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Stop Elbow Pain Naturally: Symptoms, Causes, Risk Factors, Healing Cycle & Treatment

What is elbow pain?

 Tennis elbow commonly used to describe lateral epicondylitis is an overuse injury, which is caused by an increased overload at the common extensor tendon, located at the extensor carpi radialis brevis tendon origin. The primary cause of tennis elbow is repetitive strain associated with activities that include repeated and loaded gripping or extension of the wrist. The tennis elbow is a common occurrence among individuals who play badminton, tennis, squash, and other sports and non-sports-related activities that involve the repetitive extension of the wrist, supination of the forearm, and radial deviation. [1]

Golfer’s elbow, also known as medical epicondylitis, refers to medial common flexor tendinopathy caused by overuse or overload. This pathology is relatively less common compared to lateral epicondylitis, with a prevalence of 10% to 20% of all cases of epicondylitis. [2] The following sections discuss the normal healing cycle, ineffective treatments, and effective treatment measures for relieving elbow pain associated with medial and lateral epicondylitis. 

Causes and Risk Factors of Elbow Pain

The following are the causes of the onset of elbow pain in lateral epicondylitis or tennis elbow. The risk factors of this pathology include age over 40 years, obesity, smoking, and repetitive wrist elbow activities. [1]

  1. Backhead stroke with a poor technique 
  2. Painting 
  3. Drivskruvar
  4. Repetitive use of computer mouse 
  5. Cutting up food 
  6. Plumbing 

The following are the causes of the onset of elbow pain in the golfer’s elbow. The symptoms associated with the golfer’s elbow include pain in the medial or inner part of the elbow, pain with resisted flexion and pronation of the wrist, weakness of the wrist and elbow, and pain while turning a doorknob, shaking hands, gripping an object, and holding a cup. The risk factors of medical epicondylitis include training errors, lack of strength or flexibility, and improper equipment or technique. [2] 

  1. Sports including tennis, softball, and football
  2. Weight training 
  3. Occupation including carpentry, plumbing, and construction 

Normal Wound Healing Cycle 

The normal wound healing cycle is spanned over four stages that progress in a sequential manner for proper and healthy healing of a wound. The following subsections elaborate on each of the stages of the normal wound healing cycle. [3]

Homeostasis Stage 

The first stage of wound healing is hemostasis, which is marked by constriction of the blood vessels carrying blood to the wound. The platelets undergo aggregation and degranulation along with the development of a thrombus or a blood clot to limit blood loss.

Inflammationsstadiet 

The second phase of the normal wound healing cycle is inflammation. During the inflammation phase, the inflammatory cells including neutrophils arrive at the site of injury. These cells release mediators that recruit the immune cells. Loss of function, increased temperature, redness, pain, and swelling are the main signs of inflammation.

Spridningsstadiet 

The third stage of wound healing is the proliferation stage. Processes occurring during this stage of wound healing include angiogenesis or the formation of new blood vessels, formation of extracellular matrix, synthesis of collagen, and re-epithelization of the wound. This phase is also characterized by the development of muscle spasms, fascia restrictions, trigger points, and scar tissue. 

Maturation Stage 

The last stage of the healing cycle is the maturation or resolution stage. During this stage, collagen undergoes remodeling and the blood vessels undergo maturation and degradation. 

Wound Healing Cycle in Chronic Conditions 

During the chronic condition, the wound healing cycle does not attain the maturation stage and persists between the inflammation and proliferation stages. ASTR-based protocols and unique tools target these two phases of the wound healing cycle to promote recovery from elbow pain in affected individuals. [4]

Ineffective Treatment Measures 

Individuals may choose different therapeutic strategies for relieving elbow pain. These therapeutic measures are common yet ineffective. Following is a list of treatments that are ineffective for relieving elbow pain. 

  1. Application of heat and ice
  2. Electrical stimulation of the site of pain or injury
  3. Use of foam roller and massaging on the site of pain or injury
  4. Stretching of the site of pain
  5. Mobilization of the site of pain 
  6. Strength exercises during the inflammatory stage of the wound healing cycle 

Effective Treatment Measures for Elbow Pain 

Effective treatment measures for elbow pain are listed as follows.

  1. Individuals suffering from elbow shall refrain from performing repetitive movements at the elbow joint in order to promote recovery and prevent further damage or aggravation of pain. 
  2. Individuals may opt for the following tools and protocols in order to resolve the inflammation stage of the wound healing cycle and alleviate elbow pain. 
    1. Adequate rest and limited movements at the affected elbow joint.
    2. Magnetic therapy of the elbow using the MagnaHeal devices.
    3. The consumption of an anti-inflammatory diet to prevent chronic inflammation and allow the resolution of the inflammatory stage of the wound healing cycle. 
    4. Consumption of anti-inflammatory supplements for addressing nutrient deficiencies in the body. 
  3. Individuals may opt for the following tools and protocols in order to resolve the proliferation stage of the wound healing cycle and alleviate elbow pain. 
    1. The ASTR A1 Tool is used for releasing the fascia restrictions in the upper two fascia layers, which are superficial fascia and aponeurotic fascia.
    2. The ASTR A3 Tool is used for releasing the superficial muscle knots or the muscle trigger points and superficial scar tissue.
    3. The ASTR A5 Tool is used for releasing muscle trigger points, scar tissue, and fascia restrictions in the endomysium, epimysium, and perimysium. This tool also releases deep muscle trigger points and deep scar tissue.  

Slutsats 

This article discusses the common pathologies underlying elbow pain – medial epicondylitis or golfer’s elbow and lateral epicondylitis or tennis elbow. While these pathologies and associated pain hinder the optimal functioning of an individual, adapting to effective treatment measures can help alleviate elbow pain naturally without causing any side effects or complications. These include intake of an anti-inflammatory diet and supplements, use of ASTR tools to resolve the proliferation stage, and MagnaHeal device to resolve the inflammation stage of the healing cycle. 

Referenser 

  1. Buchanan BK, Varacallo M. Tennis Elbow. [Updated 2022 Nov 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK431092/
  2. Kiel J, Kaiser K. Golfers Elbow. [Updated 2022 Jun 27]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519000/
  3. Guo, S., & Dipietro, L. A. (2010). Factors affecting wound healing. Journal of dental research89(3), 219–229. https://doi.org/10.1177/0022034509359125
  4. Wilkinson, H. N., & Hardman, M. J. (2020). Wound healing: cellular mechanisms and pathological outcomes. Open biology10(9), 200223.