What is a mouse arm?

Mouse arm / elbow / lateral epicondylitis

What is a mouse arm ?

A mouse arm is simply a tendon inflammation of tendons on the outside of the forearm. The reason for this disorder is called both mouse arm and elbow is because this is typical causes of that suffering develops. We are talking about thousands of small strain on the tendon attached which are individually insignificant but which together exceed the tissue tolerance capacity and develop an injury.

What causes a mouse arm ?

In today's society, our jobs so specialized that we often do the work day with only small variations in load patterns. When one employee who uses the PC the work day, only use one arm and the working day otherwise offer little variety, then you are very likely to'll develop mouse arm .

Although PC user is clearly the most frequent cause of development of mouse arm then also other stresses cause irritation and damage to the tendon attachments on the exterior of the arm. Both artisans and others who use their hands and arms much of the work is delayed.

How can we prevent the development of mouse arm ?

There are a number of measures can be initiated to prevent the development of museram. It is important to create enough variety in their tasks. This may be going out on that one cuts up the work PC to multiple sessions during the day. It is also important to take frequent short breaks during the day so the tendon structures get enough time to rest between periods of stress.

There are also many different variations of computer mouse. It is important to try to work out a solution that works for the individual. Some workplaces have access to a physiotherapist or occupational therapist who can help with getting this organized properly.

A simple but massively effective trick may be to learn to use both the right and left arm on PC mouse. This can be somewhat clumsy at first, but after a few days so mastered most use also the other arm. For those who use the computer a lot during a day, so this is something that certainly should be considered as a preventive measure.

Programs focusing on strength training can also be helpful. When the body is stimulated by exercise and build stronger tendon structures that can better withstand the strain exposed to.

What is Tendonitis?
A Tendonitis is an acute response of tendon and muscle as a result of overload or friction. Many compares a tendonitis mistaken for an infection. This can be explained by the word inflammation often used in connection with inflammation. The infection then a foreign bacteria or similar attack the body. This body must defend against, and in some cases one has to use antibiotic to help the body on the way.

The inflammation, however, is a physiological response to an overload, and completely natural. When a structure, for example. A tendon is overloaded as it is the body's natural defense mechanism to initiate the inflammatory process. The first few weeks so the area can become swollen, hot and painful. This process is a repair phase and the body is dependent on the process of repairing the damage.

Acute or chronic? 3 phases

Acute phase:

An acute tendonitis is the phase where the pain first appears. The pain provseres of stress and is often limited in localization to a smaller area. The area is often irritated and swollen. It is often painful to touch muscle and tendon and for many it is also pain at night when the arm is at rest.

On ultrasound , one can see that there is more fluid in the tissue and collagen fibers see something untidy out.

Failed healing:

In this phase it happens further changes in the tissue that suggest the extent of the damage. In some cases, one might indeed ultrasound now see the ingrowth of blood vessels in the tendon tissue, which otherwise do not exist in fresh tendon tissue. Major changes in the organization of collagenfibrene is evident, and one can often see areas of the tendon where collagen fibers are almost gone. This tendon is much weaker than a healthy tendon, and if this is not treated then you will probably experience a relapse of pain when Resuming activity.

Man when "failed healing" phase when the body in an attempt to repair an acute injury, errors and further tendon injury aggravates the situation. Immune system and the repair phase. Recent research suggests that drug use in the acute phase may be one reason why many tendon injuries are the acute phase and over in this phase. The drugs stop effective reparation of tissue, while a pain subdued ties are more susceptible to further congestion.

Chronic phase:

In this phase there is damage to the tissue most evident on ultrasound. Damaged collagenvev is often replaced by areas of calcium deposits. Small tearing of the tendon are not uncommon, when a chronic tendon injury makes the scene very vulnerable to further structural damage. In the chronic stage as is the risk of a complete tear of the tendon greatest.

Why is inflammation painful?
Just like when we break a leg, you want your body to protect the body part that is damaged. The same applies to the inflammation. The brain receives the pain stimuli from the damaged area so that we keep it quiet enough in the repair process will take its course. Pain Stimuli coming because inflammatory cells into the damaged area make tissue sensitive to strain. This is not cells that enter the tissue as a bacterial infection, but tendon tissue's own cells that release chemicals which irritate nerves to transmit impulses of pain to the central nervous system.

At a protracted pain from an injured tendon, save brain information so that less and less load, before this is perceived as painful.

Should I take medication?
We do not recommend that you take medication either in the acute or chronic phase of the infection . In the acute phase, so that works NSAID Voltaren, Brexidol, Naproxen and Ibux good at pain since this is drugs that suppress the activity of the cells that stimulates pain. But inflammation should be suppressed if the pain is so intense that it becomes difficult to sleep or move. Nyee research suggests that there is a inflammation as previously thought, but a chemical reaction and release of neurotransmitters from tissue which activates nerve fibers to transmit impulses to the brain. This process is a natural physiological response to an overload, and the body has the best advantage of this phase will burn itself out. When prevents the repair phase stops and the damage sustained.

If the pain is too bad so you might as well take common pain relievers like Tylenol or similar, to mitigate the most intense pain. But be careful that you do not overload the tendon when the pain is muted. Treatment with laser can also have a good analgesic effect, while treatment can accelerate the repair process significantly.

What about cortisone?
It is not clear how cortisone affect tendon tissue by inflammation. But research shows that some chronic tendon injuries may benefit from treatment with cortisone. What we do know is that steroids can have pain relief. In addition damper cortisone effective immune system, and part of the pain-relieving effect should probably be attributed to this particular point. Immune system activity by an injury is pain rewarding, and a slowing of the process would thus provide pain relief.

But since we now have good treatment by pressure waves, eccentric training and laser on acute and chronic tendon inflammation, so not recommended treatment with cortisone before other methods are tried first. Just as one should avoid drugs in the acute phase, so one should avoid cortisone in this phase.

Corticosteroids should be administered by a properly trained physicians with special expertise in this. Cortisone treatment is only effective when the person puts injection to hit precisely. If you miss one reason or another, so the treatment is useless and one may be led to believe that the diagnosis is wrong. Research says that 50% of cortisone injections inserted without ultrasound guidance, booms. About the doctor puts injection is not a specialist in the area so the chances are even greater for the injection misses the target, and the result is either an aggravation of the injury or no effect of treatment.

There is some research that shows that the tendons are more likely to smoke after treatment with cortisone. What reason is we do not know for sure, but it's presented several hypotheses. I'm not going to go into this in this article.

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