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 CHRONIC
ELBOW PAIN
Ross
Hauser, M.D.
Eighty percent of chronic
elbow pain is due to a sprain
of the
annular ligament,
a ligament rarely examined by a family physician or an orthopedic surgeon.
Nearly all of our patients with chronic elbow pain tell us
their doctors told them they have
tennis elbow (lateral
epicondylitis) and not a sprain of the
annular
ligament. The latest treatment for
tennis elbow is the dreaded
cortisone shots!
Cortisone weakens
tissue, whereas
Prolotherapy strengthens tissue.
Cortisone has temporary effects in regard to pain control whereas Prolotherapy
has permanent effects. However, cortisone does have one permanent effect:
Continual use will permanently weaken tissue. Anyone receiving long-term
Prednisone or cortisone shots will confirm this fact.
The annular ligament's job is to attach the radius bone to the
ulnar bone or in
other words, to enable the hand to rotate, as in turning a key or a screwdriver.
Because of the tremendous demands placed on the
fingers and hands
to perform repetitive tasks, the annular ligament is stressed every day.
Eventually, this ligament becomes lax and a source of
chronic pain.
Unfortunately, many patients with elbow and hand pain have been also been
misdiagnosed with Carpal Tunnel Syndrome. Carpal Tunnel Syndrome refers to
the entrapment of the median nerve as it travels through the
wrist into
the hand. The nerve supplies sensation to the skin over the thumb, index, and
middle fingers. A typical Carpal Tunnel Syndrome patient will experience pain
and numbness in these areas of the hand.
Because most physicians do not know the
referral patterns of
ligaments,
they do not realize that cervical vertebrae 4 and 5 and the annular ligament can
refer pain to the thumb, index, and middle fingers. Ligament laxity can also
cause numbness. Cervical and annular ligament laxity should always be evaluated
prior to making the diagnosis of Carpal Tunnel Syndrome. Surgery for Carpal
Tunnel Syndrome should not be done until an evaluation is performed by a
physician who understands the referral patterns of ligaments and is experienced
in Prolotherapy.
Seldom do patients find relief from the "Carpal Tunnel" complaints of pain in
the hand and elbow with
physical
therapy and surgery because the diagnosis is
wrong. The most common reason for pain in the elbow referring pain to the hand
is weakness in the annular ligament, not from Carpal Tunnel Syndrome. Several
sessions of Prolotherapy will easily strengthen the annular ligament and relieve
chronic elbow pain.
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Away! details in common
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including
arthritis,
back
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migraines,
neck pain,
fibromyalgia, spastic torticollis, osteoporosis fracture pain,
whiplash, sports injuries, loose joints,
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Ross Hauser, M.D., & Marion Hauser, M.D.,R.D.
Read more about this book at Amazon.com
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