User Tag List

Page 1 of 2 1 2 LastLast
Results 1 to 17 of 34
  1. #1
    Moderator
    Join Date
    Apr 2002
    Location
    Outside the box
    Posts
    13,265
    Mentioned
    33 Post(s)
    Tagged
    1 Thread(s)

    Default Medial epicondylitis / Golfer's Elbow - what an experience...

    Medial epicondylitis is a recurring theme in the injuries forum as can be seen from some of the links below.

    http://www.badmintoncentral.com/foru...ght=elbow+pain

    http://www.badmintoncentral.com/foru...ght=elbow+pain

    http://www.badmintoncentral.com/foru...ght=elbow+pain

    http://www.badmintoncentral.com/foru...and-elbow-pain


    I have just suffered from this. The background is very interesting and I want to share some of my experiences.

    You can find a synopsis of Golfer's elbow in this link

    I have been using the same model of racquet for the last ten plus years. My usual tension is to have thin gauge strings (0.67-0.68mm) pulled around 26-28lbs. I am pretty conservative about strings having four of the same racquet strung with the same strings at the same tension in my bag.

    I'd been using nanogy 98 at 28lbs for a while now but the stringer is getting reluctant to string to that tension citing damage to the racquet. So in a compromise, I dropped the tension to 26lbs and asked him to use BG66. The stringer is a usual stringer and a pretty good stringing pattern. I get three racquets back and start playing with them immediately.

    Unfortunately, this period also coincided with me getting less practice time. When I came back, the shuttle feels a bit dead on my strings. I put it down to my lack of practice - after all, the strings are still pretty new. After a couple of weeks, 'bam' - on a smash, the inside of my elbow feels like it had a mini-explosion. I had to stop the game immediately and ice it. I know it's Golfer's elbow - don't ask why I am so sure

    I give the arm a few weeks rest but not much other treatment. It used to hurt when picking up bags but it does get better. At this stage, I try getting back on court. Nope, I can still feel it and dare not put any strength into pronation. That means clears become 3/4 length and smashes are no-go at all.

    Hmm, so it's not that simple a problem to solve after all. Luckily, finding a physiotherapist is pretty convenient. I know physios come in different shapes and forms (no, they are not beings from outer space). The physio I go to happens to be involved in sports medicine and has a Masters degree. I imagined I'd get some exercises to work on the affected area and this would solve the problem.

    Strangely, the physio asks to look at my posture, raise my arms, lower my arms, raise one arm on its own and then the other arm. The physio then presses my neck and shoulder and ribs. This is all very well but my problem is the elbow - isn't that the interesting area? The physio explains a lot is due to posture problems and diagnoses a very stiff right side of my body. I have some skepticism until the physio starts pressing certain areas on the right side (neck, ribs, leg) which hurt but pressing the equivalent place on the left side of my body cannot reproduce the pain. This starts to convince me there is something deeper than just my elbow. The first session gets me these painful prods and some stretching exercises to do. I have to admit I have been rather lazy with my pre-badminton stretching in recent times. I used to have a very good stretching routine that originally came from martial arts.

    This take home stretching exercise I found particularly useful. Go to 2.10 of the clip



    It's something I do daily and very easy to do. There are a couple of other exercises but I haven't found the clips on youtube.


    After a few sessions being poked on and the stretching, the physio says I have to work certain muscle groups for injury prevention. I will be embarking on this stage soon.

    I go back and play a bit with the racquets and also try out s couple of new racquets for review. I look back at my racquets and notice something a bit strange. My BG66 doesn't look like BG66. It's marked BG85 but the gauge seems pretty thick. Almost, BG65 thickness. I didn't even check the strings when I got the racquet back. Eventually, it seems the cause of the elbow pain has two origins. One, my technique has got worse - I knew it's been slacking for the last year or so from an irregular playing schedule. Two, the change of strings pushed the elbow over the edge....

    So the plan is to do some rehab exercises strengthening my lower body and deficient muscle groups, work on my overhead technique (using more hip and body rotation), continue the stretching exercises and hopefully cure the Golfer's elbow.

    Seems like a lot of work - strange but true!

  2. #2
    Regular Member visor's Avatar
    Join Date
    Dec 2009
    Location
    Vancouver, BC
    Posts
    9,361
    Mentioned
    102 Post(s)
    Tagged
    1 Thread(s)

    Default

    Wait... so you asked for BG66 and you got BG85 instead? And you haven't scolded your stringer yet?

    And you still using 2u or 3u Cab 20? What's their bp and wt?

    Oh... and stop playing so much golf...

  3. #3
    Moderator
    Join Date
    Apr 2002
    Location
    Outside the box
    Posts
    13,265
    Mentioned
    33 Post(s)
    Tagged
    1 Thread(s)

    Default

    Using 2U Cab20's - the original version.

  4. #4
    Regular Member visor's Avatar
    Join Date
    Dec 2009
    Location
    Vancouver, BC
    Posts
    9,361
    Mentioned
    102 Post(s)
    Tagged
    1 Thread(s)

    Default

    So the obvious question is... how come you haven't changed to something like Arc 7/10/11, or similar. There are many newer rackets that are more powerful and require less effort than Cab 20.

