elbow / forearm pain

Discussion in 'Fitness & Nutrition' started by KingGargantuan, Mar 29, 2010.

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  1. KingGargantuan

    KingGargantuan ♖♘♗♕♔♗♘♖

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    i've been having some pain in the elbow region during grip-type exercises. pullups, deadlifts, even using a stapler :ugh:

    location:

    with my right arm straight and palm up, it's forward of the bone on the inside of my elbow.

    this is the left arm but same area as the medial epicondyle.

    any tips? anybody have pain in this particular spot before? it's been bugging me for awhile now but i usually work thru it. this weekend it got a little worse.

    [​IMG]
     
  2. KingGargantuan

    KingGargantuan ♖♘♗♕♔♗♘♖

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    google search for medial epicondyle comes up with a bunch of stuff for "golfers elbow"

    :greddy:

    Diagnosis/Definition
     An overuse injury of the medial aspect of the elbow involving the epicondyle of the humerus, the wrist and finger flexor muscles, and the pronator muscles.
    Initial Diagnosis and Management
     History of sudden overload to contractile units of the medial elbow.
     Physical examination.
     Tenderness over medial epicondyle of humerus.
     Pain with flexion of wrist or fingers.
     Pain with resistance to flexion of wrist or fingers.
     Loss of function or palpable gap in muscle.
     History of chronic use of wrist flexors or pronators.
    Ongoing Management and Objectives
     Flexibility exercises for wrist and finger flexor muscles and pronator muscles
     Strengthening exercises for wrist and finger flexor muscles and pronator muscles.
     Physical therapy procedures
     Proper conditioning
    Indication a profile is needed
     Any limitations that affect strength, range of motion, and general efficiency of upper arms.
     Slightly limited mobility of joints, muscular weakness, or other musculo-skeletal defects that may prevent hand-to-hand fighting and disqualifies for prolonged effort.
     Defects or impairments that require significant restriction of use
    Specifications for the profile

     Week 1-4
     No pushups or pull-ups or weight lifting with upper body
     Limited lifting
     Limit duties requiring repeated supination/pronation at forearm
     Caution with activities requiring wrist and hand grip use e.g. driving

    Patient/Soldier Education or Self care Information

     Please see attached sheet
     Demonstrate deficits that exist
     Describe/show soldier his/her limitations
     Explain injury and treatment methods
     Use diagram attached to describe injury, location and treatment.
     Instruct and demonstrate rehab techniques
     Demonstrate rehab exercises as shown in attached guide
     Warm up before any sports activity
     Participate in a conditioning program to build muscle strength
     Do stretching exercises daily
     Ask the patient to demonstrate newly learned techniques and repeat any other instructions.
     Fine tune patient technique
     Correct any incorrect ROM/stretching demonstrations or instructions by repeating and demonstrating information or exercise correctly.
     Encourage questions
     Ask soldier if he or she has any questions
     Give supplements such as handouts
     Schedule follow up visit
     If pain persists
     The pain does not improve as expected
     Patient is having difficulty after three days of injury
     Increased pain or swelling after the first three days
     Patient has any questions regarding care
    Indications for referral to Specialty Care
     If patient exhibits pain, sensory changes or decrease in AROM or strength, to the upper extremity refer to Occupational Therapy for evaluation and treatment.
     No relief with 3-4 weeks then refer to Occupational Therapy.
    Referral criteria for Return to Primary Care
     Resolution of symptoms.
     
  3. The Great Deceiver

    The Great Deceiver 21st Century Schizoid Man

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    Rest for a few weeks
     
  4. KingGargantuan

    KingGargantuan ♖♘♗♕♔♗♘♖

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    sounds like a good idea but i just got started!
     
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