The main objective of conservative therapy isstop the process of destruction of collagen tendons and replacement of its defective connective tissue. If there is an inflammatory component, the appointment of nonsteroidal anti-inflammatory drugs such as Voltaren or ketorol, brings relief. With the ineffectiveness of such treatment by Dr. therapeutic blockade, with a suspension of glucocorticoids can be performed (kenalog, diprospan). These drugs have potent anti-inflammatory effect, the duration of which varies from a few weeks to several months.
For the treatment of epicondylitis used massage,physiotherapy, acupuncture, ultrasound, diadynamophoresis, electrical stimulation. When rehabilitation occupies an important place changing technology hitting the ball as well as special training in stretching and strength exercises. With the reduction of pain stretching the length of employment increases.
It can be used to relieve pain transcutaneouselectrical nerve stimulation and attachment of ice packs to the painful area. You should avoid excessive exercise for the patient hands. To this end, in the acute period of a doctor may recommend wearing a special catches, are fixed in the elbow joint.
The recovery period
The recovery period is assigned to therapeutic exercise aimed at strengthening the muscles of the shoulder and arm.
The duration of conservative therapy canfrom 2 to 3 months. During this time most of the patients tested pain at the elbow, hand recovers motility. Subsequently, it is recommended to avoid certain security hand movements that can trigger a relapse of the disease.
Swedish gymnastics with the help of sticks with weights
So, take a round rod length of 30-40 cm., And by the middle of her tightly tie a weight on a string. weights weight - 1-2 kg. rope length - 40-50 cm.
Exercise 1. Taking the stick so that the thumbs were bottom, alternating movement of the right, then the left hand from himself podmotayte the weight to the stick. Movement in the opposite direction unwind the cord and lower the weight.
Exercise 2. Variable grip of the stick. Suppose now that the thumbs are located on top, and four others - from below. Moving the brush from him pull the weight. brushstroke itself lower.
Exercise 3. Lower the right arm. At fist you have clamped the same stick with weights on a string unwound. Kettlebell - on the side of the little finger, finger nails "look" forward. 1-2 - bending the wrist and turning the nail back fist, raise the weight; 3-4 - immerse, brush returning to its original position. These exercises can be done 1-3 times a day, and further after the game (if there were pains).
The initial weights can be the weight of 0.5 kg. The number of repetitions of the first and second exercise at the beginning of training - 1 time, the third - to 5 times. As fitness weights weight can be increased to 2 kg, and the number of repetitions (adding one) to bring the first and second exercise to 4-5 in the third -. 20 times. Between exercises relax your muscles, which make shaking hands, then raising his hands up and dropping. After exercise - easy self-massage of the forearm, elbow and shoulder (from fingers to shoulder up). Useful thermal bath and forearm. Contraction and relaxation of muscles of the hand and forearm during this gymnastics (especially in combination with self-massage tray and heat) massaged like blood and lymph vessels in these muscles, increase metabolism and relieve pain.
Good luck to you in the treatment of tennis elbow!