  5. #5
    Regular Member visor's Avatar
    Join Date
    Dec 2009
    Location
    Vancouver, BC
    Posts
    9,361
    Mentioned
    102 Post(s)
    Tagged
    1 Thread(s)

    Default

    Oh.. and grip size? You probably know that too big will cause this problem.

  6. #6
    Regular Member
    Join Date
    Mar 2008
    Location
    Canada
    Posts
    2,873
    Mentioned
    12 Post(s)
    Tagged
    0 Thread(s)

    Default

    When we're young, we smirk at those old guys with braces and straps who do extensive warm-ups. Pathetic weaklings!

    But as the decades add up, the habits of bad posture and long work hours put us at risk for a night like Cheung's: fine.. fine.. Yee-ouch! Old tendons fray and snap like dried-up elastic bands.

    Cheung's therapist is so right. You have to look not just at the sore spot, but at the imbalances that led to the injury. Eg. Scapular exercises help the rotator cuff ; strong abs and flexible hamstrings help the back; etc.


    Really like your physio's approach , Cheung! :-)
    (Of course there is the other common strategy suggested by visor: everything can be fixed by buying a new racket ;-) ).

  7. #7
    Regular Member visor's Avatar
    Join Date
    Dec 2009
    Location
    Vancouver, BC
    Posts
    9,361
    Mentioned
    102 Post(s)
    Tagged
    1 Thread(s)

    Default

    ^ Hey... the next best thing to a new arm is a new racket!

  8. #8
    Moderator
    Join Date
    Apr 2002
    Location
    Outside the box
    Posts
    13,265
    Mentioned
    33 Post(s)
    Tagged
    1 Thread(s)

    Default

    Quote Originally Posted by visor View Post
    So the obvious question is... how come you haven't changed to something like Arc 7/10/11, or similar. There are many newer rackets that are more powerful and require less effort than Cab 20.
    Quote Originally Posted by visor View Post
    Oh.. and grip size? You probably know that too big will cause this problem.
    More accurately, I have been using these racquets since 1999, kept the same diameter of grip (which is not thick) and not had golfer's elbow before.

    Therefore, I don't believe it is a problem with the racquet.

    But yes, a good question on why I haven't changed racquets in all these years. Err, well, number 1 - the cab20 is simply a great racquet - let's see, the 2000 Olympics and 2003 World Championships were won with this model. From a marketing point of view, that's bad news for Yonex for a World Champion to still be using a model that was released in 1984-5. They probably pushed newer players to use the new models. Number 2 - the racquets haven't broken yet so no good reason to buy another racquet..... The last racquets I bought were last year. 3 more cab20's second hand at a good price

    I will change racquets if I get some sponsorship. hahaha.

    Really, the main point is from this experience is that changing strings will be a big factor in the developing medial epicondylitis. Any change of string and tension has to be done gradually. Prevention is better than a cure.

    The second point is for the cure, it's not such an easy process. Most of us would think of going to a doctor who can do the diagnosis and not to a physiotherapist. Very few doctors would actually know what the physio can do to help cure. My post is there to show the appropriate physiotherapist can offer more help. I have to pay for my sessions but I think it's worth the cost. YMMV for other people regarding the cost aspect.
    Last edited by Cheung; 06-06-2013 at 08:21 PM.

  9. #9
    Regular Member visor's Avatar
    Join Date
    Dec 2009
    Location
    Vancouver, BC
    Posts
    9,361
    Mentioned
    102 Post(s)
    Tagged
    1 Thread(s)

    Default

    If everyone were like you with your Cab 20, the wheels of commerce would grind to a screeching halt.

    But seriously, have you tried out other rackets and what did you not like about them?

  10. #10
    Regular Member visor's Avatar
    Join Date
    Dec 2009
    Location
    Vancouver, BC
    Posts
    9,361
    Mentioned
    102 Post(s)
    Tagged
    1 Thread(s)

    Default

    And if you feel such a noticeable difference with different string and tension, wait till you try out different rackets.

  11. #11
    Regular Member
    Join Date
    Nov 2009
    Location
    Jakarta/Singapore/Sydney
    Posts
    409
    Mentioned
    3 Post(s)
    Tagged
    0 Thread(s)

    Default

    Quote Originally Posted by Cheung View Post
    Really, the main point is from this experience is that changing strings will be a big factor in the developing medial epicondylitis. Any change of string and tension has to be done gradually. Prevention is better than a cure.
    That is 100% correct.

    Lessons learnt, I was carelessly increased the string tension of my rackets quite drastically and here I end up with golfer's elbow. I used to think that I've had played with a higher tension (~30lbs) in the late 90s during my younger days, so I thought it's gonna be fine to do the same. However, after almost a decade long of "No Badminton" period, these old muscles are not as strong and flexible as they were, it's time for them to take their tolls

    Cheung, I have a couple of questions regarding your experience :

    1. After you realized that your elbow was injured, did you totally rest and stop playing at all ?
    2. What are the indications that made you think you're able to start to play again ?
    3. Did you use cold/ice or warm treatment before you do the stretching ?
    4. What are the indications that made you think you're able to start to play again ?
    5. What string are you using now ? Would it help if you switch to a softer ones (i.e. BG70 or BG68Ti ) ?


