An Advanced Look Into Causation, & Possible Conservative Treatment Options for Tennis Elbow, Golfers Elbow
Step 1: Reduce The Initial Inflammation
Inflammation is the body's natural response to an immediate elbow injury and is a normal part of the healing process - helping to reduce tissue infection in the early stages of injury. Swelling, pain, heat sensation, redness, and loss of function are the main symptoms experienced.
The combination of rest, topical pain relief cream and minor amounts of cold is the gold standard in medicine for minimizing tissue damage and reducing inflammation after injury or activity. It serves as a critical bridge into the next phase of the healing process.
Step 2: Enhance Blood Flow to the Injured Elbow & Surrounding Tendons, Muscles & Ligaments
Tendons,ligaments, cartilage, and some muscle fibres are dense tissues - as a result, they naturally receive limited blood flow. Limited blood flow may not seem like an issue when everything is working fine, but this is precisely why injuries to these tissues take so long to heal. When dealing with injured soft tissue - the real conundrum is how to increase blood flow to these tissues to help the body heal the injury.
- Rigorous exercise is out of the question as it will lead to further injury.
- Visits to the clinic are helpful, but that only happens a few times a week.
When you have a muscle or tendon injury, there is reduced blood flow to the injury site - inflammation and reduced movement (lack of activity or on-going immobility) will reduce the flow of blood - and if you think about it, this makes sense. Moving the joint(s) where there is swelling is very painful, so it is very common for elbow tendonitis sufferers to have significantly reduced mobility; over time, this leads to atrophy - a shortening of muscles, tendons and ligaments in the elbow joint. As the elbow slowly heals, you run a high risk of straining your muscles and tendons as they have become shortened due to lack of use - leading to more soft tissue injures and possibly putting you into a chronic soft tissue injury cycle.
It is through the blood the body carries the nutrients and oxygen that injured tissues rely on for recovery.. It is well known that increased blood flow helps your body accelerate the healing process.
Step 3: Recognize That Healing is a Process
With dedication, the right tools, and the right information - you will achieve your goal of a sustainable recovery. A combination approach of cold compression, TShellz Wrap® treatments, and functional movements should make it happen much more quickly.
In our experience, soft tissue repair rates via conservative home treatment methods using a dedicated, comprehensive approach have surprised many of our clients, but will differ from person to person. In nearly all cases, however, it is very important to stop whatever you were doing that created the injury in the first place (ie. tennis, golf, swinging a hammer, etc).
If you have questions, we welcome you to call our office toll-free at 1-866-237-9608 (Continental US), or Internationally at +1-705-532-1671.
What Is Tennis Elbow? ... What Is Golfer's Elbow?
Epicondyle: any of several prominences on the distal part of a long bone serving for the attachment of muscles and ligaments. Those bony bumps on the inside and outside of your elbow are called epicondyles.
Epicondylitis: inflammation or damage to the area of an epicondyle of bone.
Tennis Elbow and Golfers Elbow are two different manifestations of epicondylitis and are very painful. These injuries typically "flare up" over a period of years unless treatment is properly addressed. The most common reason for these injuries is from repetitive motion tasks, and the first thing your physician will tell you is to stop doing whatever it was that caused this problem in the first place. This is a big problem for many patients when you are trying to heal this injury, as it typically means you have to stop working. If this sounds like you, then you know how important it is to heal your elbow injury quickly and make sure it doesn't happen again when you get back to work.
Tennis Elbow is a form of tendinosis that is derived from swelling and tenderness on and around the extensor tendons that attach to the lateral epicondyle (small bony part on the outside of your elbow). Tennis Elbow affects tendons located in your forearm that are used for extension of your wrist and fingers.
Golfers Elbow is also a form of tendinosis that is derived from swelling and tenderness on and around the tendons that attach to the medial epicondyle (small bony part on the inside of your elbow).
The affected tendons are just different than that of tennis elbow. Golfers Elbow affects the tendons in the forearm that are used for flexion of the wrist and fingers (ie. make a fist).
Golfer's Elbow = Tendinosis on the Inside of the Elbow (medial)
Tennis Elbow = Tendinosis on the Outside of the Elbow (lateral)
What is Tendinosis?
Tendinosis is a non-inflammatory degeneration of the collagen fibers of a tendon.
When you are diagnosed with tendinosis, one or more of the extensor tendons in your forearm have become chronically damaged. This means that the speed of tissue damage has exceeded the healing process over a significant period of time. Eventually the accumulation of damage to the tendon is not able to heal properly - the tendon fibers break down to a point where the once straight, strong, flexible bundle of collagen fibers become weakened by abnormally formed fibers that look more like a mess of strands.
Tendinosis tissue breakdown is often caused by repetitive stress on the tendon fibers. This means that tendons suffer from overuse without enough time to rest in between. Lack of adequate rest means the tendon's fibers haven't had enough time to heal properly before they are stressed again.. and as such sustain even more damage. Tendinosis can also occur following an acute injury to the tendon, however, it does not appear until long after the injury occurs. If an acute injury is not given enough rest to heal, re-injury may continue to occur faster than the tendon can heal. This will eventually lead to degeneration of the collagen fibres as well.
Since there is no inflammation with tendinosis you may not experience swelling, heat or redness; however, you will experience pain, tenderness and stiffness within the tendons of the elbow and forearm where the tissue degeneration has occurred. When severe enough, the pain will radiate into the hand and even into the fingers.
Tendon damage and/or tendinosis damage are quite common in the elbow joint as these tendons are subjected to high levels of tension on a frequent basis. The extensor tendons (used when extending wrist and fingers) and flexor tendons for closing wrist and fingers) are used in thousands of tasks, often handling very high levels of stress. Combined, these 2 sets of tendons handle almost every task imaginable (ie. handshake, typing, driving, using a hammer/racquet/tv remote/phone, golfing) that you might do with your hands, forearms or fingers and partly for such reasons, healing can take a long time. Especially without proper treatment.
Continuous re-injury and build-up of scar tissue while staying active means you will have a greater chance of winding up with on-going elbow pain, more tearing in your tendon, tendinosis (thickening of your tendon) or even a full rupture.
If you have pain and inflammation in the tendons of your elbow or muscle tissue, it's very important to heal your injury completely. You must avoid the buildup of scar tissue (and the corresponding mobility limitations that inevitably follow). If you don't, your elbow injury may plague you forever. This is why it is so important to continuously use conservative treatment tools to heal recurring soft tissue damage before it can build into something much bigger.
