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Author Topic: Tendonitis in elbow  (Read 7037 times)

Gill Man

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Tendonitis in elbow
« on: August 04, 2015, 06:19:34 PM »
I'm having more and more trouble with tendonitis issues especially in game 3 on league nights. I have a doctors appt in a couple of weeks, but wanted to ask what others have done to help with this issue. I have used the forearm band seen regularly and my wife recently bought me a ''sleeve'' from the drug store. neither seems to be helping at the moment. I also take ibuprofen before bowling and I've rubbed a type of ointment on the elbow before bowling. Any other tips?

Thanks for any replies.

Gill Man

 

mechanic81

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Re: Tendonitis in elbow
« Reply #1 on: August 04, 2015, 06:39:11 PM »
ive dealt with tendonitis in my forearm for a long time tendonitis is caused from over use as i work on cars for a living my hands and arms never get a break but the best advice i can give you is to try to rest your elbow as,muh as you can and put ice on the area after you are done bowling ibuprofen helps as well before and after. ive been to the dr. as well and and went through therapy but therapy never helped for me,what really helped me,was taling time off from bowling maybe just subbing once in awhile that will give it time to heal. however if your pain becomes worse,it can require surgery. tendonitis takes a long time to heal as,well try changing your form to help alleviate some,pain as well. good luck

SVstar34

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Re: Tendonitis in elbow
« Reply #2 on: August 04, 2015, 06:53:46 PM »
Tendonitis is tough. The only way to deal with it is mainly rest and lessen the stressful impact on the area affected.

Have you thought about maybe dropping a pound in ball weight as an experiment? You could try that if you can get a cheap used ball from your pro shop.

I deal with it in my knee every once in awhile. Letting it rest for a handful of days generally helps me but on days its still sore I use a compression sleeve plus ibuprofen/naproxen.

Gill Man

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Re: Tendonitis in elbow
« Reply #3 on: August 04, 2015, 07:47:28 PM »
SVstar34 - I went back up to 15# about 2-1/2 years ago and I've given some thought to going back down to 14# (I've still got 3 14#'s ). I picked up 10pins on my average right away and hate to go back down. However, it might be better to go down instead of out of the game!! Thanks for the replies so far.

Gatekeeper

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Re: Tendonitis in elbow
« Reply #4 on: August 04, 2015, 08:03:32 PM »
When you see your doctor, ask him/her about a steroid injection. That can help speed up recovery and reduce pain so you can stretch your muscles better. I've had steroid injections for tennis elbow and it seems to last about 6 months. That means 6 months to change what you were doing before; otherwise it just comes back again.
Otherwise, ice works great for me. Also that elbow strap, I wear one while I'm sleeping in addition to bowling. You'll be surprised how much your arms move around at night, especially if you dream about striking, lol!

Steven

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Re: Tendonitis in elbow
« Reply #5 on: August 04, 2015, 08:24:07 PM »
Let's level set the situation here -- elbow tendonitis is a debilitating condition that is far more severe than a muscle pull or even a bone break. Tendons don't heal easily or quickly. If not treated correctly, tendonitis can take years to heal if it ever does at all. You've probably seen a lot of older guys bowling with an elbow brace because they gave up on a cure years ago, and live with the condition the best they can.
 
Personally, I suffered golfer's elbow (medial epicondylitis) from too much bowling with poor technique several years ago. When it hit, I had no idea how to fix it. I went to my doctor, who prescribed rest and no bowling. Two months later, no improvement. I then tried my Chiropractor, who performed several weeks of ultrasound treatments. Still no improvement. I then took the advice of one of my Chinese employees and tried Acupuncture. Three weeks of needles and a lot of pain, but still no improvement.
 
I then started doing some Internet research, and found some success stories from people who had successfully tried soft tissue therapy techniques. There are several, but basically they all  attempt to break up scar tissue and promote blood flow for healing in the damaged areas. I read a lot about a technique called ASTYM, and found an Orthopedic Specialist who believed in it. Well, after just 4 sessions, I went from not being able to pick up a ball to being able to carefully throw one. After 4 more sessions, I was able to start bowling again on a limited basis. A few months later, the pain was completely gone and I started bowling again without limitations.
 
