Bandage on the elbow joint with epicondylitis and other diseases

How to choose an orthosis on the elbow joint

One of the types of specialty orthopedic products is the elbow bandage.

On sale you can find various types of similar devices, and although anyone can buy them, wearing orthosis should be recommended by a specialist.

After the doctor's approval, you will go to the pharmacy or orthopedic salon, where you will inevitably have a dilemma: how to choose exactly what is ideal?

Bandage on the elbow joint can be used both for medical and recovery purposes, and in preventive.

With its help, articulations are stabilized and unloaded during joint loads, for example, during training or physical work, dystrophic degeneration stops after traumas, processes of tissue healing in the postoperative period are accelerated.

The adaptation works simply.After correct fixation, it secures the skeleton, muscles and tissues, limiting the mobility of the hand.

Some models capture the area of ​​the forearm for additional protection.

An elbow orthosis may be recommended by an orthopedic surgeon in the following cases:

• if you are a professional athlete and your workouts are associated with heavy loads on the elbow joint (usually tennis and golf players, rowers and wrestlers);
• If your professional activity involves frequent extension and bending of hands -work with a hand tool (keys, screwdrivers, various levers), loading and unloading, typing on the computer, sewing, etc..;
• if you have suffered an elbow injury, including stretching, in which the orthosis sometimes replaces the plaster bandage;
• if you have synovitis, bursitis, rheumatoid arthritis, arthrosis and other types of inflammatory joint diseases - in this the bandages relieve pain, reduce puffiness and limit joint mobility, so as not to worsen situation;
• if there is a problem with false joints or a fracture is not properly mated.

Orthosis on the elbow joint with epicondylitis ("elbow tennis player") is one of the ways to cope with the inflammatory-degenerative disease.

And, although there are no obvious contraindications to the use of the elbow orthosis, let us remind once again that his doctor should prescribe his wearing.

Despite the fact that in practice it is often difficult to draw a clear line between the types of elbows, after all, the same model can combine the properties of several types of orthopedic orthoses, it is customary to distinguish by the degree of fixation and the type of construction three species.

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This type of bandage is used for maximum fixation of the elbow joint.

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Its rigid structure is similar to the design of all types of orthopedic devices and often includes metal spokes, as well as adjustable velcro fasteners, by means of which the bandage is "tuned" to specific patient.

He is prescribed for severe injuries, including with rupture of ligaments inside the joint, as well as in the postoperative rehabilitation periodto accelerate the process of repairing damaged tissues and joints.

Separately it is necessary to say about hinged models, which are also assigned after operations. Hinges can be located both inside and outside.

Such a device, depending on the set parameters, allows the hand to be unbent both to a limited angle, for example, not more than 40 degrees, and entirely at the last stages of recovery.

Wearing an elastic orthosis is indicated for chronic and inflammatory diseases of the elbow joint, for the prevention of hypothermia in winter period, with intensive sports, as well as people at risk, whose work is associated with excessive stress on elbows.

These products are manufactured with different degrees of fixation.

• A bandage of strong fixation is used for inflammation and to protect the joint from hypothermia. With the help of spokes from medical steel, maximum elbow support is provided, the limb stabilizes, muscles relax, and pains decrease.
• For small dislocations and sprains, an intermediate fixation bandage is used. Its dense fabric reliably grasps the elbow, fixing and warming the joint.

This is a simple elastic bandage on the elbow joint of tight jersey, which does not have rigid elements and helps to protect a healthy or almost healthy elbow from stress. You can wear it for the prevention of sports and professional injuries, as well as with slight sprains or bruises.

Quickly fix the elbow and you can and using a normal elastic bandage, which should be tight, but not tightly wrap around the elbow with indents to the forearm and hand.

Above we said in which cases these or those models are suitable.

And yet, we would not recommend you to make an independent decision, especially when it comes to complex cases and severe pain.

Precise diagnosis will help to establish the true cause of discomfort, and therefore, to conduct a more effective treatment, in which only the orthosis is not always enough.

You need to purchase a bandage not only on the basis of the recommended type of product, but also with the selection of the correct size.

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If the device is larger, it simply does not perform its functions - it does not properly fix the elbow.

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If less - and even worse: a violation of blood circulation can lead to complications.

To determine the size, measure your elbow with a centimeter, and then correlate the data with the dimension grid:

• at an elbow circumference in 24-26 cm you will fit the size S;
• 26-28 cm is the size of M;
• 28-31 cm-L;
• 31-34 cm - XL;
• more than 34 cm - 2XL.

If you are recommended a hard orthosis, then to select some models you will need to know the length of the forearm. If the distance does not exceed 20 cm, then select the size L, if larger - the size of L.