For Tendon Injury sufferers, having the right tools means all the difference.
3 Grades of Epicondylitis (Tendinosis at the Epicondyle)
Grade 1 Epicondylitis
This is the mildest form of the condition, and is characterised by the feeling of a general ache in either the lateral (tennis elbow) or medial (golfer's elbow) part of the elbow, radiating into the forearm. The feeling occurs during the activity and slowly disappears once the activity is stopped. If a correction to the activities is not made, then the condition will progress to a grade 2 level. Correction to the activity could include changing routines (injury due to repetitive movement), the way the activity is performed (mechanics of form/performance) and/or more rest period length between activity periods.
Grade 2 Epicondylitis
A grade 2 epicondylitis condition typically means that the pain becomes more pinpointed and tender at the epicondyle location. Edema (excess fluid build-up) often occurs at this stage, and the symptoms continue to occur even after the activity is stopped.
As a tennis elbow condition progresses, tingling in the thumb and index fingers may occur with radiation of pain along the forarm.
As a golfer's elbow condition progresses, tingling in the two smallest fingers may occur with radiation of pain along the forarm.
Grade 3 Epicondylitis
If you are suffering from a grade 3 epicondylitis condition, the pain, swelling and tissue damage are now causing weakness that is interfering with your day to day activities. Further to this, you will now be involuntarily compensating for this pain by using your shoulder, neck and thorax rather than your elbow when performing activities.
What Having Epicondylitis Really Means
Epicondylitis injuries can and do persist for years unless treatment is properly addressed. They are quite common because the elbow joint is in constant use during an average day. Everyday tasks such as holding a mobile phone, using a keyboard, and leisure activities can contribute to a gradual weakness in the elbow - this makes the muscles and soft tissue within the elbow joint prone to straining, tearing and degeneration over time. One of the most commons ways to contract epicondylitis is through overtraining - as it is easy to overdo and not really notice a problem until it is already too late.
The biggest challenge one will face with a tennis elbow or golfer's elbow injury is at work. It is highly probable that when at work you will be stressing the elbow is some form or other. In an office setting, sitting for extended period of times and working at a keyboard will stress the forearms, as does repetitive tasks in professions such as dentistry, cooking and others that require gripping or constant hand & arm motion. For tradespeople, warehouse workers, and those in a factory setting, there is constant lifting and moving - both of which greatly stress the elbow joint.
This is why it is important to heal your elbow tendinosis injury quickly and effectively - so you can start living a normal life again; both at home and at work.
Elbow injury sufferers will always be at risk of re-injuring their elbow. It's just not possible to stop everything and rest the injury properly. Everyone has demands that make them keep going and when we are active we prevent the elbow from healing completely.
An Elbow Tendinosis Injury Does Not Have to Persist For Months Or Longer. Here is Why It Does For Many
Recovery from an elbow tendinosis injury can take a long time, especially when some of the less effective, traditional methods are utilized. This is simply because many treatments either focus on masking of pain or are too inconsistent to provide sustainable improvement.
1: Tennis Elbow / Golfer's Elbow Sufferers Continue to Aggravate & Re-Injure Their Elbow
It goes without saying that anyone suffering from a soft tissue injury in the elbow should want to minimize their chance of worsening the injury, or re-injuring it once it has started to get better. Obviously, a worsening injury will delay the healing process, but what's worse is that every re-injury and additional healing cycle increases the amount of time that your joint is immobilized. Time is no friend to an immobilized joint - you lose strength in the joint but worse than that, you lose the range of motion in your joint via atrophy (your flexible tendons, muscles and ligaments slowly shrink, decreasing joint elasticity). The more time that goes by with an immobile joint, the more likely you will wind up with a chronic joint problem (long term injury such as tendonitis or persistent bursitis pain). Basically it means that your joint will not perform as well as it once did and it becomes more prone to injury again later on.
If you have a tendon or muscle injury in your elbow, it's very important to heal it quickly and completely. Minimizing the healing time of your injury should be an obvious goal, as a painful elbow injury will typically limit your ability to go about your daily routine. It is generally accepted that tennis elbow will last anywhere from six months to 2 years; if left untreated, pain that started at the elbow will travel down the arm to the wrist. Eventually, simple tasks such as shaking hands or turning a key in a lock can become so painful it becomes impossible.
2: Anti-inflammatory injections Can Cause More Harm Than Good
A steroid injection can be quite powerful in helping reduce inflammation and/or pain. Keep in mind that it is generally recommended that no more than 3 or 4 injections per year are advised. Further to this, these are often not appropriate for people with some metabolic conditions as such an injection can raise blood sugar levels. The issue we find with anti-inflammatory injections is that people get a false sense that their injury is healed because they are not experiencing the pain they once did. Some individuals even engage in activities they should not be doing because they "no longer feel pain". Once the effects wear off in a week or a month, people often find their condition persists . This of course, results in a prolonged recovery. This is why we are seeing less anti-inflammatory injections into tendons; there are many downsides as outlined here (https://www.ncbi.nlm.nih.gov/pubmed/24074644).
3: Visits to the PT Clinic Helps (We Always Recommend It), But It Can Be Costly And Inconvenient
While the benefits of PT are very real and we believe it to be integral for recovery from soft tissue injuries, the problem is that people only attend sessions a few times a week.
To truly provide a long term solution to combat chronic tendon damage, you need to be receiving multiple treatments on a daily basis and get rid of the damage asap... and not just any type of treatments, but ones that focus on generation of new healthy tissue - along with proper synthesis of that tissue as well.
Treatments for tendon and muscle injuries are cumulative in nature...meaning the more the treatments are administered, the faster the benefits can be experienced.
Who these days has time to visit a therapist on a daily basis? Not only is your time limited, but the cost of daily PT sessions is out of reach for most people.
Therefore, the focus needs to be on adding treatment options that can be done frequently, from the comfort of your own home (and even the workplace if the opportunity presents itself). We will discuss these options later on down the page.
4: People Tend To Focus Too Much On Cold Treatments
This is the third and final reason for extended soft tissue injury causes. We see it all the time - people for weeks and even months only focus on using cold.
