Epicondylitis of elbow joint treatment of ointment

Causes and treatment of epicondylitis of the elbow joint

Pain in the elbow Slight pains in the area of ​​elbow bone tendon often remain without the patient's attention. However, even transient, low intensity tenderness may indicate degenerative-inflammatory changes in tendons. The lack of adequate treatment of the first manifestations translates the pathological process into a chronic form.

What is epicondylitis? The causes of its appearance

Epicondylitis - inflammation of the musculoskeletal apparatus of the elbow joint. It arises against the background of degenerative changes due to prolonged monotonous movements of the hand. The ulnar epicondylitis - one of the most common pathologies of the musculoskeletal system - often remains unrecognized, since the patient does not seek medical help because of non-intensive and intermittent pain. Inflammation of tendons of the elbow joint is more likely to suffer in 30-50 years. The disease affects the right arm more often, since it is to it that most people perform the basic work.

The primary cause of the appearance of epicondylitis is the long-term effect on the muscles of the forearm and the brush of disproportionate loads during the performance of monotonous movements. The disease can occur after a direct injury of the elbow joint. Groups of people more prone to pathology:

  • athletes( boxers, tennis players, golfers, weightlifters);
  • agricultural workers( milkmaids, loaders, tractor drivers);
  • builders( painters, bricklayers);
  • people working with a computer or typing;
  • women engaged in knitting, seamstresses.

Actually, the mechanism of development of epicondylitis is not fully understood. In the medical environment, there are three theories of the development of the disease:

  1. inflammation occurs due to the friction of the tendons about bone tissue( mechanical damage);
  2. pathology complicates osteochondrosis. The effective treatment of this disease significantly reduces pain in the ulnar region;
  3. inflammatory process with periosteum of ulnar processes extends to the tendon.

Types of ulnar epicondylitis, symptoms of

In the area of ​​the elbow from the outer and inner sides there are two bone processes( epicondyle), to which the flexor muscles and extensors of the hand are attached. Inflammation in the area of ​​this or that supernumerary is called medial epicondylitis( internal) and lateral epicondylitis( external).

Lateral epicondylitis

Occurs when the tendons of the muscles that extend the wrist( instep supports) are overloaded. In the West, the disease is called "elbow tennis player", because it is these athletes are most prone to inflammation of the extensor tendons.

Types of epicondylitis

External epicondylitis is characterized by:

  • soreness in the area of ​​the external epicondyle. Aching pain at first not pronounced, movement in the shoulder joint does not cause unpleasant sensations. Characterized by irradiation along the outer surface of the shoulder and in the forearm( the middle part of it).When viewed, the lateral bone process and the supine muscles are painful;
  • restriction of movements. A handshake or gripping your fingers into a fist causes severe soreness. Pain is enhanced by handshake and minimal resistance to extension / flexion of the hand. Sometimes there is an unusual mobility of the elbow.

Medial epicondylitis

Damage to the internal epicondyle and attached to it tendons is much less common than lateral localization of pathology. Internal epicondylitis occurs when muscle flexors( pronators) are overstrained. This disease is called the "elbow of the golfer".Long work at the computer, knitting often causes this pathology.

Indications of internal epicondylitis:

  • tenderness in the region of the medial bone process radiating along the inner surface of the forearm;
  • limited motion. Pain is enhanced by flexing the hand and turning the forearm inward( pronation).
Epicondylitis

With prolonged current epicondylitis and absence of treatment, the pain intensifies, is permanent, even the minimal movement of the wrist and the turn of the forearm is difficult. Difference of degenerative-inflammatory pathology of tendons from the actual lesion of the elbow joint is absolute painlessness when flexing / unbending the elbow without turning the forearm inward and outward.

Treatment of epicondylitis of the elbow joint

The main directions in the treatment of epicondylitis:

Load limitation, sparing the motor state

It is necessary to exclude the burden on the sore arm, weight lifting is excluded. Earlier, the patient's gypsum was plastered for 3-5 weeks. However, now immobilization of the elbow joint and forearm is carried out with the help of various kinds of bandages or elastic bandage. The elbow orthosis( bandage) fixes the elbow at an angle of 80º, stabilizes the ligament apparatus and limits mobility. The ulnar bandage is used 7-8 days in the period of acute pain.

Important! Elastic bandage must be removed at night.

Analgesic treatment of

For mild pains, it is sufficient to use ointments and gels, the main component of which is one of the non-steroidal anti-inflammatory drugs( Ketorolac, Ibuprofen, Indomethacin).Ointments are applied to the area of ​​soreness 3-4 times a day. With severe pain, the doctor can prescribe a novocaine blockade.

Anti-inflammatory therapy

To relieve inflammation from the tendon, prescribe local injections in the ulnar region of glucocorticosteroids( Betamethasone, DiPisan) in combination with anesthetics( lidocaine).However, the use of hormonal drugs is indicated only in neglected cases or with a pronounced acute process. Usually, prescribing injections of Diclofenac and similar medicines is enough to stop the acute stage. Blokium B12, which is manufactured in tablets and solution for injections, has proved to be very effective.

Physiotherapy

From physiotherapy procedures with epicondylitis, magnetotherapy, cryotherapy( exposure to -30 ° C), hydrocortisone phonophoresis, laser, paraffin treatment are used. Physiotherapy procedures can improve trophic tissue and stop degenerative changes leading to tendon atrophy.

Treatment with folk remedies

Home remedies for epicondylitis include exposure to the type of physiotherapy( clay heating, cupping of acute pains with ice tea) and the use of ointments based on interior fat and olive oil with the addition of medicinal plants( comfrey, tar, bay leaf).

Important! Traditional methods of treatment should be agreed with the attending physician. The use of home remedies is long and, as a rule, does not give an instant relief from pain.

