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Welcome to the March Newsletter from Skill Builders Physio & Rehab Centre


COVID-19 Precautions

Given the recent heightened concern of Covid-19, we wanted to notify our clients that while we are still operating as normal, we are following best practices as provided by our respective Colleges along with guidance from the World Health Organization.

In the current environment, the health and safety of our employees, clients and partners are paramount. As such, if you are concerned that you may have been exposed to, or are experiencing symptoms of COVID-19, please delay your visit to our office by contacting us at 705-727-0319 or appt@skillbuildersrehab.com and contact Telehealth at (1-866-797-0000) or your local public health unit.

Reduce the Risk Tips

  • Wash your hands frequently.
  • Maintain social distancing (3 feet between yourself and someone who is coughing or sneezing.
  • Cover your mouth & nose with a bent elbow or tissue when coughing or sneezing. Dispose of the tissue immediately.
  • Avoid touching your face.
  • Stay home if you feel unwell and contact your local health authority.


New March Article - Managing Tennis Elbow

Tennis elbow, which is also known as lateral epicondylitis/epicondylalgia, is a painful condition that develops when the muscles and tendons that extend from the forearm to the outer portion of the elbow, called the lateral epicondyle, become injured or overworked.

This type of injury occurs commonly in tennis players as a result of repeatedly swinging the arm, and rapidly flexing and extending the wrist and elbow, all while gripping the racquet and forcefully contacting the ball, but anyone who moves the wrists, arms, and elbows in a repetitive motion can experience tennis elbow.

In addition to tennis players, golfers, baseball players, factory workers, weight lifters, professional cleaners, bowlers, gardeners, and mechanics have an increased risk of developing this condition. The incidence of tennis elbow also tends to be higher in men than women. Tendon wear and tear or inflammation most often occurs due to poor technique, or training errors such as doing too much, too fast, for too long. For example, think of tennis players who live in colder climates. When spring arrives and the outdoor courts open, tennis enthusiasts often go full swing into play - without taking into consideration that they may not have kept up their tennis specific conditioning throughout the winter months. Their enthusiasm out paces their tissue response to load, leading to breakdown and pain.

Symptoms typically arise in an individual’s dominant arm and may include, but are not limited to the following:

  • Burning or pain in the elbow region that gradually intensifies
  • Pain that gets worse when an object is lifted or squeezed
  • Experiencing intense pain or noticing a weak grip while grabbing objects
  • Pain that worsens while moving the wrist (e.g., brushing the teeth, opening doors or jars)

Initially minor to moderate symptoms can typically be addressed by trying to find ways to rest the elbow in order to prevent further irritation. This means avoiding the aggravating activities when able but staying active and regularly moving and using the affected arm. Physiotherapy is recommended to properly manage tennis elbow to fully explore why it occurred in the first place and what work or sport activities can be modified or corrected to allow the tissue to heal and withstand all your daily loads. A physiotherapist can help individuals safely maintain strength and mobility in the elbow by demonstrating stretching exercises and strengthening techniques that support the body’s natural healing processes. Consult your primary care provider or pharmacist to see if a topical or an oral anti-inflammatory is indicated to help alleviate the initial pain. Keep in mind however, that many people with tendon overuse do not have active inflammation and the best way to reduce the pain is to exercise. A key form of exercise that helps target pain, while increasing muscle strength, is eccentric exercise. The physiotherapists at Skill Builders can design a program just for you that will help restore the mobility and function of your elbow.

References

1. Shiri R, Viikari-Juntura E, Varonen H, Heliövaara M. Prevalence and determinants of lateral and medial epicondylitis: a population study. Am J Epidemiol. 2006; 164(11):1065-74. 2. Weber C, Thai V, Neuheuser K, Groover K, Christ O. Efficacy of physical therapy for the treatment of lateral epicondylitis: a meta-analysis. BMC Musculoskelet Disord. 2015;16(1):223. 3. Peterson M, Butler S, Eriksson M, Svärdsudd K. A randomized controlled trial of eccentric vs. concentric graded exercise in chronic tennis elbow (lateral elbow tendinopathy). Clin Rehabil. 2014;28(9):862-72. 4. Croisier JL, Foidart-Dessalle M, Tinant F, Crielaard JM, Forthomme B. An isokinetic eccentric programme for the management of chronic lateral epicondylar tendinopathy. Br J Sports Med. 2007;41(4):269-75. 5. Ng GY, Chan HL. The immediate effects of tension of counterforce forearm brace on neuromuscular performance of wrist extensor muscles in subjects with lateral humeral epicondylosis. J Orthop Sports Phys Ther. 2004;34(2):72-8. 6. Gündüz R, Malas FÜ, Borman P, Kocaoğlu S, Özçakar L. Physical therapy, corticosteroid injection, and extracorporeal shock wave treatment in lateral epicondylitis. Clinical and ultrasonographical comparison. Clin Rheumatol. 2012;31(5):807-12.


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