Doing too much cold will actually inhibit the recovery because you are starving the injured tissues of the blood flow they need to repair and rebuild the collagen. Cold restricts the vessels - reducing the blood flow to the tissues that truly need it most.
Cold treatments should be more focused on in the earliest stages of an injury with much less focus in the mid and latter stages.
The truth is, there will always some mild inflammation associated with tissue injuries. However, that inflammation will always remain UNTIL you begin to focus on healing the tissue. Once soft tissue begins to heal, the inflammation will then subside more permanently - not just temporarily like with cold treatments.
As an analogy, think of a home with a leaky roof. You can place a bucket on the floor of the attic whenever it rains - and this will help temporarily, but does it truly address the situation? Obviously the answer is no. Not until you focus on repairing the structural issues with the roof - will the problem be actually solved.
The same concept applies to injured soft tissue - you need to focus on reinforcing growth of flexible, strong tissue. To do this, you need more blood flow reaching them, not less.
Tennis Elbow & Golfer's Elbow Injuries - They Certainly Are Life Changing Aren't They...
If you've been living with the agony of an elbow tendinosis injury for some time now, it's almost a sure thing that you're feeling discouraged, tired, and worn-out. Seemingly simple chores are now impossible - like attaching your seat belt or putting away groceries. The constant elbow and forearm pain has no doubt interrupted your time at the computer, just adding to the long-term misery that this condition can bring on.
A long-term tendon injury to the elbow can cause extreme pain and reduce your ability to move. It can be very challenging to keep a positive attitude and outlook when suffering from the pain and immobility that this condition can bring. As you know it is just as challenging to keep from re-straining the muscles and tendons that make up the elbow - this is really the core issue of tendinosis... re-injury.
If you choose not to deal with your epicondylitis, you may end up in a long term downward spiral. What ends up happening is that the elbow pain will freeze you up over a long period of time, cause overcompensation injuries, and decrease the range of motion in your affected joint (which can by itself cause secondary soft tissue injuries). This will definitely set back your recovery and in some cases, it can trigger a long term problem that never goes away (reduced joint mobility, tendonosis, athritis, numb fingers). Believe me when I say this - it is important to not ignore your elbow tendon injury.
Tennis Elbow Is A Painful, Persistent Injury:
It Can Lead to Other Conditions and Injuries.
Every time we use our injured elbow, damaged and swollen tendons and muscle tissue move; when they are inflamed, every movement hurts. With injured tissue, pain happens - sometimes a LOT of pain, so we try not to move it. So, when doing something we need to use our elbow for (getting dressed, driving, talking on the phone), we start to use the shoulder and even the neck more. If we can, we use our other elbow instead, even though it is inconvenient and usually the non-dominant elbow.
A couple days later (after purposefully avoiding movement of our elbow), the pain has gone down (as well as the swelling) and this is where the trouble begins! The pain disappeared with the swelling but we still aren't fully healed! Not knowing this, we start using our elbow normally again and then the pain shows up again like it did before - all because the injury wasn't fully healed in the first place.
Eventually, we use the other elbow more and more - or even use our shoulder and neck instead of our elbow for a lengthy period of time. This is why these other areas start to hurt - they are being overused now. Soon, aches and pain can become commonplace in the upper body - all as a result of the original elbow injury and the body's instinctive nature to "protect" the orginal elbow injury - all because the injury wasn't fully healed in the first place!
We continually re-injure the elbow through our daily activities and now this injury has become a chronic elbow injury.
Muscle imbalances result, placing tension on bone and softer tissues - leading to a misalignment within the upper body. The extra stress on the opposite side of the body will also result in weakness and fatigue of the tissues - increasing the chances they can eventually be injured or gradually degenerate. This is a textbook example of how you get an overcompensation injury. In some cases, physical therapists warn that overcompensation can be very dangerous as it will affect gait or alignment on a permanent basis.
An injury to one elbow can easily lead to straining in other areas, making an overall recovery hard to initiate. For example, a serious muscle strain in the right elbow can often lead to over-straining of the left elbow. Most commonly, the injury occurs on the dominant side, so the risk of straining the other (weaker) side increases. The longer the injury (and corresponding pain) persists, the greater the chance that you will sustain more strain from overcompensation, eventually leading to issues in those areas as well. To minimize potential secondary injuries, know that it is important to deal with your elbow injury quickly and completely.
Truly, chronic elbow injuries can become a vicious cycle - which is why it is absolutely critical to focus on methods that improve and strengthen the injured tissues in a timely manner. The faster you truly heal, the less chance you have of sinking into a downward spiral of re-injury, scar tissue growth and overcompensation injuries.
Okay, So I Have an Elbow Tendon Injury...What Should I Do Now?
If you unsure about what is causing your elbow pain, the first thing to do is consult your physician; only your physician can give you a proper diagnosis and from this, determine a course of proper treatment. After seeking medical advice, your physician will determine the degree of severity, whether infection is present (important!) and map out a treatment plan for you. In some cases, your physician may recommend surgery, in which case a conservative treatment protocol would be recommended after your skin heals up from surgery.
For non-surgical cases, your physician will almost always recommend conservative treatment options. A general outline of our conservative home treatment recommendations follow..
Stage 1: If the elbow injury is very recent - use a good quality cold pack and Arnica Pain Relief Cream.
Note: If you are suffering from a tendinosis injury that has been going on for awhile, then skip the cold treatment as inflammation will be minimal. Anytime you are experiencing significant pain, you may find our Arnica Infusion Pain Relief Cream to be quite helpful.
If you are experiencing pain and swelling in the very early stages of the injury (first 48 to 72 hours), the first step in a conservative treatment protocol would be to focus on reducing the discomfort by applying a quality cold pack to the injured elbow, then a high quality pain relief cream such as our Arnica Infusion Cream (after the cold pack treatment).
Not only will you use your cold pack for the first 48 to 72 hours after the injury, but you should also use it during other stages of the healing process. Some examples include...
- after any activity that stresses the elbow in a moderate way. It is wise to quickly apply cold to not only reduce the pain, but to also minimize tissue damage that may have occurred during the prior event.
- If you have a job that requires you to place some demands on your injured elbow. If that is the case, use cold immediately following work and if the opportunity allows - use it for 15 to 20 minutes during lunch or another break time.
- If you are in a post-operative situation where cold compression would be utilized heavily for at least the first few weeks following the procedure. Similarly, if you are scheduled for upcoming surgery, then you will need a high quality cold device to use.
