Menu

Location

Tennis, Anyone?

Repetitive stress injuries are typically very difficult to treat successfully. These injuries are the result of actions done repeatedly, frequently, and consistently over time. They've taken a long time to build up and, therefore, the healing process also requires a fair amount of time. Shin splints, iliotibial band syndrome, and rotator cuff syndrome are examples of common repetitive stress injuries. These problems are also known as overuse injuries. Tennis elbow is another common injury that is likely caused by repetitive stress.

Tennis elbow usually involves pain on the outer bony surface of the elbow joint (the lateral epicondyle). A variant involves pain on the inner surface of the elbow (the medial epicondyle). Regardless, tennis elbow pain interferes with many activities, not only those involving tennis and golf. Even the simple act of firmly twisting the lid on a difficult-to-open jar can cause significant pain. Driving for more than 30 minutes and prolonged keyboard activity are other examples of activities that may become quite troublesome when one is hampered by tennis elbow. Treatment usually involves rest, anti-inflammatory medications, and even injections of steroid compounds.1,2 But such treatments tend not to provide more than short-term relief. Ultimately tennis elbow may be frustrating and disheartening, as there doesn't appear to be an effective solution.

More useful treatment for repetitive stress injuries involves directly addressing the source of the problem. In the case of tennis elbow, mechanical issues in the forearm itself need to be corrected. For those whose painful elbows are in fact caused primarily by tennis or golf, focusing on sound technique will often help to provide significant relief. For example, in both sports, if lines of force generated by the arm muscles and lines of force generated by the forearm muscles cross at the elbow, significant pain is likely to develop over time. Learning how to generate parallel lines of force will help solve the problem, and such a solution may require the services of a coach.

For the rest of us, there are additional specific solutions. First, trigger points in the major forearm muscle bundles need to be treated.3 Trigger points in themselves may be very painful, and a trigger point also causes chronic fatigue in the muscle of which it is a part. When you try to use such a pre-fatigued muscle, damage to the muscle fibers and the tendon may result. Over time the involved region, such as the elbow, becomes chronically painful. Manual trigger point treatment relaxes chronic spasm and helps restore normal muscle tone. Increased blood flows to the muscle belly, and the involved muscle fibers have an opportunity to regain their normal length and to heal. The second specific solution is to use a narrow (1.5-inch thick), nonelastic elbow brace placed approximately 1 inch below the elbow. The brace will shorten the contractile length of the major forearm muscles, allowing them to achieve relative rest. The combination of trigger point therapy and appropriate use of a specific elbow brace will help to achieve long-term resolution of painful, difficult-to-treat tennis elbows.

1Childress MA, Buelter A: Management of chronic tendon injuries. Am Fam Physician 87(7):486-490, 2013

2Coombes BK, et al: Efficacy and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of randomised controlled trials. Lancet 376(9754):1751-1767, 2010

3Ajimsha MS, et al: Effectiveness of myofascial release in the management of lateral epicondylitis in computer professionals. Arch Phys Med Rehabil 93(4):604-609, 2012

Location

Find us on the map

Office Hours

Our Regular Schedule

Monday:

8:00 AM

6:00 PM

Tuesday:

2:00 PM

6:00 PM

Wednesday:

8:00 AM

6:00 PM

Thursday:

8:00 AM

6:00 PM

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

Testimonials

Reviews By Our Satisfied Patients

  • "I love it there so polite and right to the point never pushy or rude vet respectful. I wouldn’t go anyplace else. Love them all!!"
    Kandice Desalvo V.
  • "Dr. Ho and Dr. Q are caring and compassionate doctors. Their goal is to make you feel great. They take the time to listen to your concerns and address them. I would definitely recommend these doctors!"
    Sandra E.
  • "I got refer from a Dear good friend Jennifer which ive been having problems with my neck n knees. I would definitely recommend Pinnacle Wellness they have a great friendly staff n Doctors are great! I've learned a lot about our bodies n etc. I will continue seeing them again !!! My adjustments are great!"
    Cynthia T.
  • "We have been going to Pinnacle Wellness for over 3 months now, back pain has stopped 100%. We are still blown away by how amazing Dr. Q and Dr. Ho are. We are blessed they came into our lives and have truly added so much to our knowledge about our bodies and even personal growth and development. Pinnacle Wellness is nothing short of a breath of fresh air. Isabelle at the front desk always makes our day. If you are looking for a chiropractor that truly cares for your well being, my family would definitely recommend you to look no further and make Pinnacle Wellness your destination. I had just learned to live with and accept my daily back pain. Thanks to Pinnacle Wellness our lives have been forever changed and look forward to seeing the happy faces of the staff and will be enjoying a pain free life thanks to our journey with Pinnacle Wellness."
    Cara C.
  • "If you have back and/or neck trouble and have never been to a chiropractor before, then this is the place for you. I was referred here by my wife who has been seeing the doctors for several years. Since starting my adjustments I sleep better and feel better all around, and no it doesn't hurt. Currently I am recovering from tennis elbow and bursitis which the doctors are helping me recover by using a massager on my arm when I visit, even my physical therapist was glad they were helping out."
    Royce S.
  • "I have been a patient of Pinnacle Wellness for many years. They have a great, friendly staff and Doctors who truly care about there patients. I would recommend this place to anyone with back or neck pain."
    James S.
  • "The staff is extremely friendly and personable when you enter the facility. They make you feel like you are a part of the family. Our kiddos get adjusted too and for our infant it helped him to crawl properly when he was having difficulties or crawling abnormally. It is a vital part of our healthiness and we would recommend them to everyone!"
    Jennifer C.