    Thanks again for sharing this post.

  12. #12
    Regular Member visor's Avatar
    Join Date
    Dec 2009
    Location
    Vancouver, BC
    Posts
    9,361
    Mentioned
    102 Post(s)
    Tagged
    1 Thread(s)

    Default

    Good point above about string feel. Your previous Nbg98 is medium whereas Bg80/85 is vectran based and is very hard feel.

    So, a mishit on a power shot like a smash in your case can result in harsh vibrations and forces going up to your arm instead of into the shuttle. That's what you felt as a mini explosion.

    Moral of the story: use softer feeling strings and lower tension.

  13. #13
    Regular Member visor's Avatar
    Join Date
    Dec 2009
    Location
    Vancouver, BC
    Posts
    9,361
    Mentioned
    102 Post(s)
    Tagged
    1 Thread(s)

    Default

    And if you're willing, sometimes chinese teetda can fix sprains and tendinitis that physio can't.

  14. #14
    Moderator
    Join Date
    Apr 2002
    Location
    Outside the box
    Posts
    13,265
    Mentioned
    33 Post(s)
    Tagged
    1 Thread(s)

    Default

    Quote Originally Posted by visor View Post
    If everyone were like you with your Cab 20, the wheels of commerce would grind to a screeching halt.

    But seriously, have you tried out other rackets and what did you not like about them?
    Quote Originally Posted by visor View Post
    And if you feel such a noticeable difference with different string and tension, wait till you try out different rackets.
    LOL, yes. I am tough nut to crack when it comes to buying a new racquet - if a salesman can get me to buy a new racquet, that person should be awarded a medal.

    Yes, I have tried other racquets. It's not about what I don't like about them. It's more of a case of "what more than they offer given the price" especially as I would buy 3 of the same model at the same time. People who live in more exotic places such as UK, Canada, Australia are seemly able to keep changing racquets every year...

    And if you're willing, sometimes chinese teetda can fix sprains and tendinitis that physio can't.
    I haven't written about that as it's not available in lots of parts of the world. But, yes, it's an option if accessible.

  15. #15
    Moderator
    Join Date
    Apr 2002
    Location
    Outside the box
    Posts
    13,265
    Mentioned
    33 Post(s)
    Tagged
    1 Thread(s)

    Default

    Quote Originally Posted by quixilver View Post
    That is 100% correct.

    Lessons learnt, I was carelessly increased the string tension of my rackets quite drastically and here I end up with golfer's elbow. I used to think that I've had played with a higher tension (~30lbs) in the late 90s during my younger days, so I thought it's gonna be fine to do the same. However, after almost a decade long of "No Badminton" period, these old muscles are not as strong and flexible as they were, it's time for them to take their tolls

    Cheung, I have a couple of questions regarding your experience :

    1. After you realized that your elbow was injured, did you totally rest and stop playing at all ?
    2. What are the indications that made you think you're able to start to play again ?
    3. Did you use cold/ice or warm treatment before you do the stretching ?
    4. What are the indications that made you think you're able to start to play again ?
    5. What string are you using now ? Would it help if you switch to a softer ones (i.e. BG70 or BG68Ti ) ?


    Thanks again for sharing this post.
    Answers

    1) First injured the elbow. Ice and total rest for 2-3 weeks
    2) Reduction in pain
    3) No, just do the stretch and hold for 20 seconds
    4) Less discomfort
    5) a) Oh good question. I have just received a newly strung racquet and am testing one of the Adidas strings.
    b) Softer strings? Not really. Softer strings don't give the same feedback. I was trying too hard to make the shuttle work for me with a softer string and then got injured. The strings I normally use don't 'fight me'.

  16. #16
    Regular Member
    Join Date
    Nov 2009
    Location
    Jakarta/Singapore/Sydney
    Posts
    409
    Mentioned
    3 Post(s)
    Tagged
    0 Thread(s)

    Default

    I've been totally resting about one week and doing similar stretching exercise as the video above at the same time. The stretching takes about 20-30 secs for each direction and repeated 2-3 times. I try to do it 3-4 sessions daily. Beside that, I take high dossage of fish oil (31500mg) daily to reduce the inflammation.

    The pain is significantly reduced but some movements and pressure on the palm are still causing a bit discomfort on the affected area of the elbow.

    Will continue to keep doing the same remedy and see how it goes after 2 weeks.

  17. #17
    New Member
    Join Date
    Jun 2013
    Location
    USA
    Posts
    4
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)

    Default

    You can do the same exercises for golfers elbow as you do for tennis elbow. The only difference is the location of your injury(golfers elbow - inside, tennis elbow - outside).

    Re-evaluate your technique and form and keep up with the stretches and exercises. This is a recipe for success.

Page 1 of 2 1 2 LastLast

Bookmarks

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •