Tennis Elbow2017-07-31T05:24:21+00:00

How can I have Tennis Elbow?  I don’t even play tennis.

Causes, Symptoms, Diagnosis and Treatment

tennis-elbow-1Tennis elbow often gets better on its own, but the majority of people who have persistent pain show improvement through non-surgical treatment.

Tennis elbow is actually a misnomer in that it occurs in roughly only five percent of people who play tennis. Anatomically, the cause of tennis elbow is repetitive use of the forearm extensor muscles, especially if they weren’t used much previously. Practically any occupation, sporting endeavor, or household activity that has repeated use of the forearm and wrist may lead to this condition. Certain activities and occupations are more commonly associated with tennis elbow, such as plumbing, painting, fishing, butchering, computer use, and playing certain musical instruments. Tennis elbow is most common in adults between the ages of 30 and 50, but can affect people of all ages.

Symptoms
tennis-elbow-2
People with tennis elbow complain of pain that expands from the outer elbow into their forearm and wrist. The pain primarily occurs where the tendons of your forearm attach to the bony areas on the outside elbow. In addition to pain, people with tennis elbow experience weakness that makes it particularly difficult to hold a coffee cup, turn a doorknob, or even shake hands. Tennis elbow can cause weakness when twisting or grabbing objects.

Tests
In many cases, your doctor can diagnosis tennis elbow simply by listening to you describe your symptoms, performing a physical examination, and learning about your lifestyle and activities. However, if your physician suspects other reasons like a pinched nerve, fracture, or arthritis are causing your pain, he may suggest X-rays, Magnetic Resonance Imaging (MRI), or Electromyography (EMG).

Treatment
A chiropractor will be able to determine if a misalignment in your spine, neck, or shoulders may be causing an overcompensation injury. In some cases, a basic chiropractic adjustment may be all your need to stop your symptoms of pain. Your chiropractor will also work with you to determine which activities may have caused your injury and will  have you rest your arm while refraining from the trigger activities. Your chiropractor will also likely tell you to apply ice to the outside elbow two or three times a day for two to three weeks. Nonsteroidal anti-inflammatory medications (NSAIDs), such as ibuprofen, naproxen, or aspirin, help reduce pain and inflammation while your elbow is healing. Compression, by using an elastic bandage, is helpful to provide relief and prevent further injury. Lastly, elevating your elbow whenever possible will limit or prevent swelling.

If rest and ice do not alleviate your tennis elbow symptoms, then a physical therapy plan is often the recommended next step. You will learn exercises to stretch and strengthen the muscles and tendons in your arm. Your chiropractor or physical therapist will also work with you to develop proper form and technique regarding the activity that was the likely culprit to developing your tennis elbow. Depending on the severity of the injury, your chiropractor or physical therapist may suggest you wear a brace or forearm strap, which will reduce stress on the injured tissue while it heals.

Source: National Institute of Health and Mayo Clinic

Conditions & Symptoms

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I have never had a reoccurrence of the sciatic problems that plagued me so consistently in the late 1980’s

“After my experience with a severe running injury, I felt compelled to write to the readers of your magazine, Runners World in the hope of helping someone else who might have similar problems.

I have been running for more than 19 years; for the last 14 years I have been running between 7 and 10 hours per week. During the first 17 years, I was virtually injury free. But, in October of 1987, I started experiencing low level hamstring pain, first in one leg, then in the other, and finally in both. Initially, I did what every veteran runner would do – I ignored it. But when the pain did not go away, and in fact became worse, I knew I had to take positive action.

My doctor referred me to a sports medicine orthopedic doctor in December of 1987. He gave me a thorough exam, including X-rays, and concluded that I had no structural damage. He suggested physical therapy (PT). I had PT for several weeks and experienced no relief; instead the pain continued to grow.

I went back to my doctor in March of 1988 and he prescribed Feldene, an anti-inflammatory drug. It worked wonderfully for a couple of weeks, but soon lost its effectiveness. So that summer, I tried more PT for eight weeks, but again had no relief at all. By this time, even though I was back on Feldene, I was extremely sore for several days after each of my two weekly hard runs. In fact, the pain never went away at all, and I was unable to train consistently.

In October of 1988, I decided to spend the money to see a world-famous orthopedic doctor, the team physician for a local professional sport’s team. He took X-rays, but could also find no structural damage. I asked him if it was possible that I had a nerve problem since I knew that hamstring injuries should heal in a few weeks, not linger on for more than a year. He said no, recommended that I stop running for at least a month, and suggested that I see a psychiatrist who would help me understand why I enjoyed pain.

Now for the first time, I was really worried. If one of the leading sports medicine orthopedic doctors in the world could not help me, what was there left for me to try?

I went back to my primary care physician in November of 1988, and he referred me to a third physical therapist. By this time, in addition to ever-increasing pain while I ran, I was having more and more soreness while walking, and even when driving my car. Specifically, whenever I drove for more than 10 minutes at a time, my right hamstring would just throb!

