For education; suitability is decided by in-person assessment.
Tennis elbow and golfer's elbow are one joint read from two sides.
Outer epicondyle: the radial wrist extensors' tendinitis — tennis elbow. Inner epicondyle: the wrist flexors' — golfer's elbow. Neither is really a sports injury — its patients are manual workers, homemakers, cooks. Men more than women; the right side more than the left.
Two ways in
Acute — a sprain, a knock, hard exertion; the minority.
Chronic — no injury to point to; strain gathered slowly at the tendon's anchor until an ache after work turns constant.
What provokes it tells the side
Outer: twisting — towel, screwdriver — and lifting with the wrist bent back.
Inner: bending the wrist against resistance, forearm palm-down, gripping, lifting.
Either side, when heavy, radiates into the forearm and the grip weakens. The elbow itself still moves normally.
One mechanism underneath
Under both, one mechanism: qi and blood thin; blood no longer nourishes the sinews; the anchor is pulled daily on under-resourced tissue.
Assessment reads the neck as well
Assessment reads the neck as well — palpation often finds C5–C6 tenderness, a slight shift of the first or second rib. Two red lines. Pain that will not settle must be separated from cervical referral. Inner pain with numbness in the little or ring finger, or a weak hand: the ulnar nerve is assessed first, referral where indicated.
Treatment is staged on both sides
Treatment is staged on both sides — acute: move qi, quicken blood; settled: nourish blood, soften the sinews. Needles sit mostly opposite and distal; the sore elbow is left alone. Only the destination changes with the side: qi and blood, set in motion, are redistributed to the extensor anchor outside or the flexor anchor inside, so tissue long under-supplied is supplied again.
肘痛分內外。外上髁是橈側伸肌肌腱炎，稱網球肘；內上髁是屈肌肌腱炎，稱高爾夫球肘。患者多為前臂用力的工人、主婦、廚師，男多於女，右多於左。病機相同：氣血虛弱，血不養筋，附著點反覆牽拉，勞損日積。外側痛在擰毛巾、腕背伸負重時加重；內側痛在屈腕、旋前、握提時加重。評估兼看頸五、頸六與上胸肋；反覆不癒，先排除頸椎放射痛；內側痛伴小指、無名指麻木或手無力，先評估尺神經。處置分急性期與緩解期，針多在對側與遠端：推動氣血運行，重新分配到失養的附著點，讓它重新得到供養。患肘本身不硬碰。是否適合，需面診評估。
White Cedar Acupuncture · 雪松馆
747 Altos Oaks Dr., Ste 1, Los Altos, CA 94024 · 669-669-1142
By appointment · 預約制 · whitecedaracu.com
Haolong Song
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