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Dr Peter Chiang
March 10, 2012 by Dr Peter Chiang

Tennis and Golf Elbow: Causes and Treatment


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A Common Cause of Pain For Fitness Oriented People And Athletes Alike

Tennis elbow or Lateral epicondylitis is inflammation, soreness, or pain on the outside of the upper arm near the elbow1.  Golfer’s elbow or Medial epicondylitis is pain and inflammation on the inner side of your elbow2.

How the injury occurs:

Both of these injuries are caused by repetitive use of extensor and/or flexor muscles of the forearm.  Over time, inflammation, scar tissue, and small tears develop in the origin tendon of the muscle, which leads to irritation and pain when the muscle is used.

Lateral epicondylitis occurs in weightlifters usually due to wrist extension during pressing exercises such as barbell press, where the hands are stabilized, but the elbow has the tendency to move if technique is poor.  Medial epicondylitis can occur with improper and/or excessive curling of the wrist during a bicep exercise.  Both can also occur in occupation with consistent wrist rotation; like construction, painters, keyboard and mouse use, plumbers, and many more.

 
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Dr Peter Chiang
January 12, 2012 by Dr Peter Chiang

Shoulder Impingement Part II: Strengthening


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Note: people can read part I of this series HERE


Strengthening the Rotator Cuff

First and foremost, proper technique is more important than weight. Starting out, use very little to no weight. I find that 3-5 lb wrist weights or dumbbells are enough.   These muscles are small; therefore, the goal is not to make them bulky by lifting heavy weight, but instead to concentrate on proper form to strengthen them.  Use your best judgment when choosing how much weight to utilize.

Depending on the condition of the patient, it is recommended that they perform these for 3 sets of 10, and build up to 3 sets of 25, then add resistance.  Results will vary depending on the severity of the condition and daily physical activity.

External Rotation:

This can be performed standing using thera-band or side lying with dumbbells.  Start by flexing the forearm to 90° with the elbow firmly on your side, then rotate your hand away from your body.

Start                                Finish






 
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Dr Peter Chiang
December 2, 2011 by Dr Peter Chiang

The Shoulder Part 1: Impingement Syndrome


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How many times have we done or seen people at the gym doing the “wind-mill” stretch before a workout?   Sooner or later every weightlifter will experience pain and tenderness in their shoulder.  The pain usually lingers for weeks if not months, and the pain is usually more noticeable when performing a bench and/or overhead press, but it gets better later into the workout. Chances are someone has said that it is possibly bursitis or rotator cuff issue, and rest and “take it easy” is the best way to treat it, but taking it easy or rest isn’t going to happen.

 
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