Having a Cold Compress or Ice Pack available at home to use if and when the need arises is helpful. Many of you already do so.
However, too many people over-focus on cold while ignoring the most critical aspect to healing - nourishing the injured tissues with a healthy supply of blood flow needed to repair and rebuild the injured tissues.
This leads to the most important recommendation...
Stage 2: Focus on Increasing Blood Flow To The Elbow - This is How the Body's Healing Process is Stimulated
Even though the concept is simple, improving blood flow to injured tissues can be difficult. When the injury is elbow related, the challenges are even greater. Traditional methods require your muscle to move to promote blood flow (exercise), but that same motion that promotes blood flow can at times lead to making your pain and condition worse.
- Have you reinjured your elbow by returning to work too quickly?
- How many times in the past have you aggravated your elbow just trying to perform basic tasks around the home?
- Is your debilitated elbow preventing you from work or activities you love to do?
Most people we deal with tell us these scenarios have happened to them many times in the past. Perhaps it has already happened to you.
Promoting blood flow within a muscle or soft tissue injury to help the body heal itself is a concept that has been utilized for centuries. This is where the focus has to be if you are seeking long-term improvement.
Oxygen and nutrients, carried within the blood, are critical for the body to heal itself. Without proper blood flow, recovering from an injury or condition will be delayed...sometimes for a very long period of time.
The real challenge is how do you promote blood flow to the elbow injury site without causing further injury? This goal is further complicated by the fact that the elbow (and muscles controlling the elbow joint) are involved in the majority of the physical movements we perform each day.
Heat energy generated by the TShellz Wraps® operates by increasing blood flow in our injured soft tissue. This means ligaments, muscles, and tendons. The objective of the TShellz Wrap® is to increase blood flow in these targeted areas, resulting in relaxation of the vessel walls. The vessels then gently expand, allowing for more nutrient rich blood flow along with extra oxygen to reach the damaged tissues. Plus, the enhanced blood flow helps in flushing waste and fluid build-up from the injury site - further enhancing the ability of the body to heal.
Now, on to recommendation number two in the journey to heal your injured elbow...
The Elbow TShellz Wrap® -> A Healthy Elbow For The Long Term
The best option we came across in our research to accomplish effective blood flow to soft tissue in the elbow at home is the Elbow TShellz Wrap®. Use of this device results in a substantial increase of blood flow to the treatment area - all in a non-invasive manner.
Have you seen what happens when you add water to a flower wilted from drought? In essence, your injured elbow is much like a "wilted" flower; your body wants to heal its injury, but needs lots of nutrients to do it. Blood brings life to your tissue by delivering healing nutrients and oxygen that are vital for their growth and survival. In addition, the blood carries away toxins and waste cleaning the area and healing it faster. Without a good supply of blood, your elbow simply cannot heal properly.
Using a TShellz Wrap® will not expose you to the risk of causing further harm to soft tissue like you can when using rigorous exercise. The Elbow TShellz Wrap® accomplishes the goal of enhanced blood flow without the need for intensive exercise and as such reduces your risk of re-injury.
TShellz Wrap® = Accelerated Blood Flow for Your Elbow Soft Tissue
The purpose of the Elbow TShellz Wrap® is to ease pain by blood vessel dilation, decrease stiffness by elongation of soft tissue, improve blood circulation, and boost metabolism and enzyme activity. In stimulating localized blood flow to damaged soft tissue, you provide your body with much needed oxygen and nutrients to grow strong healthy collagen. In addition, you will experience a clearing of toxins and excess fluid build up from the injury site. Over the intermediate term, this helps to reduce incidents of swelling as trapped fluids will be whisked away - reducing pressure on blood vessels.
Using the TShellz Wrap® is truly a unique experience. Within moments of applying a treatment to your elbow, you can feel the healing sensation due to the increase in blood flow within the area. During a treatment, and for quite some time after you finish, the treated area will feel relaxed and less painful. It's a very soothing sensation and extremely effective. xed and less painful. It's a very soothing sensation and extremely effective.
Who Should Use the TShellz Wrap®
We recommend the use of a TShellz Wrap®:
- If you have injured tendons, muscle or any soft tissue in your elbow, then the TShellz Wrap® will provide the all-important function of boosting blood circulation where it is needed most.
- If you are dealing with conditions affecting your range of motion such as tendinosis, tenosynovitis, or even arthritis.
- If you have a chronic elbow condition that has lasted for years- this device is intended to kick start the recovery process and help strengthen the surrounding and supporting tissues. Many of our past clients had suffered for years, then were completely amazed at the results only after a few months of treatments.
- If you are still working with an injured elbow, the TShellz Wrap® will help relax injured soft tissue prior to work and after a day at the job.
- If you are still trying to enjoy your favorite activities such as gardening, tennis, golf, etc - use the TShellz Wrap® prior to activity to help reduce chances of re-injuring or re-aggravating those targeted tissues.
- If you are suffering from bursitis in your elbow and want to treat a major source of it (inflammation and damage to tissue surrounding the bursa sac). Through overuse or degenerative changes in the elbow, the muscle and tendons surrounding the bursa sacs will tighten and constrict. When they do, they place pressure on the bursa, causing it to become irritated. Applying a soothing and deep penetrating energy to the elbow relaxes the tissues and takes the pressure off the bursa.
- If you have been to a clinic for some form of massage or stretching and your PT or physician has recommended conservative treatments for home.
- If you have injured your elbow and need surgery, then you will find a blood circulation booster to be a powerful tool after surgery to help surgically repaired tissues rebuild for long-term health. (once the surgery wound has healed and your physician has given the ok)
- If you are experiencing atrophy in your elbow and want to reduce the chance of re-injury while stretching - we recommend its use every time before you stretch.
Increased Blood Circulation = Increased Healing Rate
TShellz Wraps® contain a unique Carbon Fiber Energy Pad which is flexible and will shape to conform to your body. This Energy Pad emits a uniform wave of perfectly safe energy over its entire surface. This energy is absorbed by soft tissue in your elbow and opens blood vessels, resulting in an increase in blood flow. Increased blood circulation is what your body needs to accelerate the healing of soft tissue and this is why we recommend the Elbow TShellz Wrap®.
