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Tennis Elbow
Lateral epicondylitis, commonly known as tennis elbow, is a condition of the elbow that often causes pain on the outside of the elbow with lifting, gripping and activities that involve wrist extension.
The humerus of the upper arm and the radius and ulna of the forearm meet to form the elbow joint. The elbow is surrounded by many different ligaments, vessels, nerves, muscles, and tendons. One tendon in particular contributes to the pain experienced by a patient with tennis elbow. This tendon originates on the outside of the elbow on the lateral epicondyle and turns into the extensor carpi radialis brevis muscle. This muscle is in charge of wrist extension. When this tendon experiences a significant amount of force and repetitive strain it can develop microtears that lead to tennis elbow. Tennis players may be predisposed to developing this condition, but it is common in many different athletes. It is also common among patients who have occupations that involve repetitive motion of the wrist and elbow, such as painters and plumbers.
Athletes that have developed tennis elbow will generally present with pain over the outside of the elbow. You will likely notice that the pain is worse while using the wrist in an extended position. Your pain on the outside of the elbow may be worse with lifting and gripping activities. The pain usually originates at the elbow, but may radiate down the forearm and into the wrist. You may have point tenderness directly over the outside of the elbow or the lateral epicondyle. This tenderness is directly over the area where the affected tendon originates. Our doctors can usually diagnose tennis elbow with physical examination alone. On occasion, they may order an MRI to take a closer look at the tendons and surrounding structures, but usually this is not necessary. They may take an x-ray during your appointment to have a look at the elbow joint itself and rule out any abnormalities.
Initial treatment for tennis elbow will usually involve physical therapy and rest. Physical therapy can help stretch and strengthen the muscle attached to the affected tendon. Usually if physical therapy is prescribed, our doctors will recommend that you stick with it for at least 6 weeks to see if it actually makes an improvement. Oftentimes, patients are surprised by the improvement they have with physical therapy and they can return to their sport stronger than before. Our doctors may also recommend counterforce elbow brace and/or a wrist brace which can be used to help rest the affected tendon. Cortisone injections are generally not recommended for tennis elbow. Many times the cortisone can weaken the area of the tendon that is already damaged. The patient may notice immediate relief, but will likely have the same or worse pain once the cortisone wears off. If conservative measures do not seem to alleviate your pain or you have a more severe case our doctors will discuss other treatment options.
Platelet rich plasma injections can often be helpful for athletes that suffer from tennis elbow. Platelet rich plasma or PRP injections involve injecting the patient’s own platelets at a high concentration into the site of the tendon injury to promote further healing. This may be done as a step prior to pursuing surgical intervention. The procedure is less invasive and can be done in the office. It may take several rounds of injections for patient’s to notice an improvement in their symptoms.
When other treatment options are unsuccessful, surgical intervention is indicated. This usually involves debridement of the contributing ECRB tendon. The tendon debridement may be done open with a small incision directly over the area or arthroscopically with a camera introduced into the elbow joint. In either case, the ECRB tendon is identified and devitalized or frayed tissue is removed. This will promote healing and decrease pain. You will be placed in a soft dressing postoperatively and begin elbow range of motion right away. Physical therapy may be a part of your recovery process to help ensure you return to your sport safely. Generally, athletes can return to most activities within 4-6 weeks. Our doctors will follow you closely after surgery to ensure you are healing well and making improvements. They will let you know when they think it is safe to return to full play without restrictions.
Tennis elbow can cause serious setbacks for any athlete. Our goal at Modern Orthopaedics is for you to return to your sport better than before. This may take time and patience, but we want you to experience a full recovery. We understand that each athlete and sport is unique and we will develop your treatment plans accordingly. We want to understand your goals and help you reach them. Please contact our office to have an initial evaluation for elbow pain and receive superior care from our doctors and staff.
The humerus of the upper arm and the radius and ulna of the forearm meet to form the elbow joint. The elbow is surrounded by many different ligaments, vessels, nerves, muscles, and tendons. One tendon in particular contributes to the pain experienced by a patient with tennis elbow. This tendon originates on the outside of the elbow on the lateral epicondyle and turns into the extensor carpi radialis brevis muscle. This muscle is in charge of wrist extension. When this tendon experiences a significant amount of force and repetitive strain it can develop micro-tears that lead to tennis elbow. Tennis players may be predisposed to developing this condition, but it is common in many different athletes. It is also common among patients who have occupations that involve repetitive motion of the wrist and elbow, such as painters and plumbers.
