Medial Epicondylar pain -

[Allen Yeh]

The problem:
According to the trigger point website this would be classified as Medial Epicondylar Pain.http://triggerpoints.net/_sgg/m1m2_1.htm

What it stops me from doing:
Ok this has been bothering me for over 3 weeks now and I'm starting to get pissed. It hampers all supinated pulling motions lke pullups, barbell rows. Overhead pressing with a barbell is out. Snatching even a bar aggravates it, holding a bar overhead snatch width really makes it unhappy. Other pushing seems ok, as well as pronated/neutral grip pulling.

What I've been doing about it:
-Icing
-massaging the area
-Trigger point stuff - I only just started this today and I had totally forgotten how much of a bitch rubbing the trigger points are.

Any other suggestions?

[Mike ODonnell]

Take time off, fish oil, get the omega 6s out of the diet....the usuals...that and no throwing curve balls.
http://www.yourneighborhoodnews.com/...mechanics.html

What kind of workouts are you doing? High rep metcon based or lower rep strength? Why I stopped all high rep metcon stuff long ago....excessive iinflammation in my joints and mainly tendons.

Also do you have alot of wheat based products in your diet? Get rid of that too.

[Steven Low]

Read this:

http://www.tendinosis.org/injury.html


Basically:
1. REST.
2. As MOD said.. check diet.
3. Massage
4. See #1
5. Stretch forearm flexors (4 out of 6 of them connect at medial epicondyle including pronator teres as well).
6. Strengthen extensors (can be an imbalance issue).
7. ART (which you already know)
8. See #1
9. Work on your weak points while you rest... like flexibility is a good. Other prehab stuff is good as well.
10. See #1

[Daniel Miller]

I had medial epi pain for quite a long time from campus boarding and one-arm pull-ups. It takes forever to heal if you continue to use it. By "use" I mean: just about anything where you grip something, except maybe bench pressing. Push Ups, swimming, and hand stands even bothered mine.

The advice above it excellent. Rest 3weeks minimum. Get some runs in and maybe to come "core" training. Try to avoid the push ups.

After 2-3 weeks I'd highly suggest starting with a progressive eccentric strengthening/rehab program for it. If you're interested in the details let me know and I'd be happy to post.

Good luck.

[Allen Yeh]

No curveballs for me pretty much because it's my left arm and I''m a righty...that and I can't pitch a ball down the middle...not even worrying about all that fancy stuff.

Omega3's check, I'll start adding some more in. Other dietary factors have been pretty consistent. I'll examine it more carefully.

Good link on tendinosis.

As for resting, it looks like this is needed as much as I don't want to. Anything that aggravated my arm is going to be out for now, I'll try some subs and keep and eye out.

Massage, I've been massaging the area for a few weeks now, doesn't seem to do anything, I had forgotten about the trigger point stuff until today so I'll add both.

Stretching - didn't even think about it need to add.

Thanks.

[Garrett Smith]

Studies on Low Intensity Laser Therapy and epicondylitis:
http://healinglightseminars.com/listing/ElbowPain.pdf

When I've aggravated mine, the most treatments it has ever taken to resolve was two treatments (the first time it only took one).

Also, as always, elimination of nightshades will only help.

[Allen Yeh]

Originally Posted by Garrett Smith

Studies on Low Intensity Laser Therapy and epicondylitis:
http://healinglightseminars.com/listing/ElbowPain.pdf

When I've aggravated mine, the most treatments it has ever taken to resolve was two treatments (the first time it only took one).

Also, as always, elimination of nightshades will only help.

In regard to the laser therapy I did a quick google search for my area. This is true for all medical things but how can you tell whose good and whose not?

In your experience is laser therapy typically covered by insurance?

[Garrett Smith]

I'd guess that, based on the training that I received from the company (which comes with the laser system), that anyone in your area that you can find on www.meditech-bioflex.com is pretty decent. If you can't find someone, tell me the websites of those close to you who do it.

If a PT or DC does it who works with a lot of insurance, it will quite possibly be covered.

[Allen Yeh]

Originally Posted by Garrett Smith

I'd guess that, based on the training that I received from the company (which comes with the laser system), that anyone in your area that you can find on www.meditech-bioflex.com is pretty decent. If you can't find someone, tell me the websites of those close to you who do it.

If a PT or DC does it who works with a lot of insurance, it will quite possibly be covered.

Thanks for the info.

[Jason Steele]

Dr G.-

How is the efficacious is the home LLT kit? Since I am in BFE, there aren't exactly a lot of practitioners around (and I have the same pain issues that Allen is talking about).