Date post: | 03-Jun-2015 |
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Healthcare |
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TEN COMMON
ORTHOPEDIC INJURIES
PHILIP R. LOZMAN, M.D., F.A.A.O.S.
TENNIS ELBOW UPDATE 2014
PHILIP R. LOZMAN, M.D., F.A.A.O.S.
TENNIS ELBOW
PAINFUL CONDITION AFFECTING THE OUTSIDE PART
OT THE ELBOW
AKA “LATERAL EPICONDYLITIS”
BONY PART OF THE OUTIDE OF THE ELBOW BECOMES
PAINFUL
ROOT OF THE PROBLEM
MUSCLES
DAMAGE TO THE TENDON THAT JOINS THE
EXTENSOR MUSCLES OF THE FOREARM TO THE
UPPER ARM
TENDON DAMAGE
SINGLE INCIDENT “HARD SHOT”
OVERUSE (MOST COMMON)
CAUSES AND RISKS
STARTING TO PLAY AFTER PROLONGED INACTIVITY
CAUSES AND RISKS
POOR BACKHAND TECHNIQUE
CAUSES AND RISKS
IMPROPER GRIP SIZE
TOO SMALL OR TOO LARGE
CAUSES AND RISKS
MOST PEOPLE ARE NOT TENNIS PLAYERS!
CAUSES AND RISKS
USING SCISSORS OR SHEARS
GARDENING
THROWING SPORTS
SWIMMING
GOLF (MEDIAL EPICONDYLITIS)
CAUSES AND RISKS
WEAKNESS AND INFLEXIBILITY OF FOREARM
MUSCLES
SYMPTOMS
USUALLY AFFECTS DOMINANT ARM
DEVELOPS GRADUALLY
PAIN AND TENDERNESS OUTSIDE OF ELBOW
PAIN MAY BECOME CONSTANT AND DISTURB SLEEP
SYMPTOMS
MORNING STIFFNESS
PAIN TURNING DOOR HANDLES
SHAKING HANDS
CAN CAUSE NECK OR SHOULDER PAIN FROM COMPENSATION
DIAGNOSIS
STRAIGHT FORWARD DIAGNOSIS
X-RAYS MAY BE INDICATED
MRI IN SEVERE CASES
TREATMENT
“ACTIVITY MODIFICATION”
EASY FOR THE RECREATIONAL ATHLETE
DIFFICULT FOR BRICKLAYERS
TREATMENT
INITIALLY TRY HOME TREATMENTS
REST BY CHANGING ACTIVITIES
APPLY ICE PACK FOR 20 MINUTES
OTC NSAIDS – ADVIL OR ALEVE
ARM BRACE
OTHER TREATMENTS
INJECTIONS – CONTROVERSIAL
PHYSICAL THERAPY – ULTRASOUND TO INCREASE
BLOOD FLOW
TREATMENT
REHAB
STRENGTHENING MUSCLES
CHANGING TECHNIQUE
RESISTIVE TRAINING
TREATMENT
COACHING
TENNIS – AVOIND LEADING WITH THE ELBOW
(PRINCIPLE CAUSE)
TREATMENT
TOPICAL MEDICATIONS
BRACING – COUNTER FORCE – REDUCES THE
MAGNITUDE OF MUSCLE CONTRACTIONS
NITROGLYCERIN PATCH
OSSATRON
INJECTIONS
SURGERY
OssaTron DeviceThe OssaTron®
extracorporeal high-energy
single tx shock wave
procedures (Orthotripsy®)
provide a non-invasive
alternative for patients
suffering from chronic
musculoskeletal conditions
Orthotripsy Candidates-
1. Chronic condition for a
minimum of six months
2. Failed Conservative therapy
TREATMENT
OSSATRON
TREATMENT
PLATELET RICH PLASMA (PRP)
INJECTION OF PLASMA WITH A HIGHER
CONCENTRATION OF PLATELETS
DERIVED FROM YOUR OWN BLOOD WHICH IS
CENTRIFUGED
MOST EFFECTIVE IN TENNIS ELBOW
TREATMENT
TOPAZ PROCEDURE
ELECTROTHERMAL TENOTOMY
OPEN SURGICAL REPAIR
PREVENTION
HEAD SIZE – MIDSIZE 95 TO 110 SQUARE INCHES
PREFERRED
STRING TENSION : LOWER END
STRING MATERIAL: NATURAL GUT
GRIP SIZE : NOT TOO LARGE OR SMALL
PREVENTION
EQUIPMENT MODIFICATION
RACQUET MATERIAL
GRAPHITE – CONSIDERED BEST FOR TORSION AND
VIBRATION CONTROL
PREVENTION
WARM UP
STRETCH
COOL DOWN
PREVENTION
EQUIPMENT
TECHNIQUE
FITNESS
RECOVERY
THANK YOU