Remember that hinge sections can be made specifically for the right or left hand, and also be universal.

Pay attention to the material from which the band is made.

High wear resistance, naturalness, hypoallergenicity- all these qualities will extend the life of the product and provide comfort during its wearing.

It is not always possible to hide the bandage under the clothes, and in these cases it is better to purchase an aesthetically attractive model.

Be sure to try on the product before buying. Fasteners should function well and do not cause you any discomfort: do not crush, rub or automatically unfasten.

Give you a preference for foreign goods or buy a domestic analogue - this choice depends entirely on your preferences, as well as the amount that you are willing to spend.

The time during which you have to wear a bandage is determined by the doctor. It is especially important to observe the regimen in treatment and rehabilitation, while the preventive use of orthosis allows some deviations from the recommendations of a specialist.

If you use elastic bandages,Do not fix them too tight to not disturb the blood circulation and do not deprive the tissues of the necessary nutrition.

Each model, which is manufactured by the responsible manufacturer, is sold with a detailed step-by-step instruction that will help to properly put on the bandage, as well as recommendations for the care of the product.

The ulnar orthopedic bandage will prove indispensable in trauma and in the postoperative period, and also as a preventive measure that will help to avoid many problems with elbow joints. And with injuries of the shoulder or forearm, you will need a shoulder bandage.

A source: https://2orto.ru/ortopedicheskie-aksessuary/kak-vybrat-ortez-na-loktevoy-sustav

The use of orthopedic orthosis in epicondylitis of the elbow

Orthosis on the elbow joint with epicondylitis is used to ensure that treatment for this disease was more effective. This is a special bandage that is used in orthopedics. It is recommended for both preventive and therapeutic purposes.

Epicondylitis is a disease characterized by pain in the elbow. They can appear due to the fact that tendons are damaged, as a result of which the inflammatory process began. Epicondylitis occurs:

• The inner, which is usually called the "elbow of the golfer
• external - "the elbow of the tennis player".

Internal can arise in the event that often occurs the rotation of the hand with simple physical exertion, and the external appears, if there is a significant load on the tendon.

In both cases, a bandage is used in the epicondylitis of the elbow joint.

Why is an orthosis needed?

What is the principle of the action of orthosis? Usually it depends on the symptoms. Orthopedic elbow pads can simply protect the elbow from heavy load and keep your arm in the right position. Thus, a prophylaxis or a recovery process is carried out.

The ulnar bandage with epicondylitis is very popular among those who engage in light and heavy physical labor.

In the special stores there is a wide selection of different orthoses. They have some differences.

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Before you buy an orthosis, you need to know exactly the size. Usually in this case, measure the elbow with a centimeter tape.

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It is recommended to choose a product that is made of natural material. It should be hypoallergenic and wear-resistant. Before buying it is recommended to consult with the seller, who should explain all the subtleties of the product.

Indication for bandage application

Most often, the orthosis on the elbow of a tennis player is used in heavy sports under heavy loads. It helps in providing additional fixation of the joint, allows to reduce the pressure on it in training. In addition, it is able to protect the athlete from injuries and various diseases.

The ulnar bandage is also indicated for those who have the risk of contracting epicondylitis. These are people whose profession is associated with characteristic circular movements in the elbow.

For example, constant work with a wrench, screwdriver or other tools.

A direct indication for the use of orthosis is a recent injury. It can deform the joint, so the patient must necessarily purchase and wear an elbow bandage in order to prevent possible negative consequences.

Experts in many cases recommend using the bandage directly in case of trauma. This helps to quickly recover. In some cases, it is not even necessary to impose a cast.

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After surgical intervention, the bandage helps to undergo successful rehabilitation and allows patients to return to their habitual lifestyle as soon as possible.

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Orthosis is also used for various inflammatory joint diseases. These are arthritis, arthrosis, bursitis, synovitis. With the help of this orthopedic product can significantly reduce the pain and swelling of the joint.

How does the orthosis work?

The orthosis has a fairly simple mechanism of action. After it is properly worn, it fixes all bones, ligaments, elbow tissues. In addition, it limits unnecessary movements, massages the skin and keeps the joint warm, which is very important in many cases.

There is also a retainer for the forearm. He puts on the upper part, which helps to protect other muscles in addition.

