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Home » Treatments » Who Are The Real Experts In Treating Tennis Elbow?

Who Are The Real Experts In Treating Tennis Elbow?

July 27, 2017 By Allen Willette, Neuromuscular Therapist 2 Comments

At first glance, I understand this might seem like a naked attempt to loudly proclaim my expertise in treating Tennis Elbow. (Well, that may or may not be the case – I leave that up to you to decide.)

I think it's an important question to ask: Who are the real authorities when it comes to the treatment of Tennis Elbow?... Doctors? Surgeons? Physical Therapists? Chiropractors? Athletic trainers?

As a little “thought experiment” let's take a look at what constitutes an expert or authority, in general. So, who is more of an expert in your mind?

  1. Someone who has academic, technical or theoretical knowledge – but who doesn't have any practical experience with it?

  2. Or someone who has significant practical experience with something – but who doesn't necessarily have any official academic training in the subject?

Podcast Version Of The Experts Question

(You can download this podcast episode, play it later and keep it if you want.) Just click the "download" link below - And please subscribe on your favorite platform:

The reason I pose the question this way to you, (not offering any middle ground) is that this is how the landscape of treatment for Golfer's and Tennis Elbow often appears to me.

Now, I don't want to disparage over-worked and well-meaning Doctors, but do you imagine that your average general medical practitioner is an expert in treating Tennis Elbow?

They may have an extensive academic base of knowledge that includes some understanding of chronic tendon injuries and the conventional medical protocol for treating them…

But what is it that they will offer you in the way of actual treatment? Usually its a combination of:

  • Anti-inflammatory pills,
  • The suggestion to ice the area regularly,
  • The recommendation to wear a brace,
  • Perhaps a topical remedy, like a cream,
  • Sooner or later, a Cortisone shot,
  • And a prescription for Physical Therapy

(Let's leave Physical Therapy out of this for now, though, since it's something your Doctor may prescribe, but it's carried out by other practitioners.)

Who are the real Tennis Elbow experts?

The Problem With The 'Experts' Standard Treatment

Here's the problem with this approach to treatment.

First off, these things are not really treatments for the underlying cause of tendon pain and injury.

  • This approach is largely an attempt to suppress a prominent, annoying symptom: PAIN!...
  • And to mitigate or suppress a suspected symptom of the injury – That being inflammation.

And suppressing a symptom is not the same as treating the injury that causes that symptom – Is it?

And here's where the car skids off the road...

The medical research going back decades has demonstrated pretty clearly that Tennis and Golfer's Elbow (and many other chronic tendon problems) are not primarily inflammatory conditions.

Inflammation has never been the problem, it's always a symptom – AND the research says inflammation isn't even present in these conditions, usually!

So, what I'm really saying here is that we have these medical authorities – these ostensible experts – who are offering a treatment based on a theory about Tennis Elbow that others in their own field, medical researchers, say is wrong, and which has been wrong for 30 plus years.

But the medical system, being what it is, has not updated itself and the understanding that Tennis and Golfer’s Elbow are degenerative conditions where inflammation is largely missing – not raging out of control – hasn't trickled down from the academic medical researchers in the ivory towers to the Doctors on the ground floor handing out the inflammation pills and the Cortisone shots.

Again, not to disparage Doctors. Think of all the B.S. they have to put up with these days in managed care, and all the more serious conditions they have to stay up to date on, not to mention all the medications and their potential side effects and interactions.

Golfer's and Tennis Elbow are pretty low on the scale of priorities, after all, so how could we even begin to blame them if they're not all experts on Tennis Elbow.

Golfer's and Tennis Elbow are soft tissue issues – meaning they are muscle and tendon problems – and there's no debate about that.

My claim is that in order to treat the underlying cause of the injury you need to treat what's wrong with those tissues – to deal with what's wrong in your muscles and tendons…

And what I'm saying is that there is little to no value in suppressing symptoms – At least when it comes to healing – When you engage in what I call inflammation chasing...

(I bet that probably doesn't sound like too radical an idea!)

And my main contention, coming back to the experts question, is this:

Aren't the practitioners who treat and manipulate tissues by hand the experts on the front line in the treatment of Tennis and Golfer's Elbow?

Not the practitioners who treat the symptoms from afar?

These are muscle and tendon problems, by nature, after all.

And who knows best what normal muscle and tendon tissues feel like?…

Who knows best how to work on these tissues? To massage and manipulate them to help restore plasticity, blood flow and normal tone and function?

Massage Therapists And Other Bodyworkers Are The Experts In Manipulating Muscles And Tendons To Help Them Heal!

I'm talking about Massage Therapists and other kinds of Bodyworkers, like Neuromuscular Therapists, (which is what I am.)

And sometimes other practitioners like Chiropractors – (Although their core training generally, historically doesn't include much if any soft tissue manipulation – It's mainly, if not exclusively, joint manipulation.)

If Tennis Elbow is a condition where muscles and tendons have become dysfunctional or abnormal (which it is) who better to treat it (or teach you how to treat it yourself) than someone who manipulates tendons by hand?

