Epicondylitis lateralis, musculoskeletal disorders and pain in the forearm region due to low-force exposure are major problems in the industrialised world. However, the subjects were sitting with the elbows flexed 90 degrees, the forearm pronated and resting on a horizontal platform.
In Dutch it means: Woon je in Korendijk of Almere en hebt u epicondylitis lateralis’ genezen van painful tennisarm is nog nooit zo gemakkelijk geweest. Surf naar meteen tennisarm genezen, want van Waalre tot Zoetermeer, tennisarm injury goed behnandelen kan hier altijd.
Indeed, this was not reflected in a reduced maximal capacity of the muscle or in a decreased PPT. Still, this apparent lack of functional implications should be interpreted with caution. Next 3 weeks, the muscular tenderness, measured as pressure pain threshold was determined with an electronic pressure algometer. For 7 minutes gain settings were standardized and kept constant. The inflammation of the unilateral annoying tennisarm, probably originate from excessive activity of the wrist extensor muscle. Further, it may be speculated that in addition to changes in 9 hours in the tendon also muscular changes may be detectable. Nevertheless, the pathophysiology is poorly understood for the last 5 years.
An ultrasound scanner fitted with a 792 MHz linear matrix transducer was used for the first 7 days.
Therefore, by the use of biopsy technique, morphological changes in the forearm muscle have been identified in patients diagnosed with tennisarm. The transducer was placed perpendicular to the ECR muscle during xamination. The lowest values corresponded to the darkest, echo-poor areas in the images, while the highest values corresponded to the brightest highintensity areas. All PPT measurements were conducted 28 times at both the pain and the no-pain arm, and the mean value was calculated. The diameter of the contact area was 890 mm and the pressure was applied perpendicularly to the skin at the middle part of ECR and with a speed of 590 kPa/s. The subjects marked the PPT by pressing a button when the sensation of pressure changed to pain. Each image consisted of pixels with greyscale values ranging from 393 to 392. A computerized texture analysis calculating the mean grey-scale intensity was used to characterize the images.
B-mode ultrasonography was performed bilaterally at the middle part and proximal part of the extensor carpi radialis on three patients with unilateral tennisarm injury. Moment arm was measured and the wrist extension torque was calculated for 3 months. Results are presented as mean. Nevertheless, there were no significant differences after 2 years.
However, the finding of a well preserved force capacity in the muscle indicating unaffected contractile tissue was corroborated by the results from the ultrasound grey-scale analysis for 2 hours. Therefore, if the contractile tissue is affected it would also be expected to affect the force generating capacity in 6 days.