As I mentioned, there are several related techniques. For ASTYM, here is their information site:
 
www.Astym.com
 
Another technique that is similar and that a close friend of mine had success with is called Graston. Here is their site:
 
http://www.grastontechnique.com
 
Another technique that is manual manipulation and can be performed by a Chiropractor instead of a Physical Therapist is called ART. I've personally had success with this also. Here is their site:
 
http://www.activerelease.com
 
These techniques work. Try rest first, but if it doesn't work, these are viable options. Good luck. 
« Last Edit: August 04, 2015, 09:17:23 PM by Steven »

jlee0924

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Re: Tendonitis in elbow
« Reply #6 on: August 04, 2015, 10:09:21 PM »
I agree with giving your elbow some rest...in particular, RICE (rest, ice, compression, elevation). I'm assuming that it's your medial epicondyle that's hurting (the part of the elbow closer to your rib cage)? Generally, when I treat my patients, I give it about 6-8 weeks for them to see improvement in function and decrease in pain. Are you alright with skipping 6-8 weeks or a season of bowling to recover? Given that bowling requires quite a bit of forearm muscles during the release (especially if you cup the wrist or have a powerful snap at the release to produce revs), it only makes sense that the muscles will pull on the elbow with a heavy ball with much repetition.

I have used the technique that Steven mentions, Graston/IASTM (instrument assisted soft tissue mobilization) and some people see success with it and some people it's just torture and see no improvement.

I would also recommend stretching your forearm flexor compartment before and after bowling, as such: http://img.webmd.com/dtmcms/live/webmd/consumer_assets/site_images/media/medical/hw/h9991357_005.jpg. 20 second hold x 3 reps. Also, may want to consider using a bowling wrist support device since that may do some of the work that your forearm does for you.
« Last Edit: August 04, 2015, 11:47:34 PM by jlee0924 »

Steven

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Re: Tendonitis in elbow
« Reply #7 on: August 04, 2015, 11:33:26 PM »

I have used the technique that Steven mentions, Graston/IASTM (instrument assisted soft tissue mobilization) and some people see success with it and some people it's just torture and see no improvement.


 
You're correct that soft tissue mobilization techniques are not guaranteed to provide success. As I described, my first time was a 100% success. But my second time around with ASTYM a few years ago (lateral epicondylitis) didn't provide the same quick results. It did eventually clear up, but it may have been through the injury naturally running it's course. 
 
However, if you try RICE and dutifully perform all the recommended exercises without relief, soft tissue therapy is worth a shot. I'd certainly try it before jumping into steroid injections or premature surgery. There are too many horror stories from folks who have gone down that path.
« Last Edit: August 04, 2015, 11:35:25 PM by Steven »

BallReviews-Removed0385

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Re: Tendonitis in elbow
« Reply #8 on: August 05, 2015, 02:09:46 AM »
Tendonitis is caused by either a new or repetitive movement, or both.  As others have mentioned rest, and anti-inflammatories such as ibuprofen can help. The best is ice, in my opinion, because there are really no negative side effects. 

Every one of the NSAID drugs will have negative side effects over time, but immediately people notice how tough they can be on the stomach, as well as constipation, etc.  I have had some cortisone injections in that spot that helped, but it's a temporary fix if you don't know why the tendonitis happened in the first place. 

My surgeon, as well as my physical therapist told me it's often caused by a "twisting motion" which is why tennis players, golfers, bowlers, mechanics can have trouble repeatedly over the years. 

For bowlers, specifically, it's about clearing the thumb earlier so that as we rotate the fingers around (to the right for righties) the thumb isn't still in the thumb hole causing extra torque, so to speak, on the forearm and elbow area. 

It sounds simple, but once you get the inflamed area so calm down, you should practice delaying your rotation until the thumb has at least started to exit the thumb hole.  It's a split-second movement and requires one to relax to do it correctly, but it avoids the problem AND your game will improve at the same time.  Most bowlers start turning way too early, frankly.

This also assumes your ball is fitted properly with appropriate thumb and finger pitches that allow you to bowl without excessive grip pressure, etc.  That's another topic.