Now, I'm not claiming that we can “cure” all cases of Tennis Elbow in some absolute sense – Of course not…

But I've been specializing in treating chronic tendon problems, especially Tennis and Golfer's Elbow for about a decade and a half now, and I've had a very high success rate with my techniques, which are technically a form of “Massage” but much more specific than most forms of Massage Therapy.

See this article and video for an overview of the top three massage techniques I teach and use.

And I've been successful in teaching thousands of people how to treat their own Golfer's and Tennis Elbow online through my self-help programs over the past 10 years.

Or should I say “they've been successful in treating themselves?” since they're doing all the work!

Please check out my programs for Tennis and Golfer's Elbow and when you join I'll teach you those techniques, too!

Learn To Treat And Heal Your Own Tennis Elbow Or Golfer's Elbow At Home With This Video Program

Learn more about the Tennis Elbow program
You'll get instant access to a complete VIDEO program designed by a professional therapist to help you take charge and break your vicious cycle of pain and frustration!...

I'll be your personal tutor guiding you through step-by-step video lessons, where you'll get the therapy techniques, key stretches and essential exercises you need to treat and recover from your injury at home. (Without any special equipment.)

Tennis Elbow sufferers learn more and get started here: Tennis Elbow Program

Golfer's Elbow sufferers learn more and get started here: Golfer's Elbow Program

More Treatment-Related Articles For You:

Healing Tennis Elbow (Vid. Prev. Img.)

Healing Tennis Elbow: How Muscles And Tendons Heal

Why do muscles – and especially tendons – often take so long to heal?… WHY don’t they fully recover from injury – even when you follow the “official” Tennis Elbow treatment advice to the letter?... And why do those tendons so often get re-injured in spite of your best efforts?
Acupuncture for Tennis Elbow

Can Acupuncture Help Your Tennis Elbow Heal?

Is Acupuncture an effective treatment when it comes to encouraging Tennis Elbow healing – Or is it simply a good, safe, non-toxic way to temporarily relieve the symptoms? (Evidence suggests it may help relieve the pain – But the big question is “Will Acupuncture help you heal?”)

Tennis Elbow Surgery: When Is It Time?

If you have a stubborn, chronic case of Golfer's or Tennis Elbow, when is it 'time' to start thinking about surgery? – Here are five key things to consider, including whether you're a good candidate, the risks, recovery time and whether you've "tried everything!"

Supplements and vitamins for Tennis Elbow: Are they effective at helping it heal?

Tennis Elbow Supplements And Vitamins: Help You Heal Or Waste Of Money?

Herbs, nutrients, collagen, fish oil, omega 3s – What about Glucosamine and MSM? Here are the only two Vitamins you'll likely need to help heal your Golfer's or Tennis Elbow and why the rest are useless junk and a total waste of your money!

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Dog Walker’s Elbow? The Key To Healing Leash-Related Injuries Of The Wrist, Hand And Elbow

Can you get Tennis Elbow or Golfer’s Elbow from walking your dog? (You sure can!) Here’s the key to healing leash-related dog-walking injuries of the hand, wrist and elbow.

Filed Under: Treatments Tagged With: Lateral Epicondylitis, Physical Therapy, podcast, video

About Allen Willette, Neuromuscular Therapist

I'm a Neuromuscular Therapist in Marin County, California, and my passion for treating and teaching about Tennis Elbow began in 1990 when I developed a terrible case of wrist/elbow Tendonitis. (Involving the infamous BEE-Sting Story!) You're laughing WITH me - Right? - Here's my full bio

Comments

  1. Daniel says

    November 26, 2019 at 12:08 am

    Hi Allen.
    I have had tennis elbow in both arms on and off over the years. Over a year ago I got a partial 7mm tear in my right hand as confrmed by ultrasound. About 4 months ago I had a similar pain in my left hand. Ultrusound confirmed another partial 6mm tear in the other hand (left hand). Neither hand seems to be improving and it is affecting my ability to do things in life, it’s depressing. I just got my right hand looked at again on ultrasound again and now 11 months after the last right hand ultrasound that 7mm tear is now 6mm. Almost no healing! I have been to the physio who gives it dry needling but I can’t afford to do it often (4 times in the last 11 months). I don’t have much money. How can I get this healed?
    Thanks
    Daniel

    Reply
    • Allen Willette, Neuromuscular Therapist says

      November 26, 2019 at 11:40 am

      Hi Daniel,

      Are you planning on having surgery? It sounds like you’re a good case for it.

      My program could be helpful to you in the post surgical rehab process, but I don’t think you can expect to heal that kind of tear with anything short of surgery.

      If you’re just not willing or able to have surgery, and you’d be willing to work really hard and diligently on yourself for an unknown length of time, then my program might be useful to you.

      (Just because you have tears does not mean you will automatically be in chronic pain. You can still strengthen the good part of the tendons.)

      Here’s a couple of articles on my site that might be helpful:

      This first one explains the concept of working on the “good part”

      https://tenniselbowclassroom.com/videos/tendinopathy-physical-therapy/

      And this one is about considering when it’s time for surgery:

      https://tenniselbowclassroom.com/treatments/tennis-elbow-surgery-when-is-it-time/

      Hope that helps!

      Reply

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