Osteopathy

This method of getting rid of epicondylitis includes elements of manual therapy, massage and physical exercises. Restores functionality in accordance with the peculiarities of the structure of tissues, improves metabolic processes. Has no contraindications.
Surgery for excising part of the
tendon Surgical intervention with epicondylitis is extremely rare. In this case, a part of the tendon that has undergone degeneration is excised.

Degenerative changes in tendons are a chronic process. That is why it is necessary to start treating epicondylitis as early as possible in order to minimize the possibility of exacerbations and development of atrophy. The prognosis of the disease is positive, in most cases conservative complex treatment shows a good result.

LechenieSpiny.ru

Epicondylitis of the elbow joint: symptoms and treatment

Epicondylitis of the elbow joint is a disease that is characterized by aseptic inflammation of the elbow joint at the place of attachment of the muscles to the bone of the forearm. The course and symptoms of the disease completely depend on the localization of inflammation and the cause that led to the development of the disease.

Risk factors and causes of the disease
Symptoms of the disease
Classification of the disease
Treatment of the epicondylitis of the elbow joint

Statistics show that the diseases of the musculoskeletal system not only do not give up their positions over the years, but also rapidly "grow younger".Patients suffering from such diseases are becoming more and more young people and those who, by occupation, spend a lot of time in the same situation.

Risk factors and causes of the disease

the disease is characterized by aseptic inflammation of the elbow joint

Who has epicondylitis of the elbow joint? Doctors allocate a contingent of people who, because of the characteristics of the profession, are at risk. So, it is noticed that most often the disease affects people of the following professions:

  • workers engaged in construction( painters, bricklayers);
  • employees of agricultural enterprises( tractor drivers, milkmaids);
  • those who are engaged in light industry and clothing production( fashion designers, seamstresses, designers);
  • athletes are heavyweights( weightlifters, boxers, wrestlers).

More often than others, people who genetically have a weak ligamentous apparatus, those who have reached the age of forty, suffer. Lovers to roll up the gifts of autumn are also at risk - in the preparation of conservation, there is an increased load on the ligamentous apparatus of the elbow joint.

Any physical overstrain and prolonged monotonous action on the elbow joint area can lead to the development of epicondylitis. Sometimes the cause of the development of the disease can be a strong single physical effect, for example, when lifting the severity or injury to the elbow.

Symptoms of the disease

Symptoms of epicondylitis are felt during physical exertion on the elbow joint: lifting weights, sharp movement of the hand, strong grip of the hand.

The main and only symptom of the epicondylitis disease of the elbow joint is a sharp, unbearable pain that rends over the entire arm. Localization of painful sensations completely depends on where the elbow joint developed inflammation. Passive movements, as well as external influences, never provoke painful sensations.

Classification of the disease

It is customary to separate the epicondylitis of the elbow joint into two types: internal( medial) and external or lateral epicondylitis. Internal epicondylitis is characterized by inflammation of the tendons, which are located on the outside. With such a defeat, doctors say that the patient "tennis player's elbow," since this condition often develops in sportsmen professionally engaged in tennis. Sharp and severe pain occurs solely when the hand is unbent.

External epicondylitis is characterized by the fact that the inflammatory process develops on the muscles, which are responsible for extension and flexion of the hand. The pain in this case occurs when the arm is bent.

An interesting video about epicondylitis and its symptoms:

Treatment of epicondylitis of the elbow joint

prolonged monotonous action on the elbow joint area can lead to the development of the disease

The main obstacle to complete cure of epicondylitis is that often a patient too late turns to a doctor without paying enough attention to the signs of the disease at an early stage.

The main principle of treatment is to ensure complete rest of the affected joint, if necessary, an immobilizing dressing or a tire is applied to better fix the elbow. Cold on the site of inflammation will help reduce pain, improve blood supply to the site and accelerate the healing process. Necessarily the appointment of medications for the treatment of the disease, a good therapeutic effect is given by the methods of physiotherapy and physiotherapy. Traditional medicine is used to treat epicondylitis of the elbow joint.

Medical treatment

After examination and diagnosis, the doctor prescribes drugs from the group of non-steroidal anti-inflammatory drugs: Diclofenac, Ibuprofen, Ibuklin and others.

These medications can be in the form of ointments, pills or injections - here the doctor is guided by the degree of damage, the age of the patient and his lifestyle. Preparations from the group NPVS have a good analgesic effect, relieves inflammation. In severe cases, a combination of different forms of such medications is possible.

In advanced cases, a patient is assigned a blockade, in which a special drug is injected into the muscles of the affected arm, which has a powerful and rapid analgesic effect. Locally, the hormone corticosteroid is injected into the lesion site in combination with an anesthetic.

Physiotherapy methods

Physiotherapy is an important step towards the recovery of a patient suffering from the disease of the musculoskeletal system. With epicondylitis of the elbow joint, good results are obtained by diadynamic therapy, paraffin and ozocerite applications, pulsed magnetotherapy. A strong pain syndrome is capable of removing electrophoresis with the use of a corticosteroid hormone or an anesthetic.

Separately, it is necessary to distinguish hirudotherapy in the treatment of epicondylitis of the elbow joint. The use of leeches on certain points on the body of the patient is able to give a positive result and greatly accelerate the healing process. Treatment with leeches is contraindicated in individuals with impaired blood function and reduced blood clotting.

the main and only symptom of the disease becomes a sharp, unbearable pain

Treatment of any disease of the musculoskeletal system is impossible without the patient performing special therapeutic exercises and dosed physical exertion. When the stage of the disease from acute to subacute, the doctor gives the patient specific exercises that will help the patient recover faster and return to a full life. Physician LFK will select a set of exercises, the implementation of which will increase the level of physical activity of the person and will consolidate the achieved result.