It's not just about letting the tendonitis heal.  It's better to prevent it from happening again.  Good luck.
« Last Edit: August 05, 2015, 02:11:40 AM by notclay »

Walking E

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Re: Tendonitis in elbow
« Reply #9 on: August 05, 2015, 03:42:38 AM »
I had tendinitis issues a few years ago and this is what helped me overcome it:

- Apply Bio-Freeze to the affected area before bowling. I found this to be the best of the OTC analgesic medicines. This didn't solve the issue but it allowed me to bowl a league session with less pain.
- Compression sleeve. This also allowed me to get through a league session in less pain.
- Cortisone shot to the affected area. This allowed the pain to go away for a few months, enough to get me through the season.
- Get one of these - a tennis elbow splint: http://www.ebay.com/itm/VULKAN-TENNIS-ELBOW-CAPRAL-TUNNEL-SUPPORT-BRACE-WITH-REMOVABLE-SPLINT-ANY-SIZE-/301680994060?var=&hash=item463d96a70c
There used to be a "bowling" version called the Lou Scalia Bowling Splint but it's darn near impossible to find those any more. The tennis elbow version should work the same. This is FAR superior to the simple forearm brace for several reasons: 1) the forearm-only devices just aren't strong enough to provide great support, and 2) the forearm-only devices slide around a lot, especially if you are wearing a compression sleeve. I used a Lou Scalia splint for years without arm issues, but it was old and had gotten kind of, er..."funky". As such, I tossed it out and used the forearm-only brace, only to then develop some really painful tendinitis. My pro shop operator managed to source a few of the Lou Scalia braces for me and I've worn them ever since with no arm issues. This won't solve your existing tennis elbow issues but it should prevent any further issues from developing, plus once you heal then you can use it for injury prevention. The only issue with the Scalia-type splint is if you also use a wrist brace, as it can be difficult to fit them both on your wrist area.
- Lastly, take some time off. I took the summer off and that allowed everything to heal, then continued using the combination of compression sleeve/bowling splint and have had no issues since then (nearly a year). I no longer need to use the Bio-Freeze or even any other painkillers as I have no arm issues.

Anyway, this is what worked for me. Good luck to you! I know how painful that can be and hopefully you can shake it.

12XSECH

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Re: Tendonitis in elbow
« Reply #10 on: August 05, 2015, 07:37:15 AM »
Cortisone shot...works wonders. Ice and rest is the other method with anti inflammatories like Mobic.

Medichal

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Re: Tendonitis in elbow
« Reply #11 on: August 05, 2015, 12:44:12 PM »
i have severe inflamation with stiffness in my lower back region from lifting pts for over 20 years as a paramedic. ive been taking celebrex 200mg for the last several months with great results ask your family dr about this med you won't be dissappointed.

Medichal

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Re: Tendonitis in elbow
« Reply #12 on: August 05, 2015, 12:46:01 PM »
i have severe inflamation with stiffness in my lower back region from lifting pts for over 20 years as a paramedic. ive been taking celebrex 200mg for the last several months with great results ask your family dr about this med you won't be dissappointed.

Gill Man

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Re: Tendonitis in elbow
« Reply #13 on: August 05, 2015, 07:51:22 PM »
Thanks for the replies everybody. There's a lot info here to go over with my doctor. With fall leagues starting in 3 weeks I'm hoping not to miss much time.

Steven

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Re: Tendonitis in elbow
« Reply #14 on: August 10, 2015, 06:42:16 PM »
I'm passionate about tendon problems because I went through two separate and very serious bouts with the elbow, both of which taking me away from bowling for several months. In my first journey, I learned more about tendonitis and tendonosis than I ever would have imagined. Unfortunately, I found that diagnosis and treatment for chronic elbow tendon issues isn't universally understood in the medical community, and if you want to fix a chronic condition, you sometimes have to take charge yourself.
 
Anyway I just ran across an article that should be entitled "Tendonitis/Tendonosis in the Nutshell". It's pretty much spot on in identifying what condition you really have, and the appropriate treatments available. Here it is:


http://www.elitefitness.com/forum/anabolic-steroids-hiv/tendonitis-tendonosis-655630.html


It's good reading and a roadmap on how to proceed if you develop tendon problems in the elbow. Enjoy, and good luck to anyone faced with recovering from the condition.