Types of elbows

There are several types of bandages with epicondylitis. There are usually 3 main groups:

1. Caliper to provide maximum support and protection of the elbow joint. This is a real orthosis. It has a rigid frame, which is securely fastened with metal spokes or adhesive tapes. The support is indicated for severe injuries of the elbow joint, rupture of ligaments and for the postoperative period.
2. Orthopedic products, which have an average degree of fixation and protective properties. Usually these are combined support devices. They are made of elastic fabric. Inside the product are special steel spokes. In addition to fixing properties, they also have analgesics. They are used for chronic diseases that are characterized by various inflammations to protect the elbow from cold, with active sports and for people who are at risk.
3. Bandage for the main fixation of the elbow. It looks like a simple bandage, which reliably fixes and protects the healthy elbow from careless movements and heavy loads. Bandage is made of quality elastic fabric. This product does not have any accessories. Used to prevent injuries, stretch tissues and bruises.

To select the orthosis correctly, you need to take into account the indications and know your size. It is very important to make the right choice, because usually this product can not be returned to the store or exchanged.

To determine your size, you should measure the circumference of the elbow joint with an ordinary centimeter tape.

This will help you to know the parameters by which the orthopedic product is selected. Before buying, you need to try it on and feel your sensations.

The orthosis should fit tightly on the joint and be comfortable to wear.

A source: https://OrtoCure.ru/kosti-i-sustavy/vospaleniya/ortez-pri-epikondilite.html

What orthosis should I choose on the elbow joint?

page »Orthopedic products» What orthosis to choose on the elbow joint?

Orthosis on the elbow joint is used as a treatment and prevention. By using the means, the joint is unloaded and stabilized.

For example, during physical activity.

Wearing the orthosis stops the degeneration of the joints and tissues, and also accelerates the healing of tissues after the transfer of the operation.

For children, bandages are used in the post-traumatic period and after surgery on the elbow.

But in order to wear a bandage is not a mistake, you must choose it correctly and operate it.

The action of the device is quite simple. After fixation, it strengthens the skeleton, muscles and tissues.

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Limited mobility of the hand, some models are designed so that the bandage covers the forearm, and this guarantees complete protection of the hand from damage.

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But despite the inconvenience, the orthosis reduces pain, relieves muscle tension, relaxing them.

Indications for use

The elbow on the elbow joint is used in professional sports. Due to the fact that there is too much stress on the hands in the sport, it is the orthosis that helps to remove excess muscle strain and to stabilize the joints.

Many athletes are encouraged to wear a bandage permanently during epicondylitis. In other words - the tennis player's elbow.

It is clear that the trauma is peculiar to tennis players, who develop a characteristic lesion of the elbow joint.

The bandage is recommended for those who:

• There is a big risk of getting joint disease.
• There is a big load on the hands, including elbows during professional activities - seamstresses, typing on the computer, secretaries, stenographers.
• There is an elbow injury in the anamnesis. If the bruise, the fracture was cured badly, then there is a big risk of developing degenerative and dystrophic processes.

Contraindications

There are no contraindications. But all the same consultation of the expert is necessary.

You can not use the brace for skin lesions, open wounds, and also for individual intolerance to the components of the remedy.

Before buying, you should carefully read the instructions for use and the composition of the orthosis. This will help to avoid many violations and consequences.

Classification of Species

Orthosis is not one product that is suitable for all diseases, disorders and pathologies.There are several types of supporting materials, between which there are significant differences.

Consider the main types:

• Bandage. A knitted product that fits snugly against the joint, which ensures its stability. As a rule, the bandage is light and soft. Sometimes a similar kind of product is called a support, that is, support. For stronger protection in them can be silicone inserts, adjusting straps and Velcro. All these details contribute to more reliable protection and fixation.
• Orthosis. A more complex orthopedic design, which consists of a fabric and rigid elements for fixation - hinges, metal spokes, plastic regulators and others. These products are used for complex injuries, bruises, in the postoperative period. This helps protect the arm and elbow from awkward and unwanted movements. Orthosis can still be called brace, which means bonding.

But this is all theoretically, since in practice it is very difficult to draw a line between one product and another. Most calipers have signs of both types of calipers. If we talk about the degree of fixation and protection of the elbow joint, then three types of orthoses are distinguished:

• Support for protection, support has a strong degree of fixation, a rigid structure, which is strengthened by hinges, knitting needles and clasps. It is used for serious injuries, rupture of ligaments, during the postoperative period.
• Orthosis with medium degree of protection. At the heart of the product is an elastic fabric, and inside there are special spokes made of medical steel. In addition to fixing this bandage anesthetizes and warms the joint.
• Support for support. Speaking in essence, this is an ordinary elastic bandage for fixation, which does not heal, but only protects the elbow joints from excessive loads.

How to choose and wear?

Select orthosis is based on the indication of the application and the type of fixation. It is important to choose the size of the product. Because if the bandage is large, then there can not be any fixation and speech.