Methods of physiotherapeutic treatment are completely contraindicated for people over 70 years old, patients suffering from chronic cardiovascular diseases, those who have suffered a stroke recently. With caution should be used physiotherapy treatment during the exacerbation of any chronic disease.

Traditional Medicine in the Treatment of

Disease Our ancestors for centuries have tended and systematized knowledge about the incredible power of nature, its remarkable abilities. They are based on numerous traditional medicine, which can be a good addition in the fight against such a difficult disease as epicondylitis of the elbow joint.

Cold green tea in the form of ice compress will help in the acute stage of the disease to calm down the pain and significantly reduce the inflammatory process. The brewed green tea is cooled, placed in an ice mold and frozen. Ready ice is applied in the form of a compress for a while until the disease goes to a decline.

When the peak of the disease passes, a good effect is provided by clay treatment. Blue clay must be mixed with hot water at the rate of one part clay for one part of the water, carefully stir and evenly apply to gauze or bandage. Make a dense bandage on the affected joint, wrap with a warm kerchief for half an hour. Compresses should be repeated twice a day in the morning and in the evening.

It is important to remember that in no case can one engage in self-medication, even safe at first glance, methods of traditional medicine. At the first suspicions on occurrence of disease it is necessary to address to the attending physician for carrying out of internal consultation, survey and purpose of treatment.

It is common to divide the disease into two types: internal and external type

It is necessary to strictly adhere to all prescriptions of the attending physician, and before applying any traditional medicine in practice, one should consult a doctor.

Despite the popularity and good effectiveness of traditional medicine, the components used during treatment can cause the development of an allergic reaction or worsen the course of the disease. The resources of our great-grandmothers can be an excellent addition to the main drug treatment, but, in no case is it an alternative.

It is important to remember that in the struggle for recovery all the forces and physician and patient must apply. Only joint work, the fruitful work of the medical staff and the person suffering from the disease, can lead to a positive result. A prolonged process of recovery will be significantly accelerated with a huge desire of the patient, a highly qualified doctor and their well-coordinated work.

ArtrozamNet.ru

Effective treatment of epicondylitis of elbow joint

Epicondylitis is more commonly known as the "elbow of a golfer", but this does not mean that only golf fans suffer from this disease. Although they are the most vulnerable to this disease. Treatment of epicondylitis of the elbow joint can be conservative and operative. About this below.

What causes epicondylitis treatment of epicondylitis of the elbow joint

Any repetitive motion can lead to the onset of the disease: it can be throws, the use of certain types of instruments, exercise, and it can also be a consequence of an elbow injury. Epicondylitis develops due to excessive strain on the joints and muscles. Some types of certain activities are capable of causing inflammation in the area of ​​attachment of the muscle to the epicondyle, and not necessarily the presence of sports loads.

Symptoms of epicondylitis of the elbow joint

The symptoms of the "elbow of a golfer" are manifested by pain in the medial epicondyle, which can spread down the forearm. Pain increases with bending of the wrist or fingers. When you squeeze your hand into a fist or wearing objects, you may feel that the grip strength has decreased. Symptomatology is sometimes very similar to the so-called tunnel syndrome, which can direct treatment of epicondylitis of the elbow joint along the wrong path. Therefore, it is important not to make a diagnosis yourself, but to consult a specialist.

Epicondylitis of the elbow joint: treatment epicondylitis of the elbow joint ointment treatment

Exercises - this is something that can help you in the fight against the disease. However, do not self-medicate - you need to see a doctor. He carefully examines the problem site and, perhaps, will assign special tests to help clarify the diagnosis. Treatment of epicondylitis of the elbow joint may require fluoroscopic examination to exclude bone pathology or the consequences of trauma, which the patient could forget about. The picture can also show the presence or absence of excess calcium, which can lead to a prolonged inflammatory process in this area.

Conservative treatment of epicondylitis of the elbow joint

In inflammation of the tendon, conservative treatment is effective only for 4-6 weeks from the onset of symptoms. In such cases, the treatment will take about a month. In chronic inflammation that has arisen because of a lack of timely treatment, it may take about half a year to recover completely. However, it should be understood that in particularly neglected cases, complete recovery is impossible in principle, especially if the factor leading to the onset of the disease is not eliminated. Therapy involves taking non-steroidal anti-inflammatory drugs or injecting steroidal anti-inflammatory drugs. The latter expose the patient to some risk, which consists in decreasing the strength of the tendons. epicondylitis elbow joint treatment exercises Physiotherapeutic procedures are also prescribed - extracorporeal shock wave therapy, which improves microcirculation of blood, which helps to eliminate inflammation. These procedures have contraindications - the presence of cancer.

Surgical treatment

When normal treatment does not help, the doctor can prescribe an operation in which the scar tissue that provokes the epicondylitis of the elbow joint is removed. Treatment( ointments, physiotherapy, medications) after the operation takes some time, but it can lead to a full recovery.

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Epicondylitis of the elbow joint: treatment, ointments -

How is it manifested?

The disease can occur in many ways. In some patients, pain in the elbow increases gradually. Initially, they are felt only after physical exertion, then during simple movements( for example, when the door is opened), and then become completely permanent. In others, the pain syndrome occurs suddenly and immediately excruciates very much. Without treatment, the ailment can last for months.

Pain can be shinier, localized only at one point of the elbow, or spread to the middle of the forearm. Sometimes the lumbago is given to the middle finger of the hand.

When viewed, the elbow joint looks in the usual way. He does not swell and does not blush. But when you feel it, it's easy to find the place of greatest soreness.

Diagnosis

Diagnosis is based on patient complaints and examination results. To confirm their suspicions, the doctor conducts tests for resistance to active movement. With the external form of the disease, the doctor obstructs the elbow of the patient with his arm, while flexing the inner elbow. The patient at the same time notes the increased pain.

Additionally, MRI and ultrasound of the elbow joint can be prescribed. In later stages, these methods allow you to determine the degree of damage to the tendons.

