The elbow joint is commonly affected by sport and work-related overuse. Tennis and Golfer’s Elbow are the most common conditions arising from such overuse. In the tennis elbow condition the tendons on the outside of the elbow generally tear with forceful repetitive pulling and gripping actions that involve wrist and finger extension. Repetitive fine motions of the wrist and fingers with keyboarding and mouse use are also risk factors. Golfer’s elbow tendon injury is seen on the inside of the elbow and is a product of repetitive swinging, gripping, pushing motions that involve wrist and finger flexion. Weakness of the core and larger arm and leg muscles are often at the root of the elbow overuse. The pain can come from osteoarthritis, overused tendons and nerves that run through the elbow and are susceptible to chronic stress.
A thorough examination is conducted on every patient. Our osteopathic training allows us to diagnose small subluxation of the elbow joint that can be a source of a previously undiagnosed source of pain. Gentle manipulation is frequently performed during examination for diagnostic and therapeutic purposes. Structural deficits, restrictions, as well as muscle weakness and imbalances are identified. X-rays and state of the art ultrasound technology are used for diagnosis of elbow problems. High-resolution ultrasound imaging is advanced enough to see cubital tunnel related nerve injury, tendonitis and joint swelling that can be a cause of acute and chronic pain. Advanced imaging techniques such as MRI can be used for further assessment.
Dextrose and Biocellular Prolotherapy
Frequently the injured area of the elbow is a victim of underlying instability. We treat the entire elbow ligament-tendon complex to promote joint stabilization and tendon repair. Unlike a more commonly used target specific approach where just a tendon that hurts is injected, our technique restores stability to the areas around the injury. This not only allows for better healing of painful area but prevents recurrence of breakdown of the area in the future.
Concentrated dextrose solution is the foundation of our regenerative treatments. When injected around the ligaments and tendons of the elbow, it promotes ligament regeneration and small tendon tear repair. It stimulates and enhances both PRP and Stem cell’s regenerative potential.
PRP (platelet rich plasma) is a stronger biocellular treatment. It promotes torn tendon regeneration and repair of worn ligaments. PRP Prolotherapy technique is used in more advanced tendon and ligaments tears. It directly delivers grown factors in the damaged tissue and activates a signaling mechanism that stimulates body’s stem cell production and recruitment to the site of injury. Repair and new tissue growth occurs quickly and naturally.
The elbow joint is a victim of weakness of the large body muscles that are responsible for overall body stability and power generation.
These are the muscles of the legs, pelvis, core and shoulder girdle.
Strengthening of these muscles is paramount to prevention of the overuse of the elbow.
OWM Buffalo offers private physical therapy and therapeutic yoga for overall strength building and correction of muscle imbalances. Our state of the art Spine Force machine allows for a total body strengthening without placing high amount of impact or torque on the joints.