And if, on the contrary, it is small, it will squeeze the joints and blood vessels too much, which will negatively affect health. In order to choose a bandage, you need to measure the elbow with a centimeter.

And depending on what size you got and you need to choose a bandage.

Size table:

1. Circumference of elbow - 26 cm - size S.
2. Circumference 26-28 cm - size M.
3. For the size L, the circumference of the elbow should be 28-31 cm.
4. Size XL - circumference 31-34 cm at the elbow.
5. With an elbow circumference of more than 34 cm, the size is XXL.

How to choose the right product? What should I look for? Here are the basic rules:

• type of product;
• material and its quality;
• manufacturer;
• Band size;
• Velcro fasteners, fasteners should be of high quality, well developed, lock hand. They should not rub, stir, or crush.

Wearing rules

All ortheses should serve a person for more than a year, even with constant use. But sometimes it happens that the bandage breaks down earlier than indicated in the instructions. How to prevent this problem?

1. It is strictly forbidden to wash the appliance in a washing machine. It is better to do everything with your hands in not very hot water.
2. In no case should you use bleach, and also twist and iron products.
3. Dry it is necessary, putting it on the surface, and not hanging like clothes.

It is best to read the instructions carefully before using the product.

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"Bandage on the elbow"

From this video you will learn how to properly wear an orthosis on the elbow joint.

Do you have any questions? Specialists and readers of the site Portal about the joints of a person will help you, ask a question

A source: https://prospinu.com/ortoped/ortez-na-loktevoj-sustav.html

Lateral epicondylitis of the elbow joint-symptoms and treatment

This disease is considered professional and in another way it is called "the elbow of a tennis player" or people who have a strong load on the elbow suffer.

It is characterized by gradually increasing pain and burning sensation in the elbow joint region.

Lateral epicondylitis occurs equally often in both men and women, mainly after 30 years.

It is possible that over the years, the pain and discomfort can increase and it will be difficult to perform even ordinary household work.

In this article, we will discuss in detail all the subtleties of the disease, the causes, diagnostics, different methods of treatment, prevention, to which doctor to apply, in general everything that will help you in the prevention or treatment of this disease.

Characteristics of the disease

Lateral epicondylitis is a degenerative-inflammatory change in the place of attachment of the tendons of the muscles of the inner and outer forearm to the humerus.

Most often external epicondylitis (external epicondylitis) suffers, flexor tendons tend to be damaged less often (inner epicondylitis).

The disease develops as a result of systematic overloading of the indicated places of attachment of ligaments to bones (enthesis) with the subsequent development of the inflammatory process.

With lateral epicondylitis, inflammation is always secondary and arises as a protective reaction to tissue damage, in which white blood cells concentrate in a specific focus and promote healing. However, the tissues may not become inflamed, and in this case, micro-snaps will lead to degeneration of the ligaments in which the arrangement of the collagen fibers is disrupted.

The disease is called "epicondylitis since the Latin word epicondylus is translated as an epicondyle, and the ending -itis indicates an inflammatory process. The definition of "lateral" is associated with the area on the outer "bones" of the elbow, termed the "lateral epicondyle."

Causes of development

Lateral epicondyle is a small tubercle located slightly above the elbow joint on the outer surface of the humerus.

This anatomical formation is the place of attachment of several muscles: a short radius extensor of the hand, the elbow extensor of the hand, the extensor of the little finger and the extensor of the fingers, which are connected in the upper part into one common tendon.

With repetitive movements (usually raising something with an elongated brush), the tendon begins to suffer from a constant overload. Microfractures are formed in its tissue.

Because of microtraumas, the tendon becomes inflamed, the damaged cells are replaced by a connective tissue.

There is a gradual degeneration of the tendon - it increases in volume and, at the same time, becomes more vulnerable to stress.

The lateral epicondylitis is often the result of the wrong technique of striking when playing tennis, so the disease is called the "elbow of a tennis player".

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However, this disease affects not only athletes, but also people who have to keep their arms extended for a long time in weight or repeatedly lift something with a straightened brush.

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Lateral epicondylitis can occur in painters, artists, carpenters, gardeners, butchers, cooks, car mechanics and people who perform similar work in everyday life (for example, in the country).
In this case, at the time of injury, a person feels instant pain, which quickly passes.

But the first signs of the disease appear in a few hours, or even days, as the swelling and inflammation increase.

Disposable loads on the hands can also cause epicondylitis of the elbow joint.

Chronic load on the tendon is another factor that increases the risk of inflammation of the elbow joint. Epicondylitis appears due to inflammation of the tendons and in this case is a secondary disease.

