Tennis Elbow

With the warm weather just around the corner, outside activities become more popular. Tennis elbow, a.k.a Lateral Epicondylitis, presents as pain on the outside of the elbow that arises from repetitive stress and overuse. Commonly seen in tennis players, Lateral Epicondylitis can also be seen in manual laborers (turning screwdrivers, wrenches, etc.), waiters/ waitresses, painters and other jobs/ hobbies where the extensors of the forearm are commonly overused. Due to the repetitive stress on the muscles in the forearm, specifically Extensor Carpi Radialis Brevis (ECRB) and to a lesser extent Extensor Digiti Minimi, the tendinous attachments of these muscles strain, micro-rupture and degrade

Disc Issues & Aging

Why are we more prone to disc bulges and herniations as we age? First, let's break down the differences between the two. Think of our disc as a jelly-filled donut; a hard, fibrous outside and a gel-like center that together helps with shock absorption and protects our spinal cord. When a disc bulge occurs, a small part of the outer fibrous disc bulges into the spinal cord/ spinal nerves but the nucleus pulposus (jelly) remains contained in the middle. When a disc herniates, the nucleus pulposus leaks through the initial bulge and into the spinal cord. This jelly-like center is not contained and has ruptured through the fibrous layer of the disc As we age two things happen to our discs: 1. Di

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