Golfer Elbow (Medial Epicondylitis)

Stop your Elbow Pain today. Effective Treatment, Non Surgery. Discuss with our Elbow Specialist for the Diagnosis, Treatment and Prognosis of your Elbow Pain. Call us +65 97731458 to schedule for an appointment.

Medial Epicondylitis is inflammation at the point where the tendons of the forearm attach to the bony prominence of the inner elbow. As an example, this tendon can become strained in a golf swing, but many other repetitive motions can injure the tendon. Golfer’s elbow is characterized by local pain and tenderness over the inner elbow. The range of motion of the elbow is preserved because the inner joint of the elbow is not affected. Those activities which require twisting or straining the forearm tendon can elicit pain and worsen the condition.

What is Golfers Elbow?

These problems, tennis elbow and golfer’s elbow, are both forms of tendonitis. Tendons are the ends of muscles that attach to bone. Because of the force of the muscle, the points of insertion of the tendon on the bone are often pointed prominences. The medical names of Tennis Elbow (lateral epicondylitis) and Golfer’s Elbow (medial epicondylitis) come from the names of these bony prominences where the tendons insert, and where the inflammation causes the pain. The pain of golfer’s elbow is usually at the elbow joint on the inside of the arm; a shooting sensation down the forearm is also common while gripping objects.

What causes golfers elbow?

The mechanism of this injury can vary from a single violent action to, more commonly, repetitive stress injury where an action is performed repeatedly and pain gradually develops. No one is immune from these injuries, but they are most common at the beginning of the golf season, or when the offending activity is increased in intensity or duration. Golf is one common cause of these symptoms, but many other sport- and work-related activities can cause the same problem. Another common cause of this injury is with weekend carpenters who use hand tools on occasion.

What are the treatment options available for golfers elbow?

Treatment includes Medicines and Anti-inflammatory injection for mild cases, Shockwave Therapy will be one of the effective non-invasive treatment, PRP and Surgery intervention will be the last source of treatment if all the conservative treatments do not respond well.

Stop your Elbow Pain today. Effective Treatment, Non Surgery. Discuss with our Elbow Specialist for the Diagnosis, Treatment and Prognosis of your Elbow Pain. Call us +65 97731458 to schedule for an appointment.

Fractures (Broken Bones)

Treat your Bone Fracture today. Discuss with our Bone Specialist for the Diagnosis, Treatment and Prognosis of your Bone Fracture. Call us +65 97731458 to schedule for an appointment.

A fracture is a broken bone. A bone may be completely fractured or partially fractured in any number of ways (crosswise, lengthwise, in multiple pieces).

Types of Fractures

Bones are rigid, but they do bend or “give” somewhat when an outside force is applied. However, if the force is too great, the bones will break, just as a plastic ruler breaks when it is bent too far.

The severity of a fracture usually depends on the force that caused the break. If the bone’s breaking point has been exceeded only slightly, then the bone may crack rather than break all the way through. If the force is extreme, such as in an automobile crash or a gunshot, the bone may shatter.

If the bone breaks in such a way that bone fragments stick out through the skin, or a wound penetrates down to the broken bone, the fracture is called an “open” fracture. This type of fracture is particularly serious because once the skin is broken, infection in both the wound and the bone can occur.

Common types of fractures include:

  • Stable fracture. The broken ends of the bone line up and are barely out of place.
  • Open, compound fracture. The skin may be pierced by the bone or by a blow that breaks the skin at the time of the fracture. The bone may or may not be visible in the wound.
  • Transverse fracture. This type of fracture has a horizontal fracture line.
  • Oblique fracture. This type of fracture has an angled pattern.
  • Comminuted fracture. In this type of fracture, the bone shatters into three or more pieces.

Causes of Bone Fractures

The most common causes of fractures are:

  • Trauma. A fall, a motor vehicle accident, or a tackle during a football game can all result in fractures.
  • Osteoporosis. This disorder weakens bones and makes them more likely to break.
  • Overuse. Repetitive motion can tire muscles and place more force on bone. This can result in stress fractures. Stress fractures are more common in athletes.

Symptoms of Bone Fractures

Many fractures are very painful and may prevent you from moving the injured area. Other common symptoms include:

  • Swelling and tenderness around the injury
  • Bruising
  • Deformity — a limb may look “out of place” or a part of the bone may puncture through the skin

Doctor Examination

Our doctor will do a careful examination to assess your overall condition, as well as the extent of the injury. He  will talk with you about how the injury occurred, your symptoms, and medical history.

The most common way to evaluate a fracture is with x-rays, which provide clear images of bone. Our doctor will likely use an x-ray to verify the diagnosis. X-rays can show whether a bone is intact or broken. They can also show the type of fracture and exactly where it is located within the bone.

Treatment of Bone Fractures

All forms of treatment of broken bones follow one basic rule: the broken pieces must be put back into position and prevented from moving out of place until they are healed. In many cases, the doctor will restore parts of a broken bone back to the original position. The technical term for this process is “reduction.”

Broken bone ends heal by “knitting” back together with new bone being formed around the edge of the broken parts.

Surgery is sometimes required to treat a fracture. The type of treatment required depends on the severity of the break, whether it is “open” or “closed,” and the specific bone involved. For example, a broken bone in the spine (vertebra) is treated differently from a broken leg bone or a broken hip.