The impairment of blood circulation caused by an infringement leads to changes of a dystrophic character in a tendon and development of an inflammatory reaction. As the disease progresses, the hand weakens.

It is difficult for a patient to keep even a light object in the hand. Over time, muscles can completely atrophy.
Among all the muscles of the joints attached to the lateral epicondyle, the shortest extensor of the hand is most vulnerable.

He holds the brush in the elongated state when the elbow is straightened. Fixation of this position is of great importance for athletes who are engaged in tennis. The risk of developing the disease increases many times if the athlete does not own the technique of hitting the ball.

Specialists also call a number of other reasons that lead to this disease:

• active sports (especially if the technique of performing the exercises is incorrect);
• labor activity (for example, in the field of agriculture, construction, tailoring, etc.);
• physiological changes associated with aging of the body after the age of thirty.

Inflammatory processes in the lateral epicondylitis are secondary, because they are a protective reaction to one of the above-named causes.

Symptoms and factors of occurrence

The main signs that characterize epicondylitis are manifested in painful sensations in the forearm and shoulder area. To make sure of this you can take a cup or shake someone's hand. That is, every minor movement is accompanied by severe pain.

At the first stage of the disease there are unpleasant sensations: a weak unstable pain and a burning sensation in the elbow and the outer surface of the forearm and shoulder. Pain may appear when you shake hands or take a glass in your hand.

With progressive lateral epicondylitis, the pain becomes permanent, it rests in the forearm, which is accompanied by difficulties in performing office or household duties. Any insignificant movement causes unbearable suffering.

But with the extension of the elbow, the pain syndrome is almost absent, unlike the cases involving injuries of the hand, when the limb hurts continuously.

The strength of the extensor muscles of the hand and fingers decreases.

The amplitude of movements is preserved, and when viewed, neither redness, nor swelling in the elbow area, as a rule, is observed.

When palpating the outer surface of the elbow, especially at a point slightly outside and anterior to the external epicondyle, soreness is determined. Absence of pathological changes on the roentgenogram.

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The greatest risk of lateral epicondylitis is observed in people over 40 years old and in those who have an inherited pathology - a weakened ligamentous apparatus.

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Factor development of the disease can be not only a profession, but also the constant wearing of heavy objects and bags. Also, the appearance of an illness is facilitated by monotonous movements, for example, monotonous work around the house.

To prevent the appearance of pathology, there is no need to over-strain the muscular system. Therefore, returning home from the store, I need to share the burden on both hands.

And do not try to transfer a large number of bags at a time, because it is better to do it in two stages than after experiencing discomfort in the elbow.

These symptoms increase with the load on the muscles that attach to the lateral epicondyle of the humerus (holding the racket, tightening the screws with a screwdriver, etc.). More often the pain occurs on the leading side (right of right-handers and left-in left-handers), but the disease can occur on both sides.

It does not have to be prohibitive loads in professional tennis. Clogging nails, carrying buckets of water in the country, cutting the bushes - all this can lead to the development of an elbow tennis player.

When the tissue is damaged, inflammation develops, which is a protective reaction of the body. Leukocytes migrate to the inflammation focus, clearing it from damaged tissues and promoting healing. In medical terminology, diseases accompanied by inflammation have an ending of -it.

For example, inflammation of tendons is called tendonitis. Accordingly, the inflammation of the tissues near the lateral epicondyle is called the lateral epicondylitis.

In this tendon the arrangement of collagen fibers is disturbed.

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Tendon cells begin to be replaced by fibroblasts - cells that produce a slightly different type of collagen, not so strong and without an ordered arrangement of fibers.

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Gradually there is a degeneration of the tendon: it becomes thicker due to the growth of inferior connective tissue. Naturally, this tendon can be damaged even with minor injuries.

The exact mechanism for the development of epicondylitis is still unknown. According to one common hypothesis, in the tendon that attaches to the lateral epicondyle, micro-snaps appear due to overloading.

Restoration of the integrity of the tendon is hampered by continuing stresses, which can also lead to the formation of new lesions. The proliferation of connective tissue at the site of damage leads to weakening of the tendon and the appearance of pain.

When doing repairs or household chores, you should take breaks as often as possible. After all, muscles that are not used to heavy loads, you need to give rest. Therefore, do not lift the gravity and move large objects yourself.

Pain in the elbow joint with epicondylitis

Pain in the elbow joint with epicondylitis is the only clearly pronounced symptom of the disease. Pain syndrome has a number of features that help to separate it from similar joint diseases.

