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Thread: Tennis Elbow: A Bodybuilderís Nightmare (article)

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  1. #1 Tennis Elbow: A Bodybuilderís Nightmare (article) 
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    Tennis Elbow: A Bodybuilderís Nightmare
    By Matt Weik, August 11, 2017

    If some of you read an earlier article I wrote about training through injuries, then you would know that for several weeks I have had pain in my upper forearm which I thought was my brachioradialis. Well, that wasnít the case. I come to find out itís tennis elbow. Now, some of you might not be familiar with tennis elbow, and while I was a competitive tennis player all the way through college, this injury has nothing to do with it as itís my left arm. All of this pain and discomfort stemmed from a set of reverse curls when mid-set I felt a sharp pain. I finished my workout and chalked it up that I must have pulled something and Iíd be fine in a couple days. Thatís wasnít the case.

    Lateral Epicondylitis
    No, Iím not speaking a different language, the medical term for tennis elbow is lateral epicondylitis. What causes this are the small muscles of the forearm towards the elbow become irritated. This can be due to overuse, repetitive movements, trauma to the area, and overworking due to a heavy weight just to name a few.

    In my case, it was literally the first time doing reverse curls in months and in my opinion of the situation, I probably went a little too heavy to start off my working sets of reverse curls which caused the injury. Now, some people might think, ďitís basically just tendonitis, I can work through it.Ē Trust me, you wonít want to work through it. Simply clenching your fist without any weight in your hand is enough to irritate the area and cause mild to severe pain. What you also might not have known, is that many hardcore bodybuilders and elite athletes suffer from or have suffered from lateral epicondylitis during their careerónot just tennis players.

    In the early stages of tennis elbow, you may have some soreness and possibly some minor inflammation. Many would assume itís muscle soreness or DOMS (delayed onset muscle soreness) setting in from a previous workouts. However, many will soon find that things as simple as picking up a cup of coffee or turning a doorknob is enough to shoot pain into the affected area and cause you to think twice about if itís truly muscle soreness or DOMS. The pain you feel generally starts right at the elbow and can travel all the way down to the hand or can simply stop at the forearm. In my case, depending on the movement, I can feel pain both in my forearm as well as all the way down to my hand.

    Is Tennis Elbow Treatable?
    I wish there was a solid answer for this, but itís yes and noóit ultimately comes down to how bad it is and the steps you are willing to take to correct the issue. For starters, you should go to the doctor in order to get a proper diagnosis. From there, options will be presented to allow you to choose the direction you wish to go in terms of treatments. The doctor might not even give you an answer and might refer you to go see a physical therapist for their opinion. Either way, you will have laid out in front of you a few different options.

    Worst case scenario, you are going to need surgery. However, this is a last resort if other options provide no relief. And you will also find many surgeons saying NOT to go through with the surgery it, itself, could have complications that might limit your range of motion as well as create other problems.

    The second to last line of defense would be cortisone injections. This method is where a steroid is injected into the area to help with the inflammation. You hear this most commonly used in professional sports where athletes get injured and rather than resting, they get cortisone shots to get back in the game. I, personally, think going this route is a poor choice. Itís a temporary fix that has no guarantee that it wonít come right back. Some people say they had relief for around six months and then the pain came back with a vengeance. Youíre really hiding the problem here rather than trying to fix it. In fact, if youíre anything like me, if something feels better, youíre going to get right back after the weights and piling the plates on. Doing this is a sure way to further injure the area and possibly cause even more damage that could require surgery.

    For those who arenít into needles and surgery, there are some things you can do at home. Again, donít simply skip going to the doctor and utilize these suggestions as your injury might require a different action than what Iím about to get into. For starters, stop doing reverse curls and upright rows. These two exercises are known for exacerbating tennis elbow. Also, if you are doing an exercise that causes pain in the affected area, discontinue that exercise.

    Stretches should be your friend during the day. Your doctor or physical therapist will give you exact stretches you should be performing and will probably ask you to complete them around five times each day. Stretches should be completed without taking it to the point of pain. You should also feel some relief almost immediately after completing the stretches.

    A doctor or physical therapist will also give you some strengthening exercises to complete. This can be anywhere from two or more exercises to strengthen the wrist extensors of the forearm. These exercises will be done using a light weight and can generally be done at home. Itís important to follow the guidance laid out by your doctor or physical therapist to ensure proper recovery from tennis elbow.

