique when playing tennis.  While golfer’s elbow can be caused by poor technique when playing Golf or faulty forehand technique when playing tennis.

In addition tennis elbow can be caused by carrying heavy shopping bags as it causes tension in the wrist extensors.

Most of the cases we see are caused by long hours using computers.  The first thing we do is try and establish the cause of the pain, which can be tightness or spasm in the muscles of the forearm, neck or shoulders and then treat accordingly.  We can also show you simple stretches to stretch out the muscles of the forearm.

What surprised us, and prompted me to write this blog is that they all the clients had just assumed that elbow pain was something that they just had to lived with.  In all the cases we dramatically reduced the pain and in most cases after a few treatments the clients were pain free!  So don’t sit their in pain, book a massage.

Related Posts

  • Cryotherapy

    We all know that sports stars take ice baths and I am often asked why they do it, and do I need to do it after I run.  So today I am going to answer that question. Cryotherapy is one of long accepted tools of a sports masseur.  If you have ever watched a football match on telly, you will have seen someone fall to the ground and the coach run on with a bucket of water and the magic sponge and the player then hopefully gets up and hobbles around before taking an active part in the game.  So the magic sponge, (the application of cold water to an injured area) is Cyrotherapy in its most basic form.  The local application of ice or cold water is beneficial because

    • It relieves pain
    • Reduces muscle spams (i.e. athletes take ice baths to avoid feeling stiff the next day)
    • When someone is injured it moderates inflammation
    Probably equally important to all those benefits is that the treatment is very convenient, inexpensive and effective. So to go back to the questions should I have an ice bath after training. If you have injured yourself during training you should definitely follow the RICE (Rest Ice Compression and Elevation) protocol
    • Rest - by which I mean avoid weight bearing activities and anything that causes pain for 24 - 48 hours.
    • Ice - Use either cold water or ice wrapped in a tea towel and apply for 2 - 20 minutes for 2-3 days then 3 times daily.    When applying ice you go through the cold, aching, burning and numbness sensation cycle, it is very important to stop at numbness to avoid burning yourself.
    • Compression  - use a compression bandage if necessary
    • Elevation - if the injury is to a limb, elevate it to help it heal.
    The only exception to using Ice for injuries is for people with a peripheral vascular disease e.g. diabetes, anyone who is hypersensitive or has a physiological aversion to cold if you are frail or if you have varicose veins in the injured area or  the injury is a broken bone. However, what if you haven't injured yourself, should you have an ice bath after training.    Taking an ice bath or sometimes a cold-water immersion is certainly now more popular amongst athletes than ever before.   The key reason is that as it reduces muscle tightness and soreness and it allows athletes to recover more quickly after intense training.   The big draw back is that is uncomfortable and not really scientifically proven.  My recommendation would be only to do it if you are training really intensively and you are not contraindicated (see above exceptions to using ice) and want to, as ice baths are optional.  For me the most important thing to prevent injury and allow you to recover quickly is a well designed training plan where you build up the intensity of the exercise slowly, with adequate warm up routine and a cool down routine and stretching. Remember if you do get injured or have tight muscles after training, a good masseur will be able to sort these out.    

  • Can aromatherapy help people combat depression?

    Nearly 20% of people in the UK experience symptoms of anxiey or depression in 2014 according the Mental Health Foundation. A systemic review of five medical databases has found evidence to support the effictiveness of aromatherapy for alleviating depressive symptoms.  A team of scientists at the Hong Kong Polytechnic Univeristy found 12 randomiased controlled trials involving a total of 1,226 participants - 984 were female and 224 male, with an average age of 47.  Two of the five inhalation studies and five of the eight massage trails reported improvements in subjects conditions, with the aromatherapy massage found to be more effective. So if you feel depressed why not try and aromatherapy massage. Note: Vitality Therapy do not offer aromatherapy massage. References

    Mental Health Foundation. (2016) Fundamental Facts About Mental Health 2016. London: Mental Health Foundation.
    Sánchez-Vidaña DI, Ngai SP, He W, Chow JK, Lau BW, Tsang HW. (2017) The effectiveness of aromatherapy for depressive symptoms: a systematic review. Evidence Based Complementary and Alternative Medicine

  • So how does massage reduce pain? – Part 2

    Previously I explained the scientific theory for  "How does massage reduce muscle pain?" in the short term .  But what about the long term? I would like to introduce to you the "descending pain suppression mechanism." The brain is not a passive receiver of sensory messages, but rather a centre that interprets them and makes constant adjustments accordingly. For example, everyone knows that the way you perceive pain will be influenced by whether you focus on it or think of something else instead. And it seems reasonable to suppose that evolutionary selection may have favoured those individuals who could ignore pain signals for long enough to take actions that let them escape and survive danger.

    Unpleasant cutaneous sensations stimulate nuclei within the mid brain.  These nuclei in turn initiate activity in the descending spinal tracts that release endogenous opiates (inhibitory neurotransmitters) within the spinal segment receiving the painful input.  This diminishes the intensity of the pain transmitted to the higher centres. Sports and Deep Tissue massage techniques can reinforce a naturally occurring discomfort, causing much greater release of opiates and achieve a more profound pain suppression.

    References Basbaum A, Fields H.  (1978) Endogenous pain control mechanisms: review and hypothesis.  Ann Neurol 4: 451-2. Watson J (1982) Pain mechanisms: a review.  3. Endogenous pain mechanisms.  Australian Journal of Physiotherapy 27: 135-43