A TShellz Wrap® application is intended to produce the following results:
Enhance blood circulation and
increase the levels of oxygen within your blood.
This improves the body's ability to eliminate toxins and other waste by-products resulting from damaged tissue within the elbow. This allows the elbow to more easily stimulate the self healing process.
Stimulate the production of collagen,
which is a building block for human tissue.
Many elbow injuries are the result of trauma to a tendon or muscle, usually causing the tissue to tear. As a result of the tear, your body triggers a natural healing process resulting in pain, inflammation, and the creation of scar tissue. This process has 3 steps; getting rid of waste while repairing damaged tissue (inflammation), fixing the torn tissue with a "band-aid" solution (remodeling), and reinforcing that band-aid solution with flexible tissue (proliferation).
A boost in blood flow can help your body's recovery capability while decreasing risk of re-injuring the tissue by enhancing your body's own natural healing process. Once inflammation has been reduced, scar tissue begins to form to repair the torn tissue. Scar tissue is much faster to build than flexible tissue, but it can only repair the torn tissue temporarily. Left untreated, the scar tissue provides little flexibility increasing the risk of re-injury.
It is generally accepted that heat will enhance the extensibility of soft tissue.
This is an important point. Many people with elbow conditions often re-injure their elbow due to the fact the damaged muscle or soft tissue is tight and the range of motion in the joint is restricted. Even the most minor of activities can cause a recovering elbow to strain, sprain, or even tear. Every time this happens, your recovery is delayed. This is why using the TShellz Wrap® not only now, but also into the future, is wise. Energy emitted from the TShellz Wrap® is absorbed by soft tissue, gently warming it, and thereby increasing the elasticity...all without risk of causing further harm and greatly reducing your chances of re-injury.
It is also intended to provide relief to some who are dealing with nerve related issues.
TShellz Wraps® applied to muscles and soft tissue that surround the nerves should help them become more loose, as heat is known to increase the flexibility and extensibility of soft tissue. You may find this will alleviate tightness which may lead to nerve compression and the subsequent pain it produces.
Intended to reduce stiffness in joints.
Osteoarthritis in the elbow occurs when cartilage and meniscii degenerate. Over time, some bone on bone rubbing occurs with little or no protection from the cartilage. This leads to pain in the elbow joint. The space within the joint starts to decrease without the cushioning and stiffness in the joint becomes a problem. The TShellz Wrap® is intended to generate warmth and an increase in blood flow - resulting in less stiffness and better range-of-motion.
Contributes to your overall well-being.
Increased blood flow should result in a stronger immune system and an ability for you body to recover from soft tissue injuries more quickly. Use the TShellz Wrap® before activity to help prevent further injury, before bed to prevent tightness from setting in during the night, and again in the morning to make your tired body come alive.
Believe me when I say this; words alone cannot accurately describe what the TShellz Wrap® can do for you. It truly is something you need to experience first-hand.
The Elbow TShellz Wrap® is an FDA Registered Medical Device and is suitable for use in therapeutic clinics and FROM HOME. It is completely safe for people and patients to use for themselves.
The technology found in a TShellz Wrap® has been used for decades in the worlds of professional and amateur - a contributing factor as to why athletes seem to recover from injuries so quickly.
Have you ever wondered by an athlete can return to activity after 3 or 4 weeks following a severe elbow injury - while your average person takes much longer to return back to normal? The secret isn't really that much of a secret - it involves consistent treatments (meaning multiple times a day) using a treatment like the TShellz Wrap® to stimulate blood flow to the injured tissues. Most athletes have the luxury of using in-house facilities many times per day.
How many us can afford the time and money to visit a clinic multiple times a day? Very few indeed. This is how you can gain the same advantage that athletes enjoy in healing their own injuries - by using a device like the Elbow TShellz Wrap® two or three times a day on a consistent basis.
Consistent Treatments = Consistent And Long Term Improvement
What Else Makes the Elbow TShellz Wrap® So Special?
We believe the TShellz Wrap® to be one of the most effective home treatments to stimulate blood flow to dense, injured tissues such as muscles, tendons, ligaments, and other similar tissues.
We can promise that you will receive a product that is designed to be safe and does what it is supposed to do...quickly relieve pain and aid in the recovery from tendon, muscle and other soft tissue injuries.
The unit plugs into a standard wall outlet to get its power. The nice thing about the power supply is that the same unit can be used in North America and overseas as well. It has the capability to operate between 110v and 230v.
It has a special signal controller that can be set for 3 different power levels of application (3=High, 2=Medium, 1=Low). The cord is long so you can sit or lie comfortably and watch TV, read or surf the net while you're using it.
Treatments are max 30 minutes in duration and the device can be worn over clothing. This allows you to use the device at work, at home, or really anywhere you have access to an electrical outlet.
A Recap of the Benefits of the Elbow TShellz Wrap®..
- Can be used ANYWHERE on the Arm, Elbow or Upper Arm - very versatile!
- It can be used before exercise to warm up your arm/elbow to reduce the risk of injury
- FDA Registered medical device for use in home or clinics - very high quality
- Increases flexibility of tissues (reducing the re-injury factor)
- It soothes pain and whisks away toxins
- Carbon fiber Energy Pad is strong, lightweight, and flexible - contours very easily
- Enhanced blood flow provides an accelerated healing rate that will save time and money when associated with doctor or physical therapist visits
- A boost in blood flow can accelerate the bodys ability to recover. This can be beneficial in post-surgery rehabilitation, getting you back to work faster
When Should I Use My TShellz Wrap During the Day?
The most common question we receive from individuals prior to purchasing is - how many times a day should I be using my elbow wraps and when should I be using them? While treatment plans will differ for each individual and their specific injury, there are general guidelines that should be adhered to.
- Use a Cold Compress or Ice Pack when you are experiencing inflammation (usually after exertion or movement of the injury area).
The Elbow TShellz Wrap® would then be used:
- Right after rising from bed in the morning (as this is when it is most stiff)
- Prior to going to bed at night (to relax the arm, allowing for better sleep)
- Before you know you will be using your injured joint (going to work, driving, typing, etc).
Stage 3 - In Between Treatments With TShellz Wrap®, Apply Our New Fast Acting Pain Relief Cream Called ARNICA INFUSION
Dealing with aches and pains affecting the foot, ankle, leg, knee, hamstring, hip, back, arm, shoulder, elbow, wrist, or hand? If so, then applying the Arnica Infusion to any of these targeted areas will bring about fast relief from the pain and sore tissues. Simply apply a small amount of cream to the body and moments later, you will experience a soothing and comforting sensation over the area.
