Comments on: ORTHOPEDIC QUESTION, SERIOUS! Please help if you are experienced in this field. I have been suffering from?

By: Jürgen

Jürgen — Wed, 09 Nov 2011 09:46:39 +0000

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By: Hoff

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By: mistify

mistify — Sun, 16 Aug 2009 00:00:10 +0000

First, let’s dicuss the issue of tendonitis. The term "tendonitis" is actually a misnomer because it infers inflammatory responses in the tendons. However, pathological studies show that there are vitually no inflammatory cells present in the tendons of said individuals with tendonitis. Rather, tendons are found to have celluar changes that include poor collagen formation and cross bridging. Therefore, it is not an "itis" (inflammation) issue, but a "pathy" (meaning a disorder or disease of) issue…thus, the new, more correct term is called tendonopathy. Previous therapies have been directed at reducing inflammation, rest, etc. These issues usually result in less pain because there is less mechanical force on the injured tissues. However, these therapies will not change the morphological structure of the tendon. Rather, "eccentric loading" exercises are now thought to break up the mal-formed cross bridges and reestablish healthy collagen fibers. These are usually exercises that involve a load that causes some degree of mild pain in a "lowering" type of motion…in the case of tennis elbow, it could mean focusing on the lowering of a weight from the extended wrist postion to the flexed position. Recent studies have shown that patients with achilles tendonopathy who engaged in eccentric loading therapies demonstrated positive tissue changes…however, at one year, about 1/3 of subjects that were no longer having pain after 1 year still demonstrated some degree of poor tissue quality. This implies that the time for this type of disorder to heal can be quite long…therefore, participants need to continue their program well beyond the length of time they spend in therapy. That being said, your repeated bouts of this problem may be simply due to:
1. Wrong treatment approach
2. Inadequate time for recovery

Yet, we do not know now is the nature of your work. Are you using your arms repeatedly throughout the day…and equally on both sides? Any time a disorder begins to occur bilaterally (on both sides of the body) and is also progressive despite medical treatment may be suspicious for underlying medical problems. This can be due either to disorders that affect the pain threshold response….such as smoking, depression, anxiety, fibromyalgia. Or this could be due to an entirely medical disorder of the tissue such as Ehrl-danlos syndrome.

So, you need to ask yourself…do I fit the characteristics of someone who has simply not had the right treatment or time for tissue recovery? Is the nature of my job consistent with my injury. If not, I would consider further medical work up…by a rheumatologist, psychologist, geneticst, etc…whatever that primary cause may be…it would require further discussion with your primary care physician.

Good luck

By: kitKat

kitKat — Sun, 16 Aug 2009 00:00:10 +0000

It is too long !!!!

By: JoeyJoeJoe

JoeyJoeJoe — Sun, 16 Aug 2009 00:00:10 +0000

First, let me say that I’m sorry to hear about how miserable you’ve been. It always takes a toll on you when you feel crummy and are limited by it.

I would strongly suggest you find another doctor. One you can really trust. If nothing else to get a second opinion. Because you can demand to have an MRI. It’s your health. And if it’ll make you feel better, the doctor should realize that and prescribe it for you. Tell him how crappy you still feel. Tell him you’re not ready to go back to work. And tell him you want to figure out what exactly is going on. If he’s still a dick about it, find someone else.