Painful sensations can be acute and subacute:

• In acute epicondylitis, the pain is localized in the region of the supracondylar bone of the shoulder and has a constant, intense character. In some cases, pain is given to the forearm and violates the mobility of the elbow. It is very difficult to hold the limb in its extended position, discomfort occurs when trying to squeeze the hand.
• Subacute form of inflammation is accompanied by dull pain, which manifests itself with slight pressure on the external or internal epicondyle. Unpleasant sensations occur with small loads on the elbow.

In a state of rest or with flexion-extensor movements, pain in the elbow joint does not arise.

Inflammation of the elbow joint with epicondylitis

Inflammation of the elbow joint with epicondylitis occurs in the place of attachment of the elbow muscles to the bone of the forearm. The severity of the inflammatory process depends entirely on the form of the disease, the cause and location of the pathology.

Despite the fact that epicondylitis is considered an occupational disease, patients with diseases of the musculoskeletal system suffer more and more often from this ailment.

Because of scant symptoms, the inflammatory process is not always possible to detect on time.

At first, inflammation of the tendons causes discomfort, but with the progression of the disease, the pains become aching and acute, are of a localized nature.

The danger of a hidden form is that epicondylitis can last for months, acquiring a chronic stage. In this case, the patient expects surgical treatment and a long period of rehabilitation.

Diagnostics

When symptoms of this disease appear (most often severe pain in the elbow), a person seeks help from qualified specialists - orthopedists.

When palpation in the tendon area of ​​flexor-pronators (5-10 mm and distal to the middle part of the medial epicondyle), there is condensation and soreness.

In addition, the pain increases with the wrist rest flexing the forearm and pronation at an angle of 90 °.

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Flexion contractures can develop in professional athletes because of muscle hypertrophy.

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To differentiate the medial is necessary with tunnel syndrome and neuritis of the ulnar nerve. There is a simple test of "milking" (milking imitation) that causes pain intensification in the medial epicondylitis.

However, sometimes there is a need for instrumental diagnostics (visualization) for diff. diagnosis with other diseases. It is noted that 5% of people with a primary diagnosis of lateral epicondylitis have a radial tunnel syndrome.

The diagnosis process takes place in several stages:

• Visual inspection of the hand and area of ​​inflammation:

1. localization of pain syndrome;
2. amplitude of movements such as "flexion-extension" of the elbow, hand, fingers.

Feeling of the outer surface of the elbow for the presence of specific damages.

The x-ray of the elbow area (the procedure is necessary so that when diagnosing a doctor, he can exclude similar diseases-arthritis, neuropathies, osteochondropathy).

Ultrasound (determines the localization of the inflamed area).

MRI (shows specific damaged areas of ligaments and muscle tissue).

In addition, you may need to consult a neurologist. This specialist, as a rule, appoints to conduct EMG or ENG and x-ray of the cervical spine to identify possible pathological changes from the peripheral nervous system.

Treatment

Conservative treatment

Treatment is usually conservative, performed by an orthopedic or traumatologist. The goal of therapy is to eliminate inflammation, relieve pain and strengthen the muscles. At the initial stage, NSAIDs and cryotherapy are used, it is recommended to limit the load on the joint.

In some cases, orthoses are used. In the subsequent appoint classes exercise therapy, including initially isometric, and then eccentric and concentric exercises. With a persistent pain syndrome, blockades are performed, injecting glucocorticosteroid preparations into the inflamed area.

With the lateral epicondylitis, four methods are used: the Goymann's laxative operation (the cutting of the tendons), excision of the altered tissues with subsequent fixation of the tendon to the bone, removal of the synovial bag together with the coli,

A source: http://sustavrip.ru/sustavy/lateralnyj-epikondilit.html

How to treat epicondylitis?

• 1 Therapy
• 2 Treatment at home
• 3 Conclusion

Epicondylitis is an inflammatory disease in which the elbow joint is involved in the pathological process.

The cause of this ailment is muscle strain and frequent injuries. Most often this disease is exposed to athletes and people whose activities depend on the work of hands.

Therefore, this ailment has received the second name "elbow tennis player".

Therefore, when the first symptoms appear, you should immediately consult a doctor. In time, the treatment will allow avoiding complications, surgical intervention and long-term rehabilitation.

Therapy

The main objectives of treatment of epicondylitis of the elbow joint are the following tasks:

• elimination of pain syndrome;
• restoration of joint motor activity;
• improvement of blood circulation and metabolism;
• prevention of complications.

Treatment should begin with ensuring complete rest for the affected limb. It is necessary to exclude completely any motor activity.

If the professional activity is connected with the work of the hands, you need at least for the time of aggravation to issue a sick leave sheet.

If all this does not eliminate the pain syndrome, you will have to resort to the following measures:

• use a tight bandage with an elastic bandage;
• to put on a bandage "kerchief
• use a special bandage;
• Use a special orthosis that will ensure reliable fixation of the affected arm.

The next stage of treatment is medical therapy, which includes the use of such groups of drugs:

• non-steroidal anti-inflammatory drugs - aceclofenac, diclofenac, ibuprofen, naproxen, meloxicam, etc .;
• analgesics of general action - analgin, aspirin;
• glucocorticoid hormones - a local injection of drugs such as prednisolone, hydrocortisone, diprospan is used. Very often, together with these drugs, inject anesthetics (novocaine, lidocaine). This combination of drugs effectively removes the pain syndrome;
• medicines of local action (ointments, gels) - diclofenac.

Physiotherapy plays an important role in the treatment of epicondylitis of the elbow joint. The following physiotherapy procedures are widely used:

• hydrocortisone electrophoresis;
• magnetotherapy;
• laser therapy;
• diadynamic therapy;
• cryotherapy;
• shock wave therapy, etc.

Usually conservative treatment gives a positive result on average in three weeks. But if the above methods have proved ineffective, resort to prompt intervention.

Within a couple of weeks after the operation, it is allowed to start working, but with a minimum of workload. For permanent work a person is allowed only after a month.

Even after the disappearance of the symptoms of epicondylitis and the restoration of labor activity, pain will be felt in the area of ​​the elbow joint. Therefore, it is necessary to avoid injuries and overvoltages.

Home Treatment

If for any reason a visit to a doctor has to be postponed, you can alleviate the condition with the help of folk remedies. Here are some of them:

1. Compresses from birch leaves will help to cope with the pain syndrome. Initially, they need to be steamed and well crushed, then applied to the affected joint. They can be strengthened with a bandage, then apply an oilcloth and finally wrap it in a woolen fabric;
2. For treatment at home, ointment from poplar buds is used. To prepare the ointment, you need kidneys and butter (about 3 tablespoons). All this must be mixed and placed on a water bath for an hour. Then we send the mixture to the refrigerator for several days. We rub this remedy into the elbow area for three days.
3. The most common for home treatment is bay leaf oil, it is used as a compress.
4. Another effective method of folk treatment is the use of a compress made of blue clay. It is necessary to mix clay and boiling water in equal proportions. The resulting mixture is applied to the patient's elbow for an hour, wrapped in a woolen cloth.
5. Also a folk remedy that will help to remove the pain syndrome is green tea. It is necessary to freeze it and, wiping it with ice, wipe the affected joint.

There is still a lot of effective folk remedies that will help to eliminate the symptoms of the disease. However, one should not be treated only by means of traditional medicine. It is necessary to seek the help of a qualified specialist.

Conclusion

For a speedy recovery is recommended to do massage and exercise therapy. This will also improve the rehabilitation process in the postoperative period.

Treatment of epicondylitis of the elbow joint requires great effort and a long time. So you need to be patient.

With proper treatment and compliance with all the recommendations of a doctor about this disease can be forgotten.

A source: http://SustavLife.ru/bolezni/drugie/epikondilit-lechenie.html

Bandage in the epicondylitis of the elbow joint: fix the elbow

A bandage for the elbow joint is a special orthopedic device used for reconstructive and curative purposes and as prevention of elbow damage.

Today, the choice of orthoses is very large, but these products are different. Therefore, in order to make the right choice it is desirable to know what kinds of supports for the elbow joint exist and what their purpose is.

Indication and principle of action

Often, the fixer for the elbow is used by professional athletes.

After all, this device provides the joint with an additional fixation, reduces the load with active sports, reduces the risk of injury and the development of occupational diseases athletes. For example, a bandage with epicondylitis ("elbow tennis player") is worn by almost all tennis players.

It should be noted that absolutely all athletes, in particular those whose elbow joint is subjected to heavy loads, should wear an orthosis, which protects the articulation.

In addition, this fixative is necessary for all who are in the risk category of elbow diseases due to the conduct of certain professional activities.

1. seamstresses,
2. compositors of texas,
3. programmers,
4. accountants.

Moreover, the need to wear orthosis appears after the trauma.

Damage in itself is considered a significant factor in the appearance of dystrophic and degenerative changes in the elbow joint.

And if you take into account the predisposing factors that were described earlier, wearing a bandage that protects from undesirable consequences becomes a necessity.

Often, traumatologists recommend that their patients wear fixative bandages during an acute period of trauma. Due to this, the diseased joint recovers much faster, and the need for applying gypsum disappears.

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Bandages for optimal fixation are successfully used in the rehabilitation period after the operation of the elbow joint. Regardless of the reason for the surgery, the orthosis significantly speeds up the recovery process.