Arnica Infusion is specially designed to relieve pain due to sore muscles and joints associated with arthritis, backaches, sprains, strains, and bruises. No matter if you are dealing with an acute injury, chronic pain, or a general "flare-up" - you will experience fast relief from pain and inflammation.
This is a product that many of our current MendMeShop customers asked us to develop. So we focused our time and resources over the past few years and came up, with we believe, will be one of more effective, fast acting, topical pain relief creams on the market.
You are likely familiar with some of the standard topical agents on the market as most of our customers use them. The are mass marketed and even found in most department stores now.
Well, we are here to say that Arnica Infusion goes many steps beyond what they offer.
Made in the USA at an FDA registered manufacturing facility, you can be assured that Arnica Infusion is both safe and effective. We only source top grade ingredients while implementing strict quality control checks during every step of the production process. Expect the same high quality that MendMeShop customers have been accustomed to since we started the company in 2005.
The "Cool Blue" formula is the perfect balance between the smooth application of a cream and the effective absorbing factor of a gel. It is not too thick and not too thin - just the right texture. Best of all, it feels very nice on the skin!
Each application of Arnica Infusion feels so comforting and soothing, we are certain it will become an item you will not want to live without.
Arnica Infusion Ingredients
The Arnica Infusion formula is based on a combination of scientific research and the use of high quality ingredients. The properties within the formula were chosen for their pain relief, anti-inflammatory, and soothing qualities.
The acting ingredients within the formula include ones many of us are familiar with; along with ones that have not received a lot of publicity (only in research circles). Extensive testing resulted in a blending of ingredients that provides the most synergistic of benefits.
The notable ingredients in the Arnica Infusion formula include:
- Arnica - powerful anti-inflammatory, speeds recovery, enhances circulation
- Menthol - provides deep penetrating pain relief with a nice cooling sensation
- Vitamin B6 - promotes normal nerve function
- MSM - supports healthy connective tissues, anti-inflammatory
- Ilex Leaf Extract - increases circulation, skin conditioner
- Vitamin E - anti-inflammatory, enhances circulation, hydrates the skin
- Aloe - anti-inflammatory properties, soothes the skin
- Tea Tree - enhances penetration of ingredients
Extensive quality control procedures during the manufacturing process ensure the ingredients and final product are both safe and effective. We would not stake our reputation on anything but the best.
When Do I Apply the Arnica Infusion?
While At Work
Apply Arnica Infusion at work to help reduce acute discomfort associated with overuse of muscles and joints. No matter if you are in a physical demanding job or work within an office environment, you will be placing stress on different parts of the body and aches and pains will result.
Before Or After Work, Sports, & Activity
If you suffer from a sprained ligament, pulled muscle, strained tendon, or even bruising - apply Arnica Infusion for quick relief of the pain.
Chronic Pain Suffering
Application of Arnica Infusion can be done up to a maximum of 4 times per day on a consistent basis to help bring about relief from various pains and aches.
In-between Treatments With the TShellz Wraps®
Follow up your TShellz Wrap® and Cold treatments with an application of Arnica Infusion. Combine the pain relieving benefits of Arnica Infusion along with the healing benefits of the wraps to make your recovery go much more smoothly.
Do not apply Arnica Infusion within a 2 hour timespan before a TShellz Wrap® treatment.
Whether you decide to use the Arnica Infusion in conjunction with the T-Shell and other treatments - or if you decide to use the cream as a stand-alone product - you will not be disappointed with the results. We guarantee it.
A Note On OverCompensation
Since you are reading this, you probably know that serious elbow tendinosis injuries do not just disappear. Over time, they usually wreak havoc on your shoulder & wrist due to lack of movement and over-compensation. It will also wreak havoc on your opposite elbow due to overcompensation. Recovery takes a longer time for such chronic (long term) injuries, but proper healing is essential to regain strength and get you back to the activities you enjoy.
The longer your injury endures, the greater the risk of running into serious overcompensation injuries.
To Stop Re-Injury & Reduce the Risk of a More Serious Overcompensation Injury, You Need to Heal Quickly & Completely!
Anyone in need of rapid recovery and complete healing must consider a comprehensive treatment plan that includes an effective means to minimize swelling and inflammation yet also stimulate healing and tissue elasticity. We have found no better set of tools that can be used at home than this:
Conservative Treatment Tools Our Clients Have Used to Help
Limit Damage & Boost The Body's Soft Tissue Repair Process at Home:
- A Cold Compress or Ice Pack to reduce inflammation of the soft tissue injury (as soon as possible).
- An Elbow TShellz Wrap to increase Blood-flow to the injured elbow (Circulatory Boost).
- MendMeShop Arnica Pain Cream for temporary relief of pain due to sore muscles and joints.
- An Exercise & Stretching Plan to prevent muscle atrophy and shortened tendons. A proper plan will increase elasticity and strengthen the muscles of the wrist, forearm, elbow, upper arm and shoulder of the injured arm.
Conservative treatment tools just like these have been used successfully by thousands of elbow injury sufferers - just like you.
TShellz Wrap® = Greatly Increased Blood Flow
Increased Blood Flow = Increased Healing Rate of Soft Tissue
We believe the use of TShellz Wraps® for boosting blood flow to soft tissue in the elbow is one of the most under-utilized home treatment options available on the market today. We have client after client that have tried many options out there and have been amazed at how effective and fast the TShellz Wrap treatment can relieve pain and increase blood flow in soft tissue.
With regular use of the Elbow TShellz Wrap:
- Your pain will be reduced.
- Due to increased blood flow, soft tissue in the elbow will recover at an accelerated rate.
- Your corresponding elbow will have a larger range of motion and increased extensibility of collagen tissue due to the heat effect on soft tissue. This should translate into a reduced rate of re-injury occurrence as soft tissue becomes more flexible.
Click HERE to Go To Our Online Store If you have questions, call our office at 1-866-237-9608 (toll free continental US).
Elbow Post-Operative Recovery
Doctors and Surgeons are always improving the techniques used in surgery, and results from surgery now are much more positive than they were in the past. However, all surgeries introduce scar tissue, and recovery from elbow surgery can be less than ideal and take longer than anticipated.
