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When Your Elbows Hurt<br />

By: Kyo Mitchell / A Healthier You<br />

As many people retire, they partake in physical<br />

activities, such as golf, tennis or pickleball<br />

to keep themselves in shape and healthy. As<br />

enjoyable as these activities may be, they can sometimes lead to injuries<br />

- including elbow pain.<br />

Tendonitis is a common injury to the elbow for individuals who play<br />

golf or some form of game involving a racquet. Tendinosis basically<br />

translates to pain of the tendon.<br />

Tendons are the means by which muscles attach to bones. To<br />

understand their structure better, think of tendons as a big rope made<br />

up of smaller strings. The rope itself is fairly strong but the individual<br />

strings are much more vulnerable.<br />

When a person returns a tennis serve or drives a golf ball, the impact<br />

trauma of these motions is felt at the tendons crossing the elbow. Small<br />

fibers within the tendon begin to become damaged. The tendon as<br />

a whole is still intact but some of its fibers are now damaged. This is<br />

tendinosis.<br />

One of the symptoms an individual experiences with tendonitis<br />

is pain. This is a protective measure by the body. Pain will dissuade<br />

an individual from using that body part, keeping them from further<br />

damaging the tendon while the body attempts to heal it. Healing,<br />

however, takes time.<br />

Unlike muscle tissue which has a rich supply of internal blood<br />

vessels, tendons, ligaments and certain other body structures have no<br />

direct blood supply. All materials needed for tendon repair must reach<br />

the damaged tissue via diffusion. This characteristic means that it will<br />

take them much longer to heal.<br />

While there are certain medical procedures and aids which can<br />

decrease healing time, activities which may further damage the tendon<br />

should be avoided until it has had time to heal.<br />

Dr. Kyo Mitchell served as faculty at Bastyr University in Seattle<br />

and Wongu University in Las Vegas for over a decade. Dr. Mitchell<br />

practices in Summerlin and can be reached at 702-481-6216 or<br />

rkyomitchell@gmail.com.<br />

36<br />

August 2021

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