Chiropractic Adjustment, Shockwave and Laser Therapy for Painful Tennis and Golfers’ Wrist and Elbow

Chiropractic Adjustment, Shockwave and Laser Therapy for Painful Tennis and Golfers’ Elbow

Over the years patients have come into my clinic saying they have “tennis” or “golfers’” elbow. They are describing a chronic painful condition that occurs in a small area of the elbow joint and places significant demands on extension of the wrist. Playing tennis accounts for only approximately 5% of diagnosed tennis elbow. The fundamental cause of tennis or golfers’ elbow is sudden and often repeated use of forearm extensor muscles which are unaccustomed to being used in this particular way.

Playing a musical instrument, painting, raking, twisting movements like using screwdrivers, pliers, and hammers as well as lifting objects with an extended wrist are examples of the kinds of activities that have the potential to induce tennis elbow.

You may notice pain when extending the wrist such as when shaking hands or even doing something as simple as lifting a cup of coffee.

Onset of these symptoms is gradual and in a first occurrence the pain will tend to worsen for several weeks or months even radiating down the forearm. Because you need to use the hand every day this use will further compound discomfort.

Tennis and golfers’ elbow can occur at any age but is most prevalent in people from 30 to 50 years of age.

If you are experiencing pain around the elbow and you suspect tennis or golfers’ elbow, it is important not to self-diagnose because other causes of the pain are possible such as bursitis, infection, osteoarthritis, gout, or cervical radiculopathy (pinched nerve). At Wagner Chiropractic we can determine the cause of your elbow and wrist pain and create a non-invasive strategy that does not require medication or invasive approaches like surgery (in severe cases) to be effective. We use chiropractic adjusting, shockwave treatment and Class III (cold) laser and Class IV (hot) laser and sometimes, acupuncture on the wrist and elbow.

Chiropractic care can be very successful in the treatment of tennis elbow.

No longer limited to such passive techniques as icing or immobilization, chiropractors are now using a number of myofascial release, pin-and-stretch cross-friction techniques, instrument assisted soft tissue techniques (IASTM), lasers, dry needling, acupuncture, fascial manipulation and eccentric rehabilitative exercises. These newer techniques typically produce far better results than the medical community can achieve through anti-inflammatory drugs or steroid injections... This is where we can shine as chiropractors,

says Sherri LaShomb, D. C., a certified chiropractic sports physician, certified athletic trainer and president of the American Chiropractic Association Sports Council.

We can treat the initial injury, then we have the ability to help with the soft tissue, help with rehab and help with counseling to get better.
— Ron Feise, D. C., Tennis Elbow Treatment

Wagner Chiropractic offers a comprehensive variety of techniques and treatments to help effectively restore your tennis elbow to pain-free:

  • shockwave therapy(2)

  • cold laser (Class III)

  • scalar wave(2)

  • hot laser (Class IV)(3)

  • interferential therapy(4)

  • acupuncture with or without needles (electric acupuncture)

  • kinesiotaping

  1. a thin sheath of fibrous tissue enclosing a muscle or other organ

  2. high-energy acoustic waves generated under water explosion with high voltage electrode; the application of non-invasive extracorporeal shockwave therapy (ESWT) in musculoskeletal disorders has been around since approximately 2000 and is mainly used in the treatment of over-use tendinopathies such as proximal plantar fasciitis of the heel, lateral epicondylitis of the elbow, calcific or non-calcific tendonitis of the shoulder and patellar tendinopathy; success rates have ranged from 65% to 91% with complications low and negligible.

  3. sometimes also referred to as low level light therapy or photobiomodulation (PBM)–a low intensity light therapy

  4. stimulates muscles to help relieve deep tissue pain through penetration that can be adjusted to stimulate nerve fibers for increased blood flow

  5. elastic cotton strip therapeutic tape with an acrylic adhesive used to treat pain and disability from athletic injuries and other physical disorders

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Endnotes:

Flatt M.D., Adrian E. “Tennis elbow.” www.ncbi.nlm.nih.gov, U.S. National Library of Medicine National Institutes of Health, October 2008, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2566914.

Feise, Ron. “Tennis Elbow Treatment.” History of Chiropractic, American Chiropractic Association, 27 Apr. 2016, www.acatoday.org/News-Publications/ACA-News-Archive/ArtMID/5721/ArticleID/180/Tennis-Elbow-Treatment.

Wang, Ching-Jen. “Extracorporeal Shockwave Therapy in Musculoskeletal Disorders.” Journal of Orthopaedic Surgery and Research, BioMed Central, 20 Mar. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3342893/.