Methods of therapy

At the first signs of the disease, it is necessary to reduce the load on the joint, until the pain completely disappears. In the early stages of the patient, they are asked not to perform movements that provoke discomfort, do not lift the weight and temporarily give up playing sports. In severe pain syndrome, it is recommended to wear a fixative bandage - orthosis.

Effective use of local remedies - ointments and gels based on non-steroidal anti-inflammatory drugs( NSAIDs).By suppressing the action of enzymes that provoke an inflammation reaction, they eliminate pain and prevent the further development of the pathological process.

Preference is given to potent drugs based on ketoprofen( Ketonal, Fastum gel) or diclofenac( Voltaren, Diclac, Orthofen).The selected agent is applied to the elbow joint with a 3 cm strip and rubbed until completely absorbed. The frequency of application is up to 4 times a day.

Of the side effects possible to develop local skin reactions: itching, redness, peeling. In this case, the ointment should be replaced with another, which includes other active components.

The duration of external therapy with nonsteroidal drugs is 2-3 weeks. In case of inefficiency, the doctor prescribes a hormonal blockade with corticosteroids( Diprospan or Hydrocortisone).The drug is injected into the point of maximum soreness. Discomfort is literally a few minutes after the injection. However, due to the negative effect of the hormone on the cartilaginous tissues of the joint, the procedure can be performed no more often than 2 times a year.

As an adjunctive therapy physiotherapy is recommended:

healthy-joint.ru

Epicondylitis of elbow joint: treatment of

Etiology of epicondylitis

The main cause of the development of the disease is a prolonged traumatic effect on the ulnar region of the irritant factor. There are often cases of manifestation of epicondylitis in tennis players, as well as among Georgians, carpenters and masseurs. One of the causes of the pathology may be the resulting elbow injury, violations in the elbow area of ​​nervous regulation, as well as the habit of reading lying with an emphasis on the elbow.

Disease manifests itself as a result of monotonous movements of the hand. An increased load on the elbow leads to the formation of microcracks in the tendons of the forearm. Over time, inflammation develops, which extends to adjacent areas of bone tissue.

Types of epicondylitis

Depending on the location of inflammation, external as well as internal epicondylitis is distinguished. The external form of the disease is most common due to the susceptibility to inflammatory reactions of the lateral epicondyle of the humerus. External epicondylitis( medial epicondylitis, "golfer's elbow") is a typical occupational disease of tennis players. Often the dominant hand of athletes suffers. However, most pathologies can be found in patients after 40 years.

Internal epicondylitis( lateral epicondylitis) is accompanied by destructive tendon processes in the area of ​​flexor flexors. Pathology affects workers, whose activities involve systematic bending of the hands. Both forms of the disease are identified by a similar feature: a characteristic weakness in the hands, as well as an expressive cooling of the skin of the hands. A separate feature is the change in skin tone in patients.

Course and main signs of epicondylitis

Acute stage of the disease occurs with a pronounced combat syndrome. Despite the universality of such a feature, pathology is easy to recognize due to the peculiarities of the patient's sensations( for the external form of the disease):

- absence of extraneous feelings at rest;

- the manifestation of pain under the influence of a certain load( physical activity, attempts to unbend a hand);

- a manifestation of pain in the process of handshaking;

- a special projection of pain.

Treatment of epicondylitis of the elbow joint

Due to the long asymptomatic development of epicondylitis, medical care comes mainly during the transition to the acute phase of the disease. The treatment strategy will be based on the maximum restriction of the impact of the destructive factor, which led to an inflammatory reaction. It is important to provide rest to the affected joint and provide an opportunity to restore tendons and muscles. If the patient experiences acute pain syndrome, the joint is fixed with a tight bandage to completely immobilize it. It is important until the moment of recovery to abandon the type of activity that led to the development of epicondylitis.

The doctor's recommendations will completely depend on the reasons that caused the disease. Traumatic lesion of the elbow joint requires the careful use of ice. This will stimulate the restoration of blood flow, as well as reducing swelling and inflammation. Ice should not be used for more than a week, avoiding hypothermia of tissues.

As the patient recovers, they will be offered to perform retractive exercises that are focused on developing and strengthening the elbow joint. The effect of therapeutic gymnastics is aimed at stretching the tendons and ligaments, strengthening the muscles, normalizing the blood flow and stimulating the motor activity of the joint. The prescribed exercises are supplemented with a special massage.

To provide pain relief and anti-inflammatory effect, ointments and tablets will also help. Drugs of a local remedy are basically diclofenac or ibuprofen. Chronic epicondylitis is treated with the use of tablets that allow you to quickly cope with the recurrence of the disease.

The acute form of epicondylitis of the elbow is treated by blockade. Directly at the center of pain( in the muscle), one-time injection is performed, which contains glucocorticosteroids and pain medications. The decision to carry out the blockade is made by the doctor with the apparent ineffectiveness of other medications.

To eliminate pain and stop inflammation, modern practice is able to offer the following treatments:

artritsustava.ru

Epicondylitis of the elbow joint - the main methods of treatment

Epicondylitis of the elbow joint

Epicondylitis of the elbow joint area is one of the most frequent forms of soft tissue periarticular lesions. The disease is based on degenerative-inflammatory changes in the place of attachment to the humerus( in the elbow joint) of the tendons of the muscles of the outer and inner region of the forearm. Often affects the external epicondyle, in this case, the diagnosis of external epicondylitis is established, the tendon of the flexor flexors( inner epicondylitis) is much less involved in the process. The genesis of epicondylitis includes an overload( absolute or relative) of these enteroses with a secondary development of the inflammatory reaction. It should be noted that epicondylitis never appears as a manifestation of the primary inflammatory process in the framework of seronegative spondyloarthritis, in contrast to the enteropathy of other localizations( plantar fasciitis, achilleness).Excessive or repeated physical activity in the anamnesis.

