One of the most common is tennis elbow (lateral epicondylitis), a pain on the outside of the elbow, which can radiate down into the forearm. This involves a sprain of the tendons of the forearm where they attach onto the bony ridge on the outside of the elbow. It can cause the local tendon tissue to degenerate and may have an inflammatory reaction. This can be a stubborn problem resulting in long lasting symptoms, which are resistant to treatment and, it can be brought on by any activity involving gripping, digging, hammering or even carrying a heavy case.
New research suggests that the nerve system can play a major role in this condition and often the pain is referred from the neck and upper back and has associated sensory symptoms such as burning, pins and needles and numbness. It can be persistent and unpredictable.
Irritation of this system can be caused by bad postures and unhelpful movement patterns sometimes related to poor ergonomics at work.
Cases of tennis elbow directly related to playing the sport have many possible causes including poor tennis training methods (especially incorrect backhand technique or excess wrist flicking during service), unsuitable rackets (often too heavy), wrong grip sizes (often too small), incorrect string tension and ball weight. Treatment may involve local electrotherapy, massage, acupuncture, stretching, exercising and strapping, which when applied appropriately can reverse the local mechanical degeneration and decrease the inflammatory changes. More importantly, therapists will also assess the patient’s total body posture.
Also, advice will be given to correct bad ergonomics at work and sports specific requirements will be considered. With appropriate holistic assessment and treatment from our Physiotherapists you will all enjoy a long, hot, pain free summer playing the game you love.
Our Physiotherapists here are trained to treat all types of sports injuries and get them better as quickly as possible. Don’t forget that treatment shortens the healing process and gets you back to your game as soon as possible.
What can I expect from physiotherapy at The Wyndham Centre?
- Flexible appointment times.
- A thorough individual assessment from a fully qualified Chartered Physiotherapist using a wide range of skills to identify the underlying problem, including manipulation, mobilisation, massage, acupuncture, stretching, posture correction, core stability and exercise.
- Based on the findings, we formulate a personalised treatment plan to help you achieve your goals.
- We help you understand the cause of the problem, optimising your recovery and preventing recurrent injuries.
- Treatment is hands on, exercise based, focusing on postural alignment and core stability.
Do I need a referral from my doctor for physiotherapy?
- As Chartered Physiotherapists, we are qualified to confidently diagnose neuro-musculoskeletal conditions.
- A referral from a doctor is only required if your treatment is funded by a medical insurance company.
- Our physiotherapists are recognised by all the leading health insurance companies. Please contact your insurance company for authorisation and further guidance.
How do I make an appointment?
- Simply call us on:
London 020 7404 0023 Baldock 01462 893586
What if I don’t have medical insurance?
- We accept payment by cash, cheque, debit or credit card with the exception of American Express.
How much notice is required to cancel or reschedule an appointment?
- Please note that we require 24 hours notice of cancellation to avoid payment.
Repetitive strain injury (RSI) is a name given to a group of injuries affecting tendons and nerves primarily of the neck and upper limbs. It is an umbrella term for Work Related Upper Limb Disorders (WRULD).
There are two types of RSI:
* Specific conditions – including tenosynovitis and tendonitis, (inflammation of a tendon), bursitis (inflammation within the tissue), carpal/cubital tunnel syndrome (pain and tingling in the fingers), epicondylitis (inflammation of the bone).
* Diffuse RSI – includes aches, pain, swelling, numbness, tingling and weakness.
The type of work and other activities you do can trigger RSI.
* REPETITION – performing repeated movements with the same body part.
* POSTURE – holding a joint towards its extreme.
* FORCE – performing an activity with excessive muscular exertion.
* STATIC EXERTION – holding part of the body still.
* CONTACT STRESS – direct pressure on nerves or tendons.
MEDICAL CONDITIONS INCREASING RISK
include: thyroid disease, gout, obesity, hormone conditions (such as pregnancy, hysterectomy), fluid retention (such as pregnancy, birth control, sudden weight gain) and previous injuries.
Your attitude to your job can also affect your chances of contracting RSI. Things to be aware of are:
* Little job satisfaction
* Infrequent or inflexible breaks
* Monotonous work (low activity, little variety and fast pace)
* Limited autonomy (lack of control)
* Perception of intensified workload and work
* pressure (deadlines, monitoring, bad management)
LONG TERM SOLUTION FOR RSI
An inter-disciplinary approach is required. The problem cannot be resolved until the cause is found and eliminated. This may include medical screening, physiotherapy, ergonomic intervention and specialist equipment. A GP or specialist’s opinion may be required to exclude any medical causes.
The physiotherapist uses techniques including acupuncture, correction of posture and muscle imbalance, stretching, mobilisation, manipulation and exercise.
The physiotherapist can also offer advice and education about:
* The correct posture
* Importance of breaks – at least five minutes every hour
* How to create movement in the work environment (including work-station set-up) or during a hobby activity which may be causing the symptoms
* Liaise with other professionals and departments: occupational health, health and safety, ergonomists and your G.P
An ergonomist assesses the design of the work-station in relation to the operators’ specific needs and makes sure it complies with the Display Screen Equipment Regulations (1992). They may suggest how to adapt the chair, desk, keyboard and desk accessories to maximise efficiency and reduce strain.
There are specialist pieces of equipment that can be provided to alleviate symptoms for example: specialist mice, keyboards, software, wrist rests, lap top raisers and foot rests.
Sarah Sunderland is a physiotherapist and I.O.S.H. recognised workstation assessor (Institute of Occupational Health and Safety). She is available 09:30 – 13:30 Tuesday and Thursday in Hatton Garden and in your workplace for ergonomic assessments by arrangement: 0207 404 0023.
The RSI Association: 0800 018 5012.
Alternative treatments for RSI by Alison Wyndham
RSI is caused mainly by the overuse of computers, musical instruments and other repetitive occupations.
In my experience as a holistic practitioner, some people are more vulnerable than others. This may be due to their immune system being compromised or their hormones imbalanced by a high intake of oestrogen from food or water.
Carpal Tunnel Syndrome accounts for more than 50 percent of RSI. This can be exacerbated by pregnancy, diabetes and thyroid problems. Diet also plays a part.
The risk of RSI and subsequent inflammation is always worse in an acidic body environment. Another factor is food sensitivities. Vulnerability to certain foods can be triggered during stressful times, after an illness, or a shock. This will be compounded if you are using the computer for hours without a break or stretching, especially if your posture is poor.
Pollution from electro-magnetic fields (EMFs) may also contribute to RSI. Offices full of computers and mobile phones could be detrimental to your health.
Tachyons are sub atomic particles, which travel faster than the speed of light. Scientists refer to this as Zero Point Energy. Although this may sound like Star Trek, there is positive scientific evidence that Tachyon can help reduce your risk from electromagnetic pollution, relieve pain and speed up recovery from illness or injury. Tachyon is available in the form of products which act as healing catalysts, rejuvenating depleted or diseased energy fields in the body. These include CD-like discs which can be attached to computers and small circular “cells” for mobile phones or the body.
Our editor wears a wrist band and a cell on each hand for RSI and has found that wearing these for several weeks has relieved the pain almost completely.
(Contact the School of Awakening: 01769 581 232,
Magnetic Therapy in the form of static low power magnets is also helpful for soothing aches and pains like RSI and tiredness. Bracelets, necklaces, and foot soles, are available at Upper Wimpole St.
Simple guidelines include:
Japanese ‘Pi Water’ (more appetising than it sounds! – ed) is a water filter, which alkalises and energises the body (both available from the WC)