The humerus of the upper arm and the radius and ulna of the forearm meet to form the elbow joint. The elbow is surrounded by many different ligaments, vessels, nerves, muscles, and tendons. One tendon in particular contributes to the pain experienced by a patient with tennis elbow. This tendon originates on the outside of the elbow on the lateral epicondyle and turns into the extensor carpi radialis brevis muscle. This muscle is in charge of wrist extension. When this tendon experiences a significant amount of force and repetitive strain it can develop micro-tears that lead to tennis elbow. Tennis players may be predisposed to developing this condition, but it is common in many different athletes. It is also common among patients who have occupations that involve repetitive motion of the wrist and elbow, such as painters and plumbers.
Athletes that have developed tennis elbow will generally present with pain over the outside of the elbow. You will likely notice that the pain is worse while using the wrist in an extended position. Your pain on the outside of the elbow may be worse with lifting and gripping activities. The pain usually originates at the elbow, but may radiate down the forearm and into the wrist. You may have point tenderness directly over the outside of the elbow or the lateral epicondyle. This tenderness is directly over the area where the affected tendon originates. Our doctors can usually diagnose tennis elbow with physical examination alone. On occasion, they may order an MRI to take a closer look at the tendons and surrounding structures, but usually this is not necessary. They may take an x-ray during your appointment to have a look at the elbow joint itself and rule out any abnormalities.
Initial treatment for tennis elbow will usually involve physical therapy and rest. Physical therapy can help stretch and strengthen the muscle attached to the affected tendon. Usually if physical therapy is prescribed, our doctors will recommend that you stick with it for at least 6 weeks to see if it actually makes an improvement. Oftentimes, patients are surprised by the improvement they have with physical therapy and they can return to their sport stronger than before. Our doctors may also recommend counterforce elbow brace and/or a wrist brace which can be used to help rest the affected tendon. Cortisone injections are generally not recommended for tennis elbow. Many times the cortisone can weaken the area of the tendon that is already damaged. The patient may notice immediate relief, but will likely have the same or worse pain once the cortisone wears off. If conservative measures do not seem to alleviate your pain or you have a more severe case our doctors will discuss other treatment options.
Platelet rich plasma injections can often be helpful for athletes that suffer from tennis elbow. Platelet rich plasma or PRP injections involve injecting the patient’s own platelets at a high concentration into the site of the tendon injury to promote further healing. This may be done as a step prior to pursuing surgical intervention. The procedure is less invasive and can be done in the office. It may take several rounds of injections for patient’s to notice an improvement in their symptoms.
When other treatment options are unsuccessful, surgical intervention is indicated. This usually involves debridement of the contributing ECRB tendon. The tendon debridement may be done open with a small incision directly over the area or arthroscopically with a camera introduced into the elbow joint. In either case, the ECRB tendon is identified and devitalized or frayed tissue is removed. This will promote healing and decrease pain. You will be placed in a soft dressing postoperatively and begin elbow range of motion right away. Physical therapy may be a part of your recovery process to help ensure you return to your sport safely. Generally, athletes can return to most activities within 4-6 weeks. Our doctors will follow you closely after surgery to ensure you are healing well and making improvements. They will let you know when they think it is safe to return to full play without restrictions.
Tennis elbow can cause serious setbacks for any athlete. Our goal at Modern Orthopaedics is for you to return to your sport better than before. This may take time and patience, but we want you to experience a full recovery. We understand that each athlete and sport is unique and we will develop your treatment plans accordingly. We want to understand your goals and help you reach them. Please contact our office to have an initial evaluation for elbow pain and receive superior care from our doctors and staff.
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We received full construction permits for our Paramus building today!! 🙌🎉 Wheels-up on full-on construction starting next week!
We can’t wait to introduce the finished product! We have an amazing design/architecture/build team that is about to deliver a first-class home for the new orthopedic hub of Bergen County!! 💪🦴😎
Stay tuned here for progress updates!!
@wellsarchitecture @mitradesignsstudio
@vda_designs
Visbeen Construction
#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease #totaljointreplacement #totalkneereplacement #totalhipreplacement
#shoulderreplacement
Introducing your ortho team…THE TEAM to trust! We are so grateful to have such a dedicated and hard-working staff. Get to know us…stay tuned for our NEW staff profiles coming soon!