Pain in the lateral epicondyle of the shoulder with irradiation in the forearm.

Soreness at the site of attachment of the short radial flexor of the wrist, especially at a point located 2 mm to the front and lateral to the apex of the lateral epicondyle.

Safety of movements in the elbow joint.

Frequent absence of pathological changes on radiographs.

Differential diagnosis is performed with cervical radiculopathy, compression neuropathy of the radial nerve, compression neuropathy of the posterior interosseous nerve, arthritis of the elbow joint, osteochondropathy, as well as tendonitis of the muscles of the forearm.

Source: sportswiki.ru

Massage in the plexitis of the shoulder joint here.

Treatment with arthritis drugs of the shoulder joint http: //sustavprof.ru/bolezni/artrit/ plechevogo-sustava.html.

Causes of

This inflammation does not happen simply because epicondylitis is a secondary disease. The exact causes of epicondylitis of the elbow joint are not known to doctors. Specialists were able to find out which groups of people are most susceptible to this disease. These include:

  • of agricultural workers( milkmaids, tractor operators, handymen);
  • workers in construction specialties( plasterers, painters, bricklayers);
  • athletes( weightlifters, weightlifters, wrestlers, boxers) and others.

In themselves, such activities do not cause epicondylitis. This disease occurs when the monotonous flexion and extension of the elbow joint is constant, when the load on the arm occurs. Accordingly, the dominant hand suffers most. In other words, the main version of the reasons for the development of epicondylitis is an overload of tendons, as well as some microtraumas of tissues provoking the development of inflammation.

Source sustavy-svyazki.ru

Lateral

Lateral epicondylitis is a disease in which the place of attachment of muscles to the lateral epicondyle of the humerus is inflamed. Often this disease is called "elbow tennis player", because this problem is quite typical for people involved in this sport. However, lateral epicondylitis can occur not only in athletes. The main cause of the disease is overstrain of the muscles in the area of ​​their attachment to the epicondyle of the humerus. Such overstrain can arise, as we already noted, when playing tennis, but can also take place under any other monotonous work by hands( sawing wood, painting the wall, etc.).As a rule, the disease occurs at the age of 30-50 years.

In the vast majority of cases, conservative( non-surgical) treatment is possible. It is effective in 80-95% of cases.

Principles of self-treatment:

1. If there is pain for a few days, completely eliminate the movements / exercises that provoked pain. If you play tennis, then pay attention to the size of the racket and the tension of the strings - with the resumption of training, perhaps, you will have to change the racket. To relieve pain, it is recommended to take anti-inflammatory drugs( for example, ibuprofen every 4-6 hours) until the pain stops completely.

2. At repeated occurrence of pains - apply cold( cryotherapy) on the elbow joint area from the outside for 15-20 minutes several times a day. Cryotherapy is continued for 3-4 days.

3. After a significant reduction in pain, the local cold is changed to local heat( several times a day), which finally removes the pain.

4. After a persistent disappearance of the pain, proceed to stretching exercises. Brush the other hand slowly bend the hand of a sick hand until the feeling of tension and light pain in the elbow area, stay in this position for 10-15 seconds, slowly shaking the brush. Repeat three times 10 times a day.

Source travmaorto.ru

Medial

Medial epicondylitis is widely known as the elbow of a golfer. But this does not mean that only golfers suffer from this ailment. But golf is a common cause of medial epicondylitis. Many other recurring movements can also lead to epicondylitis:

Throws;Use of different types of hand tools;Consequences of injuries of the elbow joint.

Any activity using actively forearm muscles can cause symptoms of epicondylitis. Epicondylitis is a degenerative-dystrophic process in the place of attachment of muscles to the epicondyle of the humerus.

Treatment of

The doctor will listen to the complaints of the patient, will carefully inspect. You will need to answer questions about the nature of the pain, how the pain affects your normal activity and whether you have an elbow injury.

Special tests for stretching the corresponding muscles are also used, which helps in refining the diagnosis.

Perhaps the doctor will ask you to perform an elbow joint x-ray to exclude bone pathology or the consequences of an injury that you might have forgotten. An X-ray can also show if there is calcification( calcium deposits) at the site of attachment of the tendons to the epicondyle, indicating a prolonged inflammatory reaction at this site, as a result of chronic trauma.

Symptoms of medial epicondylitis are very similar to a condition called ulnar tunnel syndrome. This disease is caused by compression of the ulnar nerve. In the cubital canal: between the elbow, the medial epicondyle and the ligament.

Source ortomed.info

Outer

Epicondylitis of the elbow joint is a degenerative-inflammatory lesion of the musculoskeletal system, in which there is both a destruction of the tissue and a subsequent inflammatory process.

Cause of the disease

Provoking an epicondylitis of the elbow can have a long traumatic effect on the tissues that surround the elbow joint. Most often this diagnosis happens in the following groups of people:

professional athletes( weightlifters, tennis players, boxers, wrestlers, weightlifters);workers of agriculture( handymen, tractor drivers, milkmaids);representatives of construction professions( painters, plasterers and masons).

By themselves, these professions do not lead to the development of epicondylitis. The disease appears with frequent monotonous flexion-extension of the elbow joint with weighting. Therefore, usually the dominant hand suffers epicondylitis: right-handed ones, right-handed ones, left-handed ones. As a result of such manipulations, in places where the forearm tendons are attached to the humerus, microcracks appear. Behind them on adjacent sites begins the inflammatory aseptic process.

Treatment of

Epicondylitis is a disease that lasts for a long time, in a sense it can be called chronic. If it was not the result of direct trauma, his treatment also lasts a long time. It is most often based on conservative means of action. Surgical treatment in this case is unacceptable. Even the medicamentous effect is ineffective, therefore it was not widely used in epicondylitis.

Then how to treat the ulnar epicondylitis? The word is for folk remedies. Before such treatment, you need to consult a doctor.

Source moisustavy.com

Internal

Internal epicondylitis, in contrast to the external one, is usually observed in persons with a predominance of light and monotonous physical loads( typists, seamstresses, assemblers).Therefore, it is more common in women. Usually, the patient is concerned about pain when pressing on the inner epicondyle, as well as the emergence and intensification of pain when flexing and pronating the forearm. Characterized by the irradiation of pain along the inner edge of the forearm. Internal epicondylitis is also characterized by a chronic course.

Another name is medial.

Source spina.co.ua

Chronic

If you have been diagnosed with epicondylitis of the elbow joint, then the treatment will be quite easy and quick, provided that the patient's hand rest for 1-1.5 months. Sometimes the pain passes, within 2-3 weeks. But, very often, at the first signs of improvement, patients with ulnar epicondylitis return to their usual activities and repeatedly injure a non-restored tendon.

As a result, the patient, epicondylitis of the elbow joint goes into a chronic stage. Treatment of chronic ulnar epicondylitis requires significant efforts by the doctor and a longer period of time. According to the statistics of the doctors of the Zdravia Clinic, the treatment of the ulnar epicondylitis is successful almost in any form. To achieve a more rapid result, treatment of epicondylitis of the elbow joint should be carried out as early as possible until the disease is started.

Source zdravia.ru

Pain

Epicondylitis is acute and subacute. With acute epicondylitis, the pain in the region of the epicondyle of the humerus is constant and quite intense. Pain given in the forearm along the muscles, it is possible disturbance of mobility of the elbow joint( extension in the elbow joint and rotation of the forearm).The pain is felt when the hand is squeezed, and the patient can not even hold his hand in the extended position, let alone the weight in the outstretched arm.

Symptoms of subacute epicondylitis:

palpable, but not acute pain when pressing on the inner or outer epicondyle;pain in the elbow joint area, appearing even with a small load. The place of pain is always clearly defined;as a rule, at rest there is no pain, as with any flexion-extension in the elbow joint.

Although it happens that with the lateral epicondylitis, dull pain extends from the lateral( external) epicondyle on the back surface of the forearm and hand and sometimes reaches the fingers. Sometimes the stiffness of the muscles of the forearm and tenderness in palpation can be noted.

Pain and palpation pain with medial epicondylitis can sometimes occur along the inner surface of the elbow joint and just below the ulnar fossa. Elbow bending can exacerbate pain, which can also give in the forearm.

Source doctorpiter.ru

Treatment

How to cure this disease? It is rather sad that many patients are being treated for medical care too late, when the inflammation reaches its peak and flows into a progressive form. As a rule, all this occurs after a long period of time after the appearance of the first symptoms, which are often left without attention.

This is the reason for the complexity of the treatment of this disease. If, nevertheless, the disease is identified at the earliest stage, the attending physician can recommend temporarily, refrain from causing the development of the disease type of activity. What will it give? First of all, the tendons and muscles will have enough time to restore the old form.

You can treat yourself with folk remedies. In some cases, the disease can be accompanied by severe pain - in such cases, the doctor can impose a tire fixing the joint. Sometimes, in the inflammatory process, the appearance of microtrauma may occur - in these cases it is recommended that the ice be applied to a sore spot.

Restoration of impaired motor functions is possible only with the regular practice of therapeutic gymnastics, which is usually an exercise in the epicondylitis of the elbow joint, which have a stimulating effect on the muscular system and stretch the diseased tendons. In addition, there is a sense in attending a massage. In most cases, enough conservative methods of treatment. Usually the patient is prescribed pills, anti-inflammatory ointments, but in some cases more potent drugs are needed. The acute form of the disease requires the appointment of a blockade, by intramuscular injection of analgesic injections. When things are very bad, the doctor can prescribe shock-wave therapy, less often - an operation when the cause of the inflammatory process is removed during the surgical procedure. We hope, now you understand how to treat the ulnar epicondylitis.

Source kiberlekar.ru

Ointments

Since the epicondyle of the humerus is superficial, the expected effect should be relatively good after the use of non-steroid preparations - ointments containing the active substance ibuprofen, approximately 3-4 times a day.

Source spina-sustav.ru

Means as NSAIDs( non-steroidal anti-inflammatory drugs) eliminate both pain and inflammation of tendons and muscles. These funds are used externally in the form of ointments and gels, among which are Nurofen, Naklofen, Diklak gel, Indomethacin, Ibuprofen. These ointments are applied to the affected area and rubbed with soft smooth movements.

Source moyaspina.ru

Tablets

For elimination of pain take pills - Analgin, Renalgan, Ketanov. More effective pain removal is carried out by means of Novocain blockades. Local inflammation is eliminated by injections of glucocorticoids - Betamethasone, Diprospan.

Source moyaspina.ru

In the complex treatment of epicondylitis, specialists actively use and medication:

Anti-inflammatory tablets and ointments stop inflammation. Anesthetic tablets and ointments, which in their composition have Ibuprofen or Diclofenac, are prescribed in case of relapse of the disease. A single injection with an anesthetic and glucocorticosteroids is used in the case of a particularly acute form of the disease. Injection is injected directly into the source of pain.

Source sustavu.ru

As a rule, with a developed form of the disease, stronger drugs are prescribed. Moreover, in the acute form of the disease, a blockade is often prescribed. That is, intramuscularly injected, which contain painkillers. As a rule, this procedure is carried out once and exclusively in the event that no ointments help.

In a completely neglected situation, when even blockade does not help, special shock wave therapy can be prescribed to eliminate pain. Also, with the advanced form of the disease, an operation can be prescribed, when the source of inflammation is completely removed by means of surgical intervention.

Source joints-care.com

Operation

It is used in rare cases when other types of treatment do not bring a positive result. Surgical methods include:

tunneling;excision of the hypertrophied joint ligament.

Source artrozamnet.ru

Surgical intervention is indicated if conservative therapy is ineffective. As a rule, this happens in people whose activities are associated with daily workloads on the muscles of the forearm. In the surgical procedure, the following techniques are used:

dissection of the tendon of the soft extensor of the hand;lengthening of the tendon of the short extensor of the hand;Tendoperiotestomy( removal of the tendon with part of the muscle);arthroscopic treatment.

The last method of surgical intervention has recently become very popular. It is less traumatic than a cut skin operation. After arthroscopic surgery, patients can begin to work lightly after two weeks.

Source infmedserv.ru

Operative methods for getting rid of acute pain with epicondylitis:

Tunneling;Excision( partial) of the hypertrophied ligament of the elbow joint.

In rare cases, when conservative methods of treatment do not cause improvement, surgical treatment is applied.

To prevent the development of the disease, it is necessary to observe the following conditions:

Carry out warm-up before physical exertion, warm up muscles and tendons;Do not overstrain the muscles( rationally distribute the load);During sports, fix elbows with elastic bandages;When doing monotonous work, take breaks and rest your muscles.

Source klinikasoyuz.ru

LFK

It can not be said that exercises are part of the basic treatment of medial epicondylitis of the elbow joint. They rather allow to restore its normal functionality, and it is necessary to give time not only to active loads, but also passive, which are performed by a healthy hand. It is worth noting such sparing exercises for the joint with minimal loads:

  • bend and unbend the forearms so that the shoulders were motionless;
  • in a position where the arms are bent at the elbow, squeeze and unclench the fists;
  • do alternate circular motions forearms and shoulders - outward and inward;
  • in the position where the brushes are connected, bend and unbend elbows;
  • if the doctor does not prohibit, you can do such standard exercises as "scissors" or "mill."

There is also a mass of exercises with power loads on the hands, but not all of them are recommended for epicondylitis. In addition, even a sparing complex can be performed only in the absence of pain symptoms and with the permission of the doctor.

Sources prospinu.com

Gym

Therapeutic gymnastics has established itself as an effective method of treatment. It is important to choose the right set of exercises and perform them well, so it is better to conduct treatment with a doctor. Exercises in the epicondylitis of the elbow joint are aimed at stretching and relaxing the tendons and muscles. One of the exercises that is easy to perform independently at home: with one hand, grasp the hand of the sick hand and slowly bend until there is a feeling of tension in the area of ​​the elbow. In this position, the position is held for 10-15 seconds. Exercise is performed once or twice daily until the pain syndrome disappears completely.

Source 7sustavov.ru

Walking with coxarthrosis of the hip joint by reference.

Disability in coxarthrosis of the hip joint http: //sustavprof.ru/bolezni/kks/ koksartroz-tazobedrennogo-sustava-2.html.

Exercises

Exercises for epicondylitis of the elbow joint should be prescribed by the attending physician. Their implementation is accompanied by a number of restrictions and regulations. In this case, the following rules apply:

It is necessary to gradually increase the load, from small to large;The first time the lessons should not last for a long time, as the joint is strengthened, you can increase the duration of the sessions;With the epicondylitis of the elbow joint, treatment with the help of exercises should not cause pain, as soon as there is pain, especially acute, it is necessary to stop the exercise or completely abandon this type of exercise, if the need confirms the attending physician.

Exercises help to improve blood flow, lymph drainage, normalize the release of synovial fluid, increase elasticity of ligaments, strengthen muscles. All this generally increases the endurance of the elbow joint.

sustavprof.ru

Treatment of epicondylitis of the elbow joint

Epicondylitis of the elbow joint is a chronic inflammatory process that develops after untreated injuries or frequent performance of the same movements of the hands, which causes the progression of microtraumas. To show this disease is capable, both sharp, and aching pains which make themselves felt under loads and sharp movements by hands. With this symptomatic treatment is not enough, and a complex conservative approach is needed.

How to treat epicondylitis of the elbow joint?

The main treatment for the lateral epicondylitis of the elbow joint is aimed at the removal of pain and inflammation itself. For this, NSAIDs and pain medications are used, and in the case of severe exacerbation, it may be recommended to immobilize the joint for some time. If analgesics of general effect are not effective, doctors recommend intraarticular injections of corticosteroids, which are done once, but in rare cases, several procedures are possible with a break for 1-2 weeks. Because corticosteroids have systemic side effects, there are several contraindications to their use, in particular, tuberculosis, peptic ulcer, thrombophlebitis, diabetes, kidney failure, and severe infectious diseases.

A good anti-inflammatory effect is provided by physiotherapy, in particular, ultraphonophoresis with the introduction of hydrocortisone, diadynamic therapy, pulse magnetotherapy and cryotherapy. If these procedures do not help, several sessions of SWT are assigned.

Treatment of epicondylitis of the elbow joint folk remedies

Rich in prescriptions and folk medicine. For example, treatment of ointment epicondylitis elbow joint is very effective, if not just buy them in a pharmacy, and cook yourself using improvised funds. Also recommended are the following recipes:

  • Brew tea, cool and pour into a plastic bag, wrap it around the apple, and then put it in the freezer. When the ice is ready, you need to remove it, and put it for 2-3 minutes in cool water so that you can separate the apple and the package. The resulting ice wrap is put on the elbow and fixed with a bandage( ice packs are made for 4 days, after which warming procedures are shown).
  • Pour the blue clay with hot water, and wrap the resulting mixture in a cheesecloth with which to wrap an elbow - hold for half an hour. Hot compresses on milk with propolis also help.
  • Grind the comfrey root, add pork fat to it and cook it in a water bath. Several drops of eucalyptus oil can be added to the resulting ointment.
  • Cut the onion into two halves, and add two drops of pine tar inside the halves, and then wrap it with a bandage to the elbow.