    Itís recommended to stop weight training for a little until you can get your tennis elbow under control so you donít do further damage. Taking some time off will also allow the rest of your body adequate time to rest and completely recover as well. Once you start getting back into lifting, it is wise to take it easy and slowly work your way back up in weight. Donít simply throw three wheels on each side of the bar and start going to town. Now would also be a great time to check your ego at the door. Your ego could cause you to re-injure the area. Progress slowly and make sure you are using proper form on all exercises.

    The last thing you might want to consider when you are looking to cure nagging tennis elbow would be through the use of a supportive device such as a counter force strap or tennis elbow brace. These can be purchased online at websites such as Amazon or at a local retail store such as Dickís Sporting Goods, Wal-Mart, or Target. When you start exercising again, you might even want to consider utilizing a neoprene elbow wrap/brace and possibly some wrist straps to take the pressure off of your forearms. Obviously, it would then be wise to do exercises specific to the forearms, only with a lighter than usual weight.

    Train Smaller Muscles to Prevent Injuries
    We all seem to enjoy hitting the larger muscle groups to impress the ladies and build a muscular physique. People want to hit their upper body as often as possible. However, injuries can creep in such as tennis elbow as well as rotator cuff injuries if you arenít strengthening those smaller muscles as well. Iím sure if I had a room full of bodybuilders from beginners to advanced, and asked them how many worked their rotator cuff specifically that a small portion of them would raise their hand. This is a problem. We are too concerned with the larger muscles when in actuality the smaller ones are generally the muscles that when injured can royally screw us all in the gym and with day to day activities. Donít lose sight of the big picture, be sure to train your smaller accessory and stabilizing muscles as well during your training sessions for stability and longevity.
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    Early in my 20s I got bad case , hurt so bad, Doctor the says I I couldn't do my trade due to the labour,....
    Wore braces, helped a little , pain med only mess your mind, only treatment for me was to do other things with less impact on my arm...new work... Which sucked
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    I got it not long ago, cant quit my job, so on holidays I put my arm in a sling and didn't move it for the week. I used heat/ice and message (some stuff I saw on the net). Anyhow after the week it was pretty much gone. It was nagging for about 6 months before that.

    Will it come back? I don't now its been a year now, I'm a lot more careful with reverse grip curls and working my forearms. That's how I got it in the first place.
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    Hard As They Come Hulk rated_rko's Avatar
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    Interesting read. Lucky I haven't gotten this. But I did pinch my ulnar nerve back in 2011 and that messed up my hand always tingling in ring finger and pinky. Took some time to recover from that and changed the way I trained.


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    I played tennis for years and had both a tennis and a golfer's elbow. Nothing reAlly helped except shock wave therapy and ... rest (for me it meant no more tennis). A physiotherapist also told me to avoid any lifting exercise involving torsion.
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    Hardcore To The Motherfu*kin' MAX Hulk! noexcuse's Avatar
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    I have had tennis elbow and golfers elbow in both arms. Young and stupid. Dont armwrestle if you want to keep lifting
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    I had PRP injections (plasma) in my elbows 2 years ago. Worked great, and was only out of gym 2 weeks.

    But they are now ready for another round...

    - PacMan
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    Quote Originally Posted by PacMan View Post
    I had PRP injections (plasma) in my elbows 2 years ago. Worked great, and was only out of gym 2 weeks.

    But they are now ready for another round...

    - PacMan
    I never heard of plasma injections before. I had hyaluronic acid injects in my right knee but I guess that's completely different.
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    Once you get this it’s hard to get rid of, cause of mine I think was tight forearms. Time off as well as shockwave treatment helped me out.
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    Newfie Moderator biguglynewf's Avatar
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    It you want to get rid of this.....you have to find out what the cause is.

    most of us go to the obvious culprits ( such as direct training )but if it continues it's coming from somewhere or something else.

    It it took me a long time to figure out that lack of shoulder flexibility was the true root cause of my ongoing issues. Caused by pressure exerted on the elbows while squatting of all fucking things! No joke. I've posted about this before. Long long time to figure it out!!!

    The above article speaks to a lot of band aids as treatment methods and supportive tools.....none of which fix anything. We love to treat symptom and not cause, in traditional western medicine....even sports medicine.....makes a lot of people rich when issues only resolve short term.

    I'm telling you right now, until you get the cause of this issue.......you will struggle with this on and off forever.

    Not saying not to employ the use of ergo aids or anti inflammatories, or physio or whatever. If it helps, by all means...use it.

    just don't expect it to go away until you address whatever it is you're doing to cause the inflammation. Some of us will never be able to address it....however that number is far in the minority. Most folks just have to look deeper and at things that you may not even realize you are doing.

    seriously.....who would ever think a leg exercise could have ever cause problems in one's elbows!
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