Congratulations to @choiseppi and Matt Kraeutler for graduating from @st.joesortho orthopedic surgery residency program tonight! From all of us at @modernorthonj , it was a pleasure participating in your surgical education over the years. Best of luck as you embark on your sports fellowships and on what we know will be great careers!!
#teaching #orthoresidency
#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease
Cast Removal - 5 Fun Facts!
1. The cast saw blade doesn’t spin, it vibrates.👍
2. The saw blade is generally safe, and there is a layer of cotton underneath the fiberglass, but the blade can still cut skin if the operator is not skilled! 😳
3. The blade will generate heat - just like when rubbing 2 sticks together, the friction can heat things up quickly! 🔥
4. My heat management technique keeps things cool. 😎 **as you can see in video, I create a superficial cutting line first. Then I move the saw blade along the cutting line in several passes, using an up and down technique and being careful not to keep the vibrating blade in one spot too long.**
5. I always give my patients the option to keep their cast… but very few choose to keep it!!
@peterdenoblemd
#cast #castremoval #fracture #orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease
What’s in your water??
I want to make sure our amazing Paramus flagship location will deliver both cutting edge orthopaedic care AND a safe occupational environment for our patients and all-star staff!! This includes ensuring we have the purest possible water coming from all of its faucets! 💦
Today we tested for a variety of contaminants in our water including Arsenic, PFAS, chlorine, chlorine byproducts, and Uranium. 🫙
Big thx to @jennifer.vanbeekum for helping with our testing today, and to @healthyhomeexpert for her guidance over the years on how to create these safe occupational environments!!
#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease
@peterdenoblemd and @jennifer.vanbeekum watching backhoes dig dirt - it never gets old!
Currently establishing all of our drainage reservoirs. #Paramus #progress
@modernorthointheor
#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease
@peterdenoblemd & @davidratliffmd
We met 17 years ago, at the beginning of our orthopedic surgery training as co-residents at @montefioreorthoresidency in the Bronx.
Those were some amazing years, jam-packed with…
🥱5 years of daily 6AM rounds at Moses, Weiler, and Jacobi Hospitals
🦴Thousands of orthopedic surgeries
🦴 Hundreds of ER casts placed
🥷🏼Amazing mentors and co-residents who were instrumental in molding our foundational ortho knowledge and skills sets
🥪Late night tuna melts at NCB Hospital
👖 Oh, and apparently all during a time when parachute suit-pants were in vogue!! 🤣
Our paths diverged for a time during our specialty hand-to-shoulder fellowships at St-Luke’s-Roosevelt and University of Pittsburgh respectively and during the early years of our practices.
Now, fast-forward to today, and we are so proud to be practicing together and bringing our combined 35 years of ortho shoulder-to-hand expertise to Modern Orthopaedics of New Jersey! 🔥🔥
💪🖐We treat the most complex conditions of the hand, wrist, shoulder, and elbow, and have locations in Morris County, Passaic County, and (soon to be) Bergen County New Jersey.
Also, please follow us in the OR at @modernorthointheor
#orthopedics #shouldersurgery #shoulderscope #shoulderarthroscopy #handsurgeon #handsurgery #upperextremity #arthroscopy #orthopedicsurgeon #handtherapy #occupationaltherapy #physicianassistant #athletictrainer
Modern Ortho is a part of the NJAJ Boardwalk Seminar 2022!… and we are finally back in person! 🙌
Check us out at Booth #910 in the @harrahsresort exhibit hall. 😊
Also see what we do in the OR- follow us at: @modernorthointheor
@newjerseyjustice
#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease #personalinjury #personalinjurylawyer
Only fitting that our new Paramus building has some great bones 🙂
@peterdenoblemd @davidratliffmd @wellsarchitecture @vda_designs
#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #carpaltunnelrelease
Thank you @bmartinsports and all the therapists at @ivyrehab who came out for talks by our docs @peterdenoblemd and @davidratliffmd yesterday on athletic injuries in the shoulder wrist and hand. It’s always fun sharing our experiences over the years in getting kids back to sport! 💪🏀⚾️🤸
Much thanks also to Timothy Roy, PT, Adam Freitag, OTR/L , and Nina Nunez, OTR/L who gave great talks on the rehab of injuries from the shoulder to the hand.
Oh, and we ALWAYS appreciate support from our man @ohgi_bigfish !!
#orthopedics #upperextremity #shouldersurgeon #elbowsurgeon #handsurgeon #orthopedicsurgeon #handtherapy #orthopedicsurgery #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #rotatorcuffrepair #physicaltherapy