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In addition, doctors recommend using a fixing bandage on the elbow in the presence of inflammatory diseases character, such as arthrosis, synovitis, rheumatoid arthritis, bursitis and other types of ulnar injury the joint.

In addition, the fixative bandage limits the hand from unnecessary movements, which can complicate the process of recovery.

The principle of the bandage is quite simple. If properly put on, the orthosis firmly fixes the elbow joint, including soft tissues, ligaments and bones, restraining the excessive amplitude of movements.

In addition, the retainer provides thermal and massage effects. Some types of bandages are worn on the top of the forearm, which provides additional protection. Thus, the muscles of the forearm are fixed, attached to the bones in the zone of the elbow.

Types of retainers for the elbow joint

First you need to understand what the bandage and orthosis is different about. So, the bandage is a piece of knitted fabric that fits snugly to the joint, thereby providing stability to the joint.

In addition, the bandage has another name - the support, which in English means support. Such a product may have different silicone inserts, adjusting straps and Velcro that provide reliable protection.

Orthosis is a complex orthopedic design, combining rigid fixing elements (plastic regulators, hinges, metal spokes) and soft tissue. These devices are used in case of complex disorders, such as the postoperative period.

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In addition, the orthosis reliably protects the articulation from unnecessary movements, including voluntary ones. In some cases, such fasteners are called braces. This name in translation from English means bonding.

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In fact, it is difficult to draw a line between the bandage and the orthosis, because most of them are similar to each other.

Allocate a mass of classifications of elbow joint fixators, consider the most useful, taking into account indications for fixation and its appearance. There are three groups of orthoses: for maximum, medium and basic fixation.

Support for optimal support and protection is representative of this group of orthoses. Such products have a rigid structure, which is reinforced with Velcro, metal spokes, clasps and hinges.

Rigid fixative dressings I use in the case of:

• complex injuries of the elbow;
• postoperative recovery period;
• rupture of intraarticular ligaments.

Orthoses with medium protection and fixation levels are often combined. Their basis is an elastic material, in the middle of which are sewn knitting needles made of medical steel. Due to that, besides good fixation, the product has an anesthetic and warming effect.

Orthoses with medium fixation are used in the following cases:

1. everyday wearing by people at risk;
2. chronic inflammatory and degenerative diseases of the elbow joint;
3. as support during sports activities;
4. form of prevention of hypothermia of the elbow in the winter.

Bandage with epicondylitis as a basic support is a simple fixative bandage, which protects the elbow from heavy loads.

The product is a knitted anchor made of elastic and dense fabric without additional ingredients.

To this end, you need to use a simple elastic bandage. To receive an inexpensive fixative bandage it is possible having made some not tight turns around of an elbow, using adjacent areas of a shoulder and a forearm.

How to choose the required size of the orthosis?

You should know that the elbow band should be chosen not only by type and indication of the product, but also by size. So, if the orthosis is large, then it can not fix the joint well, and if its size is small, it can worsen blood microcirculation.

To determine the correct size of the bandage, you must measure the circumference of the arm in the elbow area using a centimeter tape. There are such sizes:

• S - (24-26);
• M - (26-28);
• L - (28-31);
• XL - (31-34);
• XXL - (more than 34).

Speaking of hinged women's bandages, one should take into consideration another size, but today you can buy and universal products.

So, we need to determine the length of the forearm, that is, the distance from the third metacarpophalangeal joint to the lateral epicondyle of the humerus.

When the distance is up to 20 cm, then it is necessary to choose the size of S, and if more than 20 cm - L.

Rules for selecting and operating a bandage

There are a number of criteria that should be considered when choosing an orthosis. So, you need to pay attention to the type of product, size and material. Ideally, if it is hypoallergenic, natural, wear-resistant, in addition, the material should keep the shape and well wash.

Moreover, the orthosis should have excellent aesthetic properties, since the product does not always manage to hide under the clothes.

Still important is the firm-manufacturer, so it's better to choose the products of well-established firms.

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In addition, Velcro, rivets and other fixing elements should not rub or press and work well.

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Despite the fact that bandages for the elbow joint are provided for a long service life, they must be used, following certain recommendations. It is necessary that the orthosis on the elbow joint does not lose its shape and retain its protective function.

First of all, fixing products can not be washed in a typewriter. Therefore it is necessary to apply manual washing.

In addition, during the washing process it is forbidden to use bleach and twist, and then iron the brace. In addition, you can not dry the product in a suspended form, it must be spread on the surface.

A source: https://joints.propto.ru/article/bandazh-pri-epikondilite-loktevogo-sustava-fiksiruem-lokot