Epicondylitis
A full range of orthopedic services, from diagnosis to full recovery
Epicondylitis (tennis player's elbow, tennis elbow) is a disease based on degenerative muscle damage in the places where they attach to the bone. Epicondylitis is a chronic disease that, if treated improperly, can progress and increasingly cause painful symptoms of exacerbation.
Causes of epicondylitis (tennis player's elbow, tennis elbow)
The main cause of epicondylitis is overexertion and micro - tears of the muscles in the elbow joint.
Such overexertion can occur in people who often make monotonous flexion and extension movements in the elbow joint with a load: for example, massage therapists, painters, carpenters, tennis players.
Sometimes epicondylitis is the result of a direct injury to the elbow, or it can be caused by a single intense muscle tension (for example, when carrying a lot of weight, painting walls, etc.).
Over time, at the site of micro-ruptures, the structure of muscle tissue changes: rough scar tissue appears, seals are formed that squeeze the nerve endings and pain occurs. Inflammation is added, calcium salts are deposited in the damaged muscle, which further disrupts their work and leads to deterioration of symptoms.
Epicondylitis occurs at the age of 30-50 years, and men are twice as likely to suffer from this disease as women. As a rule, epicondylitis is localized on the right arm. This is due to the fact that the right hand is dominant and carries a greater functional load than the left.
Symptoms of epicondylitis
The main symptom of epicondylitis is pain in the elbow, which increases when holding a weight in the arm or when extending it. As a rule, the disease develops gradually. At first, the pain is small and not permanent, but after a few weeks or months, it gradually progresses and can become permanent. Often, the appearance of pain is not associated with any injury.
diagnosis of epicondylitis
1. conservative treatment:
2.Physical Therapy: shock wave therapy, ultrasound therapy, magnetic therapy.
3.Physical Therapy, Massage.
What is the treatment of epicondylitis performed in our Medical Center?
Injections of platelet - rich plasma (growth factors) are the most modern and effective method of treating epicondylitis. The high effectiveness of this method of treatment is due to the action of growth factors - special molecules that play a fundamental role in the healing processes of damage to muscles, ligaments, tendons and bones.
Injections of growth factors not only reduce pain and inflammation, but also eliminate the cause of its occurrence - damage and micro-tears in the muscles. Growth factors trigger the regeneration of damaged tissues, stimulate the synthesis of components necessary for healing and restoring muscle structure, restore the integrity and strengthen the strength of muscles, ligaments, tendons, and bones.
How to perform growth factor injections in our medical center:
platelet-rich plasma (growth factors) is produced directly in the center. For this purpose, 60 ml of the patient's blood and a special device - a centrifuge-are used.
Blood sampling is carried out in special test tubes, which are immediately placed in the device. From 30-40 ml of blood taken, 15-20 ml of platelet-rich plasma is obtained, ready for administration to the patient. The drug production cycle is closed, which excludes blood contact with the external environment, and therefore any infection. Next, the doctor inserts the resulting plasma directly into the damaged area.
In our Medical Center, platelet-rich plasma injections are performed under mandatory ultrasound control for more accurate penetration into damaged tissues.
For the treatment of epicondylitis, 2-3 injections of growth factors are usually sufficient, which are performed once a week.
Shock wave therapy is another effective method of treating epicondylitis, based on the action of acoustic shock waves. Shock waves are able to penetrate the affected tissues to a greater depth - 4-7 CM, while exerting a versatile effect, which is manifested by:
The device has 20 operating modes, which allows you to individually select the required frequency and power of strokes, depending on the disease, its stage and the tolerability of the procedure.
The time of one session of shock wave therapy is 5-10 minutes. The frequency of procedures is 1-2 times a week. As a rule, the treatment of epicondylitis requires from 3 to 7 sessions of shock wave therapy.
Before conducting a shock wave therapy session, we perform an ultrasound examination with marking the damage zone for a more accurate effect of the shock wave on the pathological focus. The doctors of our Medical Center select the most suitable treatment method for each patient individually.
ENTRUST YOUR HEALTH CARE TO PROFESSIONALS!
Causes of epicondylitis (tennis player's elbow, tennis elbow)
The main cause of epicondylitis is overexertion and micro - tears of the muscles in the elbow joint.
Such overexertion can occur in people who often make monotonous flexion and extension movements in the elbow joint with a load: for example, massage therapists, painters, carpenters, tennis players.
Sometimes epicondylitis is the result of a direct injury to the elbow, or it can be caused by a single intense muscle tension (for example, when carrying a lot of weight, painting walls, etc.).
Over time, at the site of micro-ruptures, the structure of muscle tissue changes: rough scar tissue appears, seals are formed that squeeze the nerve endings and pain occurs. Inflammation is added, calcium salts are deposited in the damaged muscle, which further disrupts their work and leads to deterioration of symptoms.
Epicondylitis occurs at the age of 30-50 years, and men are twice as likely to suffer from this disease as women. As a rule, epicondylitis is localized on the right arm. This is due to the fact that the right hand is dominant and carries a greater functional load than the left.
Symptoms of epicondylitis
The main symptom of epicondylitis is pain in the elbow, which increases when holding a weight in the arm or when extending it. As a rule, the disease develops gradually. At first, the pain is small and not permanent, but after a few weeks or months, it gradually progresses and can become permanent. Often, the appearance of pain is not associated with any injury.
diagnosis of epicondylitis
-
< Li>visual examination by an orthopedic doctor< / li>
< Li>ultrasound diagnostics< / li>
< li>MRI diagnostics< / li>
1. conservative treatment:
- anti-inflammatory and analgesic drugs (tablets, ointments, gels, injections, suppositories) have only a symptomatic effect and therefore do not have independent significance for the treatment of epicondylitis; < /li> < li>injections of hormonal drugs - glucocorticosteroids (diprospan, medrol, kenologist flosterone) hormonal drugs perform only one function - they reduce inflammation, and therefore have a pronounced analgesic effect. At the same time, they do not affect the healing of injuries, do not improve the structure and strength of tissues, and do not prevent repeated injuries. Many patients feel better after an injection of hormones only for a short time, but soon the pain returns again and the next injection is needed. However, frequent administration of hormones is very dangerous. The World Health Organization recommends that hormones be administered no more than 3 times a year, otherwise, instead of a therapeutic effect, hormones have a damaging effect on tissues. It should be remembered that hormones should be used only for absolute indications and under particularly careful medical supervision;
- platelet - rich plasma injections (growth factors) are the most modern and effective method of treating epicondylitis.
2.Physical Therapy: shock wave therapy, ultrasound therapy, magnetic therapy.
3.Physical Therapy, Massage.
What is the treatment of epicondylitis performed in our Medical Center?
Injections of platelet - rich plasma (growth factors) are the most modern and effective method of treating epicondylitis. The high effectiveness of this method of treatment is due to the action of growth factors - special molecules that play a fundamental role in the healing processes of damage to muscles, ligaments, tendons and bones.
Injections of growth factors not only reduce pain and inflammation, but also eliminate the cause of its occurrence - damage and micro-tears in the muscles. Growth factors trigger the regeneration of damaged tissues, stimulate the synthesis of components necessary for healing and restoring muscle structure, restore the integrity and strengthen the strength of muscles, ligaments, tendons, and bones.
How to perform growth factor injections in our medical center:
platelet-rich plasma (growth factors) is produced directly in the center. For this purpose, 60 ml of the patient's blood and a special device - a centrifuge-are used.
Blood sampling is carried out in special test tubes, which are immediately placed in the device. From 30-40 ml of blood taken, 15-20 ml of platelet-rich plasma is obtained, ready for administration to the patient. The drug production cycle is closed, which excludes blood contact with the external environment, and therefore any infection. Next, the doctor inserts the resulting plasma directly into the damaged area.
In our Medical Center, platelet-rich plasma injections are performed under mandatory ultrasound control for more accurate penetration into damaged tissues.
For the treatment of epicondylitis, 2-3 injections of growth factors are usually sufficient, which are performed once a week.
Shock wave therapy is another effective method of treating epicondylitis, based on the action of acoustic shock waves. Shock waves are able to penetrate the affected tissues to a greater depth - 4-7 CM, while exerting a versatile effect, which is manifested by:
-
< li>by reducing inflammation and pain in the elbow joint< / li>
< li>by improving blood circulation and feeding damaged tissues< / li>
< li>destruction of calcifications and bone "growths" in the elbow area< / li>
< li>accelerating the healing of injuries to muscles, ligaments, tendons< / li>
< li>increased mobility in the elbow joint< / li>
< li>increased resistance of tendons, ligaments and muscles to physical exertion and injuries.
The device has 20 operating modes, which allows you to individually select the required frequency and power of strokes, depending on the disease, its stage and the tolerability of the procedure.
The time of one session of shock wave therapy is 5-10 minutes. The frequency of procedures is 1-2 times a week. As a rule, the treatment of epicondylitis requires from 3 to 7 sessions of shock wave therapy.
Before conducting a shock wave therapy session, we perform an ultrasound examination with marking the damage zone for a more accurate effect of the shock wave on the pathological focus. The doctors of our Medical Center select the most suitable treatment method for each patient individually.
ENTRUST YOUR HEALTH CARE TO PROFESSIONALS!
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Advantages of treatment in Orthopedics by Ruslan Sergienko
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10 years on medical services in Ukraine
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> 25 years of experience with leading specialists
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Anna Vovchenko and Ruslan Sergienko are recognized opinion leaders among the orthopedic traumatologists
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> 150,000 consultations were held
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> 7,500 surgeries were performed
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All types of pain management
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The operating unit is equipped according to international standards
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Availability of all medicines and supplies
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Single rooms, equipped with the characteristics of orthopedic patients
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Three meals a day
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Postoperative rehabilitation by certified specialists
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Pricing Transparency