I had PT this time for five weeks and, for the first time, made some progress. My therapist suggested that, while driving, I tilt my seat back so that the angle between my back and my legs was perhaps 120 degrees, rather than 90 degrees. This made an amazing difference; my driving pain vanished! Unfortunately, both my legs were still very sore after I exited the car, but at least I began to have hope again that there could be a solution to my pain. The therapist said that she thought I had a sciatic problem, rather than a hamstring injury; she said I was feeling pain in my hamstrings only because my sciatic nerve, which is connected to both hamstrings, was irritated. Her solution was to work on my lower back to relieve this irritation. She tried this for several weeks, but it did not help at all.

Though I could now drive without pain, my running pain was becoming almost unbearable. But I did discover that I could run with relatively minor discomfort if I ran backwards on my treadmill. I realized that my pain came from extending my legs and pulling backwards, which one does not do when running backwards. Though backwards running on a treadmill may sound awkward and boring, it can give a decent workout, especially at a high inclination. Nevertheless, I knew it was a temporary solution, since the pain I had while walking was becoming worse.

My wife, who had had some low back problems over the yeas, and had had some relief from chiropractic treatment, suggested that I try it. I asked my physical therapist if a chiropractor could possibly help me, and she said absolutely not. But being an open minded person, and having no other real options, I decided to give chiropractic a try.

In December of 1988, I went to see Dr. Chris Hawn, a chiropractor in Laguna Niguel, CA. His X-rays indicated that my pelvis was slightly tilted, and this might be causing an impingement of the sciatic nerves which ran down both my legs. He said he did not know how much of my pain he could relieve, but that I would see some improvement within a week. I saw him three times that week, and sure enough I felt better than I had in at least two months. However, I thought this improvement was probably due to the backwards running I had just started, rather than the chiropractic treatment. So I stopped the chiropractic treatment and continued running backwards. I quickly realized that my thinking was also backwards. During this three week experiment, I had no more pain relief at all; in fact, my pain began to increase again.

I then resumed the chiropractic treatment, and within one week I felt the same relief I had felt before. On a scale of 1 to 100, I had just moved up from a 1 to a 10. Every two to three weeks after that, I moved up another level. Now after three months of chiropractic adjustments, I am running VIRTUALLY PAIN FREE!! In addition, I no longer have pain after driving my car for long periods of time.

After two years of near constant pain, I can hardly believe it. I had actually begun to give up hope that I would ever be able to run again. Emotionally, I think of my healing as a miracle. But intellectually, I realize now that it was nothing more than an obvious solution to a typical problem … for an exceptionally skilled chiropractor!

I am writing this letter in the hope that my experience can help others to try chiropractic as a first resort, not a last one. Medical doctors can be helpful for some ailments, but for most of the health problems that people, and runners in particular, encounter, a first-class chiropractor is the place to start. And if you are lucky enough to live in Orange County, you can’t do better than Chris Hawn, the miracle man who gave me back my health, after multiple orthopedic doctors and physical therapists had no clue to the solution!

Epilogue:

It is now February of 2015, and I have never had a reoccurrence of the sciatic problems that plagued me so consistently in the late 1980’s. I still see Chris from time to time, almost as much for the enjoyable conversations we have as for chiropractic treatment – he solved my problem so completely more than a quarter-century ago that I am still running pain free to this day!

I have written a few letters of recommendation over the years, but never one about which I feel so passionately as this one. Chris Hawn is a wonderful, caring person, who also happens to be an incredible chiropractor!”

Michael Van Guilder, Ph.D.
Laguna Niguel

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A big thanks for all the terrific chiropractic care this year

“A big thanks for all the terrific chiropractic care this year.  God has truly given you a very special gift and talent.  And we especially appreciate everything you’ve done for us while Cheryl has been ill.  We both wish you, your family, and your office staff a very Merry Christmas, and all God’s best for the New Year!”

Mark and Cheryl
Laguna Niguel

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..he genuinely and sincerely cares about his patients

I have known Dr. Hawn for over 2 years.  Unlike numerous success stories you’ll read, I am not a patient.  I’ve collaborated with Dr. Hawn over the last two years developing his digital presence to tell others about his services.  I have learned a great deal about Dr. Hawn’s character, his proficiency in the field of Chiropractic Care, and most importantly his genuine interest in the wellbeing of those he serves.

Throughout Dr. Hawn’s website a visitor learns of Dr. Hawn’s depth of knowledge in the field Chiropractic Care along with his formal education at the prestigious Palmer College of Chiropractic.  Credentials and knowledge are factors in considering a health care professional, and many visitors to his website, just like you choose Dr. Hawn because he genuinely and sincerely cares about his patients.  Dr. Hawn’s patients include the young, old, women, men, and even individuals that seek his expertise on preventative care.

Dr. Hawn is my client, he’s also a friend, and If you were led to this testimonial seeking assurance that the decision you’ll make today to call him is good decision, then you are absolutely correct.  Call Dr. Hawn, he will help you improve the quality of your life through professional Chiropractic Care!  Finally, in so far as I’m aware, Dr. Hawn is the only mobile chiropractor in Orange County. . he comes to you to help you!  Call him now at 949-388-0800.

-Dan R.

 

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