If you do wind up getting surgery, know that rehabilitation at-home while attending regular PT or doctor appointments is vital for your overall recovery.
Consistent exercise and conservative treatment on a daily basis during your rehabilitation while working with your doctor or physical therapist is key. This is why you should seriously consider maximizing your recovery by using the TShellz Wrap® at home once you are approved for PT.
The more consistent you work at enhancing blood flow to surgically repaired soft tissue, the more consistent the healing process will be. Nourishing the tissues will bring more oxygen and nutrients (which are carried through the blood stream), giving the body a better ability to produce new, healthy collagen. In effect, you will help the body produce stronger tissues while potentially reducing the number of setbacks that can occur following surgical procedures.
Click HERE to Go To Our Online Store We take all major credit cards and Paypal.
If you have questions, call our office at 1-866-237-9608 (toll free continental US).
We are currently offering FREE SHIPPING and a 60 day trial period on all our Wraps.
Atrophy in the Elbow
Shortened muscles and tendons due to lack of use is a real problem during recovery. When you start to feel better and use the joint, the shortened muscles and tendons get over-strained, introducing small microtears. These microtears start the formation of scar tissue, which unlike muscle or tendon, is completely inflexible. Once there is scar tissue in there, the tears will continue; eventually you've got a serious problem with a joint that does not flex as much as it did before and this becomes a chronic condition. You'll know you have scar tissue when you get shooting pain if you stretch your joint too far... it is something that physical therapist's often deal with (ie. shoulder manipulation).
To prevent this, use the TShellz Wrap before undertaking any significant activity, as this treatment will actually increase the flexibility of muscles, tendons and ligaments. This is actually why we advise plantar fasciitis sufferers to treat themselves with a Plantar TShellz Wrap first thing in the morning before walking (walking stresses the plantar ligament on the bottom of the foot). After treatment, the plantar ligament is more flexible and can handle higher walking stresses before it starts to micro-tear. The ability for soft tissue to stretch further before micro-tearing will allow you to gently stretch your recovering joint without re-injuring it yet again. This is a huge boon for recovery. We also highly advise the TShellz Wrap for post surgery recovery, as surgery will always introduce scar tissue. TShellz Wrap® treatments in post-op recovery are intended to increase soft tissue flexibility which will help minimizing scar tissue growth - ultimately helping you get you back on your feet much faster.
Key Points To Keep in Mind When Treating Your Elbow Injury
Make Sure That Complete Healing is Your #1 Goal
We all know that if the injury was healed, the pain would go away but what about the opposite situation? If the pain is gone, does that mean the injury is better? Unfortunately, this is not always true.
Too many people only focus on suppressing pain symptoms while providing less attention to the true healing aspects of the body. Experiencing less pain, while obviously a good short-term goal, never equates to underlying healing. Scar tissue can remain for months after one gets to a point of being relatively pain-free. However, as long the weak and brittle scar tissue remains, you are susceptible to re-injury or re-aggravation. Certain motions or movements can cause the weaker tissue to easily tear - resulting in some reversal of the recovery up until that point.
This is why we recommend for people to continue with their doctor or therapist recommended exercises and to continue with mild treatments of the TShellz Wrap® for a period of time - to better ensure complete healing.
Ongoing treatments to enhance circulation are intended to soothe, relax and promote healing of your damaged elbow muscles and tendons. Elbow T•Shellz treatments will also allow your soft tissue to extend further due to the deep warming sensation created by the enhanced circulation to the treatment area. The more extensibile your tissues are, the less likely they are to strain or sprain - further reducing your risk of new injury complications.
We feel that the Elbow TShellz Wrap® is a highly effective home treatment tool for people suffering from elbow, forearm, upper arm or general elbow injuries - such as muscle tears, tendon tears, strains, tendonitis, tendinopathy, tendinosis, impingements, elbow bursitis, and any pain associated with trigger points, scar tissue, and arthritis in the arm, elbow or forearm.
Every Single Day We Receive Calls From Customers Who Simply Want To Thank Us For Introducing Them To Our Amazing Products!
Let me tell you, we appreciate all the feedback we have received over the years. We have had many medical professionals, athletes and everyday people call and write to tell us about their positive experiences with our devices and the company in general. It never gets old hearing about the successes and it provides us with the motivation to continue doing what we do best - provide individuals with options to heal from the comfort of their own home.
Below is a small sample of some of the Customer Service comments we have received from customers...
The Best Service by Far!
The service from the Mend Me Shop is by far the best you could ever hope for. I have spoken to Paul on numerous occasions and his knowledge is very much appreciated.
Do not hesitate to order from this company. Their products are made well and work. Their customer service is the best you could ever hope for.
Charlie, North Carolina, USA
I have called the office and received helpful guidance. Really appreciate the help and so glad I found your products!
D. McBride, USA
I really appreciate y'all emailing and responding. I'm in business myself so I know the importance of customer service. Your company has done a superb job and it's really appreciated. I know it takes a lot of time but it's very well worth the time you spend.
C. Vickers, USA
Thank you, too, for the personal attention to your customers. A rarity, in today's world!
L. Anderson, USA
You guys are tremendous. I was overwhelmed by your speed and thoroughness regarding my problem.
T. Kienlen, USA
Thanks again for your wonderful products and support.
J. Sese, USA
The fact that you guys are there for us every step of the way matters as well. Your company is wonderful and that's a rarity these days.
M. Callahan, USA
The cost seemed minimal compared to what I had already spent at the doctor and physical therapist.
P. King, USA
Thank You so much superior service as well as unprecedented guarantee.
D. Hunzicker, USA
If you're tired of being told that resting, drugs and surgery are the only answers to your elbow injury.... Be optimistic, because there are effective alternatives for you.
The Reasons For Our High Success Rate - Our Customers!
We will never claim our products will work for everyone. That is simply impossible to achieve. Everyone has a different capacity for healing and different circumstances behind their injuries and/or conditions.
In addition, some people may have a hard time sticking with recommended protocol in order to achieve benefits from our devices. Quite simply, our clients that have had successful outcomes have made a small effort to invest 60 minutes a day into the program. If you do the same, chances are you will be very happy with the outcome. Our very low return rate speaks volumes as to the confidence we have that our products will be effective for you! I mean with a full 60 day money back guarantee on our wraps, there really is no risk in trying.
