Elbow specialised treatment

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Elbow

As an extension of the shoulder mechanics, the elbow provides a great amount of versatility and freedom for the usage of the wrist and hands during daily activities adding a reliable and elaborate fine control mechanics in positioning the hand in specific locations as well as stabilizing the entire upper extremity for motor work activities,  providing a fulcrum for the arm in lifting. Therefore, the elbow relies on the support of an extensive number of joints and soft tissue to allow this elaborate function to take place efficiently.

 

The 5 defence Elbow Mechanisms is hierarchically made up by the proper Alignment of the Humerus, Ulna and the radio joints followed by the strength and resilient of the flexor and extensor   Muscles then by the health of the radial, ulnar and annular  Ligaments, the proper cushion support provided by the  Cartilage  and by the frame support of the Bones. The extend and level of tissue damage is dependent on the number of protective layers that have been compromised from the trauma. 

 

For instance, when the first protective Alignment layer is affected, there is a misalignment dysfunction resulting in potential deformities as seen in cubitus valgus (excessive elbow carrying angle) , therefore I consider as a  Level 1 Injury as there is only one main structure that has been affected.

In Tennis elbow syndromes where the trauma impaired 2 layers of the protective mechanisms (Alignment and Muscles/Tendon ), its considered Level 2 Injury as there were 2 layers that have been compromised. In summary, there are 5 protective layers of defence and 5 corresponding Level of injuries, higher the level of injury the more substantial the number of tissue damage as per the accumulative damage that is passed from one phase to the other. (Level 5 injury means that all the previous defence mechanisms have been compromised up to the 5th layer, as seen in olecranon fractures).

 

Throughout my extensive education and clinical experience, I conclude that even though there are several named pathologies and diseases described by the traditional medicine, the origin and the predisposing factors that have lead the development these healthcare conditions shared a similar causation and pathophysiological principle.

In addition,  due to the multiple level of tissue damage  often seeing in injuries  there is not a single approach that is enough in order to properly managed and fully resolve the condition in question, hence I developed specific treatment protocols  utilising different health care methods and techniques that eventually  allowed me to efficiently resolve and heal as well as prevent the further development of future injuries.

The protocols I developed aim to properly repair and restore the entire self defence mechanism

Elbow Therapy

    Level 1 injuries – Misalignment dysfunctions

    Note: Minor joint misalignment does not create any visible deformation. Clinical assessment and X-ray imaging are paramount for diagnosing subtle joint dysfunction.

    Cubitus Valgus (excessive carrying angle), Cubitos Varus

     

    Certain Elbow Misalignments disturbs certain adjoining nerves at the level of the joint.

    Cubital Tunnel Syndrome (Ulnar Nerve Entrapment)

    Radial Tunnel Syndrome  (Radial Nerve Entrapment)

    Anterior Interosseous Syndrome

    Level 2 Injuries – Misalignment - Muscle/tendon/fascia Injuries
    Level 3 Injuries – Misalignment – Muscle compromised - Ligamentous injuries
    Level 4 Injury - Misalignment – Muscle compromised – Ligamentous weakness - Cartilage Injury
    Level 5 Injury- Misalignment – Muscle compromised – Ligamentous weakness and Cartilage damaged leading to Bone fractures
    Miscellaneous Elbow conditions
    Rheumatoid Arthritis; Its part of an autoimmune systemic condition expressing inflammatory cascade withing the joints and soft tissue.

    Osteochondritis dissecans: is a joint disorder that occurs most commonly in children. Bone and cartilage beneath the joints loses its blood supply, resulting in joint pain and stiffness

    Elbow Neurological referral patters syndromes; Subluxations at the level of the neck and thoracic  spine can create referral patterns of pain at different sites around the Elbow.

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    Treatment Modalities

    Treatment Modalities

    Treatment methods I utilize in my practice to restore and enhance the healing of the entire layers of tissue injuries according to the specific healthcare conditions diagnosed.

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