Doctors use a variety of treatments to treat fractures:

Cast Immobilization
A plaster or fiberglass cast is the most common type of fracture treatment, because most broken bones can heal successfully once they have been repositioned and a cast has been applied to keep the broken ends in proper position while they heal.
Functional Cast or Brace
The cast or brace allows limited or “controlled” movement of nearby joints. This treatment is desirable for some, but not all, fractures.
Traction
Traction is usually used to align a bone or bones by a gentle, steady pulling action.
External Fixation
In this type of operation, metal pins or screws are placed into the broken bone above and below the fracture site. The pins or screws are connected to a metal bar outside the skin. This device is a stabilizing frame that holds the bones in the proper position while they heal.In cases where the skin and other soft tissues around the fracture are badly damaged, an external fixator may be applied until surgery can be tolerated.

Open Reduction and Internal Fixation

During this operation, the bone fragments are first repositioned (reduced) in their normal alignment, and then held together with special screws or by attaching metal plates to the outer surface of the bone. The fragments may also be held together by inserting rods down through the marrow space in the center of the bone.

Recovery for Bone Fractures

Fractures take several weeks to several months to heal, depending on the extent of the injury and how well you follow your doctor’s advice. Pain usually stops long before the fracture is solid enough to handle the stresses of normal activity.

Even after your cast or brace is removed, you may need to continue limiting your movement until the bone is solid enough for normal activity.

During your recovery you will likely lose muscle strength in the injured area. Specific exercises will help you restore normal muscle strength, joint motion, and flexibility.

Treat your Bone Fracture today. Discuss with our Bone Specialist for the Diagnosis, Treatment and Prognosis of your Bone Fracture. Call us +65 97731458 to schedule for an appointment.

Elbow Pain

Dr Ambrose Yung Knee, Sports and Orthopaedic Centre Knee, Sports and Orthopaedic Clinic

Stop your Elbow Pain today. Effective Treatment, Non Surgery. Discuss with our Elbow Specialist for the Diagnosis, Treatment and Prognosis of your Elbow Pain. Call us +65 97731458 to schedule for an appointment.

Elbow pain is most often the result of tendinitis, which can affect the inner or outer elbow. Treatment includes ice, rest, and medication for inflammation. Elbow pain has many other causes including arthritis and bursitis. Funny bone sensation is irritation of a nerve at the elbow that causes numbness and tingling of the inner elbow, forearm as well as little and ring fingers. Bacteria can infect the skin of a scraped (abraded) elbow to cause pain.

Your elbow is a complex joint that allows you to perform pushing and pulling movements and to rotate your forearm. Elbow pain can be caused by injury or strain to the bones in your elbow joint, the surrounding muscles or the tendons, which attach the muscles to the bones. Elbow pain may also be due to damage arising from the elbow joint’s network of nerves, blood vessels and ligaments. On occasion, problems in your neck, shoulder and upper arm, or your forearm and wrist can result in elbow pain. Elbow pain usually isn’t serious, but because you use your elbow in so many ways, elbow pain can definitely affect your life.

Elbow pain is an extremely common complaint, and there are many common causes of this problem. It is important to make an accurate diagnosis of the cause of your symptoms so that appropriate treatment can be directed at the cause.

Elbow Pain

 

If you have elbow pain, some common causes include:

  • LATERAL EPICONDYLITIS (TENNIS ELBOW) – Tennis elbow is characterized by soreness or pain on the outside of the upper arm near the elbow. There may be a partial tear of the tendon fibers which joins the muscle to bone near their point of origin on the outside of the elbow.
  • MEDIAL EPICONDYLITIS (GOLFER’S ELBOW) – Golfer’s elbow, or medial epicondylitis, is similar to its counterpart, tennis elbow. The primary differences between these conditions are the location of the pain and the activity that leads to injury.
  • OLECRANON BURSITIS – Elbow bursitis, also called olecranon bursitis, causes fluid to collect in a sac that lies behind the elbow, called the olecranon bursa.
  • CUBITAL TUNNEL SYNDROME – Nerve compression syndromes cause symptoms including pain, numbness, and weakness. Nerves can become pinched for a variety of reasons.
  • ULNAR NERVE NEURITIS – Ulnar nerve neuritis begins with a little bit of tingling in the little and ring fingers especially when placing the elbow on arm rests in cars or on a chair.

When do you need to CALL US about your elbow pain?
If you are unsure of the cause of your elbow pain, or if you do not know the specific treatment recommendations for your condition, you should seek medical attention. Treatment of these conditions must be directed at the specific cause of your problem. Some signs that you should be seen by a doctor include:

  • Inability to carry objects or use the arm
  • Injury that causes deformity of the joint
  • Elbow pain that occurs at night or while resting
  • Elbow pain that persists beyond a few days
  • Inability to straighten or flex the arm
  • Swelling or significant bruising around the joint or arm
  • Signs of an infection, including fever, redness, warmth
  • Any other unusual symptoms

What are the best treatments for elbow pain?
The treatment of elbow pain depends entirely on the cause of the problem. Therefore, it is of utmost importance that you understand the cause of your symptoms before embarking on a treatment program. If you are unsure of your diagnosis, or the severity of your condition, you should seek medical advice before beginning any treatment.

Stop your Elbow Pain today. Effective Treatment, Non Surgery. Discuss with our Elbow Specialist for the Diagnosis, Treatment and Prognosis of your Elbow Pain. Call us +65 97731458 to schedule for an appointment.