However, it is important to remember that folk remedies can not withstand severe inflammatory processes, so you need to listen to the doctor's recommendations.

Treatment of epicondylitis of the elbow joint by the exercises

It can not be said that the exercises are part of the main treatment of the medial epicondylitis of the elbow joint. They rather allow to restore its normal functionality, and it is necessary to give time not only to active loads, but also passive, which are performed by a healthy hand. It is worth noting such sparing exercises for the joint with minimal loads:

  • bend and unbend the forearms so that the shoulders were immovable;
  • in a position where the arms are bent at the elbow, squeeze and unclench the fists;
  • do alternate circular motions forearms and shoulders - outside and inside;
  • in position, when the brushes are connected, bend and unbend elbows;
  • if the doctor does not prohibit, you can do such standard exercises as "scissors" or "mill."

There is also a mass of exercises with power loads on the hands, but not all of them are recommended for epicondylitis. In addition, even a sparing complex can be performed only in the absence of pain symptoms and with the permission of the doctor.

ProSpinu.com

Epicondylitis of the elbow joint: treatment, causes, types

Epicondylitis of the elbow joint is an inflammatory disease that is localized in the place of joints of the muscles and bones of the forearm. Depending on the area of ​​the disease, the disease can be internal and external. In the first case, inflammation of the muscles responsible for flexion and extension of the hand occurs. As for the external epicondylitis, it is observed as a result of inflammation of the tendons.

Causes of the disease

Epicondylitis of the elbow joint is a secondary disease, the causes of its development have not yet been established. According to some doctors, the disease develops after a mechanical damage to the tendons, which results in friction against the bone tissue. Other doctors argue that epicondylitis is a consequence of inflammation of the periosteum or a complication after osteochondrosis. This theory is confirmed by the observation that pain in the elbow region decreases markedly in the treatment of osteochondrosis.

Physicians identified several groups of people who are most susceptible to the development of the epicondylitis of the elbow joint. These include those who work in agriculture, builders and athletes. Undoubtedly, employment in these spheres of activity does not cause the appearance of the disease, but the constant flexion and extension of the elbow joint with the accompanying load on the arm can actually lead to the development of the disease.

Species of epicondylitis

Lateral epicondylitis of the elbow joint is an inflammation in the area of ​​muscle-bone connection. This kind of epicondylitis is often called "elbow tennis player", which is due to the susceptibility of athletes of this group to the emergence of this problem. However, despite the fact that during the game of tennis, there is often a muscle overstrain in the area of ​​their connection to the epicondyle of the shoulder bone, this type of disease can occur not only among athletes. Epicondylitis, which is found in people aged 30 to 50 years, can develop as a reaction of the body to a prolonged monotonous monotonous work associated with overloading, which fall into the hands.

The main symptom of lateral epicondylitis is pain in flexion movements of the elbow, which pushes into the outer region of the shoulder. Feeling of the inflamed area also causes unpleasant sensations. Pain can increase with movements such as pinching your fist and even shaking hands. The symptom disappears at rest, but if you do not take care of epicondylitis, it begins to have a permanent character.

Another type of disease is the medial epicondylitis, which is called the "elbow of the golfer".There is a rare disease and is the result of monotonous flexion movements. Symptoms of medial epicondylitis include pain in flexion and extension of the elbow, which can give to the inside of the forearm.

How to treat epicondylitis of the elbow joint?

Treatment of epicondylitis of the elbow joint begins with changing the habitual way of life of the patient. Inflamed limb should be in complete rest, you must not allow movements that provoke the appearance of painful sensations. Athletes are advised to change their occupation, but this is not always possible, so the elbow, shoulder and forearm should be immobilized. For this, modern regulating devices are used, as well as the usual gypsum dressings.

Pain sensations in the epicondylitis of the elbow joint are caused by an inflammatory process, which is why the doctor prescribes special anti-inflammatory medications to eliminate the symptoms of the disease. As a rule, these are local non-steroid preparations, that is, all kinds of gels and ointments that are applied directly to the affected area.

In some cases, local injections of glucocorticosteroids coupled to an anesthetic are used to treat epicondylitis. After applying this method, the pain subsides after 2-3 days, to fix the effect it is recommended not to overload the joint.

With exacerbations of epicondylitis, physiotherapeutic procedures are carried out to eliminate inflammation and pain. The patient can be assigned pulse magnetotherapy, infrared laser radiation, diadynamic therapy. To remove muscle tension, reduce the severity of pain and remove inflammation, paraffin-ozocerite and naphthalene applications, local cryotherapy, phonophoresis are also called for.

Along with the traditional methods of treatment of epicondylitis of the elbow joint, non-drug ways of fighting the disease are used. So, to eliminate the symptoms of the elbow of a tennis player, manual therapy is used. In some cases, the patient has 10 sessions to feel the pain in the affected area. In addition to manual therapy, special therapeutic gymnastics is prescribed, which helps to relax the muscles and reduce the intensity of unpleasant sensations. To feel the effect, the exercises recommended by the doctor should be performed regularly for several weeks.

Hirudotherapy, traditional medicine in the form of various ointments and gels based on natural components, osteopathy are used as alternative treatments for epicondylitis of the elbow joint. It is worth noting that in the absence of proper result from the above methods of fighting the disease, the doctor can prescribe a surgical intervention. To eliminate epicondylitis, tunneling is used, as well as excision of inflammation of the joint ligament.

The epicondylitis of the elbow joint is more affected by sportsmen and agricultural workers, however, a person can develop any person occupying a monotonous physical labor associated with a heavy load on his hands. The disease is well treatable, which should be comprehensive and combine both medicamental and alternative ways of eliminating the problem.

bediva.ru

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