Right after you place an order, email us and we will have a plan developed immediately so you will be able to get started upon arrival of your parcel. We can't promise you miraculous results, however, we do promise to do everything we can to help you with your condition.
Everything you have read up to now has hopefully given you some hope.
However, words are meaningless unless a company stands strongly behind the products they sell. This is what sets us apart from others...we offer people a comprehensive, 60 day, full 100% money back guarantee. We take on all of the risk because we know our products work well for the overwhelming majority of people who purchase them.
We Will Support You Every Step of the Way
You are never alone when making a purchase from us. When we say we stand behind our products, we truly mean it!
If any question or concern arises, simply send us an email at any time (we check our emails constantly all throughout the day and night - even on holidays!). We will respond as soon as possible.
Click HERE to Go To Our Online Store We take all major credit cards and Paypal.
If you have questions, call our office at 1-866-237-9608 (toll free continental US).
We are currently offering FREE SHIPPING and a 60 day trial period on all our Wraps.
Product Advisors are available 9:00 am to 5:00 pm Eastern Standard Time Monday to Friday.
North America Toll Free
Outside North America
We Stand Behind All Our Promises With An Iron-Clad Guarantee
Use your products diligently for up to 60 days and you will experience a significant reduction in pain. If not, I encourage you to send back the items for a no-hassle 100% refund.
You will not be left in the dark after purchasing any product from us. AidMyTennisElbow Advisors and Product Specialists are available 9:00 am to 5:00 pm Eastern Standard Time Monday to Friday.
Your order is guaranteed to be shipped within 24 hours on every business day.
All purchases receive a one year, full replacement warranty with guaranteed, prompt service.
You could save hundreds of dollars and possibly more, by getting back to work sooner.
We Can Get You Started For Less Than The Cost Of A Few PT Treatments
Overall, we are able to be cost effective and value oriented due to two major reasons:
- Word is spreading and as a result, our sales are increasing. With this increase, we can achieve economies of scale...meaning we receive the best component pricing because our volume is high.
- We keep our overhead costs low by selling only on-line versus setting up costly distribution channels offline.
Think about it – you can now have the ability to treat your pain from the comfort of your own home while saving money in the process. Best of all, you are fully protected when making a purchase from us as we offer a 60 day, full money back guarantee.
The Next Step Is Up To You!
Living with pain is never easy as it affects your entire lifestyle. Nothing is more important than making the proper decision when it comes to treating your muscle injury. Most methods only mask the problems or provide temporary relief; they do not treat the pain at its source.
AidMyTennisElbow stands out in this regard as our goal is to help you heal for the longer-term. The bottom line is, you are welcome to try our products for a full 2 months. If you do not receive the benefits that others have experienced, call us to let us know you will return your purchase back to us and we will issue a prompt & full refund. There will be no hard feelings.
Are You Now Ready to Properly Deal With Your Elbow Injury? Let's Make It Happen...
The fastest option you have to get our product into your hands as soon as possible is by placing your order online - at this very moment..
Place your order on-line through our ultra-secure website by clicking the image below:
Or, Call Our Office. We are open Monday to Friday to allow you place an order over the phone. Simply call toll free 1-866-237-9608 to place an order with one of our knowledgeable Product Advisors. They have the ability to answer all your questions...ensuring you only receive the products you need.
North America Toll Free 1-866-237-9608
Outside North America +1-705-532-1671
If you choose to order through our online shop, know that we keep no credit card data on file. Once the transaction is completed, the credit information disappears from our internal systems.
As you can see, ordering from us is a very easy and safe process, no matter if choosing to order on-line or over the phone.
Are you still unsure about placing an order? let me address some questions that may causing some hesitation...
What is the success rate of the Elbow TShellz Wraps®? Do they really work?
We try and keep in touch with a large percentage of our customers, and we encourage them to do the same. In doing so, we have received a lot of feedback as we have been in the business since 2008.
We can say that the return rate on our products is only around 5 to 10% any given month. That is exceptional by anyone's standards.
Therefore, we can safely indicate that the overwhelming majority of people who purchase from us do achieve benefits with our products.
How much time do I need to dedicate for treatments? Are the products easy to use?
The TShellz Wraps® are very easy devices to use. After one or two uses, you will engage in the treatments with ease. Very detailed instructions are included and you are always welcome to contact us by phone or email if the need for help arises.
In regards to the TShellz Wrap®, it is ideal to use the device two or three times a day on average. Each treatment session is a maximum of 20 minutes in duration and the device will turn off automatically at that time. Typically, people use the TShellz Wrap® before bed, upon awakening (or not long after) and one other time during the day when the opportunity presents itself. For people in an office setting, many will use the device at work (as it can be worn over clothing). For others, they will use the device an our or two after work.
A Cold Compress or Ice Pack is primarily used following activity that stresses the injured tissues (following work, after a sports activity, or just suffering a general re-injury). This is done to reduce inflammation and to minimize tissue damage. Treatments are 15 to 20 minutes in duration.
The energy from the TShellz Wrap® will gently warm soft tissue, improve blood circulation, and boost metabolism and enzyme activity. This is why it works so well - because the body responds very well to this energy. In stimulating blood flow to damaged tissue, you provide the tissue with the oxygen and nutrients to grow strong healthy collagen. In addition, you will experience a clearing of toxins and excess fluid build up from the injury site. Over the intermediate term, this helps to reduce incidents of swelling as trapped fluids will be whisked away - reducing pressure on vessels.
How long has MendMeShop been in business
We established our firm in December of 2005. Our track record in this field continues to grow and we plan on being around for many decades to come.
What is your return policy? Is it the standard 30 days?
We go above and beyond what other companies offer - we offer a full 60 day money back guarantee with no restocking fees.
AidMyTennisElbow advisors do not work on commission, so be assured you will only receive fair and objective information. >Living with pain is never easy and we encourage you to call us with any questions you have related to your elbow injury. We will do our best to help.
Product Advisors are available 9:00 am to 5:00 pm Eastern Standard Time Monday to Friday.
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During your recovery, you will probably have to modify and/or eliminate any activities that cause pain or discomfort at the location of your soft tissue injury until the pain and inflammation settle. Always consult your doctor and/or Physical Therapist before using any of our outstanding products, to make sure they are right for you and your condition. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results!