{"id":287,"date":"2019-02-28T23:03:57","date_gmt":"2019-02-28T23:03:57","guid":{"rendered":"http:\/\/gulfcoastflyfishingschool.com\/wordpress\/?p=287"},"modified":"2019-03-19T20:29:27","modified_gmt":"2019-03-19T20:29:27","slug":"anglers-elbow-tennis-elbow","status":"publish","type":"post","link":"https:\/\/gulfcoastflyfishingschool.com\/wordpress\/2019\/02\/28\/anglers-elbow-tennis-elbow\/","title":{"rendered":"Angler\u2019s Elbow (Tennis Elbow)"},"content":{"rendered":"

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Angler\u2019s Elbow (Tennis Elbow)<\/h2>\n

Instruction<\/em> By Thomas R. Dempsey, M.D. CCI<\/p>\n

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Anglers, like all other athletes, are subject to musculoskeletal injuries, and like athletes in certain sports, fishermen have specific aches and pains which are unique to his sport that can rear their head on a fishing trip and make him uncomfortable.\u00a0 One of the most common problems seen in the fly fisherman occurs from using the elbow repetitively to swing a rod and line.<\/p>\n

Generically this was referred to as \u201ctennis elbow,\u201d\u00a0 an inflammation of the ligament insertion on the outside of the elbow producing pain on flexion and extension of the elbow,\u00a0 i.e., during the casting stroke, and it is going to be exquisitely tender to the touch.<\/p>\n

Anatomically the muscles that extend the wrist originate from the outside of the elbow (the lateral epicondyle).\u00a0 When the junction where the muscles join the bone becomes inflamed, this results in pain. Typically gripping the rod and casting causes discomfort over the outside of the elbow along the bony prominence.<\/p>\n

Now, if we could rest the elbow for several weeks or months, it might get well.\u00a0 On the other hand, why not first identify what causes an \u201cangler’s elbow\u201d and try to prevent it?\u00a0 If we are smitten with this demon, how can we treat it and keep fishing?<\/p>\n

First, tennis elbow can occur at any time in the beginner or the advanced fisherman.\u00a0 One of the causes of angler’s elbow is an overuse type of situation.<\/p>\n

Some of the common causes are:<\/strong><\/p>\n

    \n
  1. —– Going from a lighter to heavier rod<\/li>\n
  2. —– Going from a lighter weight line to a heavier weight line<\/li>\n
  3. —– Prolonged casting<\/li>\n
  4. —– Errors in casting, mechanics<\/li>\n<\/ol>\n

    Most cases of tennis elbow can be treated successfully by correcting the cause.\u00a0 Making sure you have good casting mechanics is one way of preventing tennis elbow.\u00a0 This means having nice smooth strokes and not trying to overpower the cast or casting distances that are not within your skill zone.\u00a0 In addition, if you are planning a fishing trip and plan to do a considerable amount of casting, get your elbow in shape before going.\u00a0 There are some simple exercises that we will talk about in the treatment section you can do that will not only help during the acute phase, but also can be preventive.<\/p>\n

    Using balanced tackle and making sure your rod is lined correctly can prevent one from overworking the elbow during the casting stroke (this includes removing slack before the casting stroke and not trying to cast large amounts of line that you are not used to or comfortable with).<\/p>\n

    TREATMENT:<\/h2>\n

    Most cases of tennis elbow resolve by themselves with a little rest, but there are some things you can do to help speed up the healing process.<\/p>\n

    During the acute phase<\/strong>, if you begin having pain after a fishing trip use ice on the elbow for thirty minutes\u00a0 every three to four hours for two or three days or until the pain is gone.<\/p>\n

    Use a tennis elbow brace or tennis elbow strap.\u00a0<\/strong>\u00a0This is a belt-like fixture that fits right below the bump on the outside of the elbow and shifts the pull of the muscles to the tennis elbow brace instead of the bone.\u00a0 This can be worn during the day and during the fishing trip.<\/p>\n

    Anti-inflammatory medications<\/strong>\u00a0such as ibuprofen, Naprosyn and aspirin can help with the discomfort, pain and swelling.\u00a0 Once taken, they need to be taken on a regular basis until the pain resolves (usually a week to 10 days).<\/p>\n

    Steroid injections<\/strong>\u00a0can be very beneficial in treating the acute phase of the inflammation and can be performed at regular intervals when the pain flares up.<\/p>\n

    Physical therapy<\/strong>\u00a0using electrical stimulation and ultrasound can also speed up the healing process.<\/p>\n

    Once the pain is under control, performing an\u00a0exercise program<\/strong>\u00a0two or three times a day can prevent the tennis elbow from recurring.<\/p>\n

    Surgery<\/strong>\u00a0– Very few patients who follow the above routine require surgical procedures, but there are operations that can successfully treat chronic epicondylitis.<\/p>\n

    As mentioned above, exercise programs can be very beneficial in preventing tennis elbow from reoccurring.\u00a0 These exercises should be done when the elbow has cooled down and is comfortable enough to begin exercising.<\/p>\n

    The elbow exercises are designed to work the muscles that flex and extend the wrist.\u00a0 Simple wrist curls, regular and reversed, done in three of eight repetitions two or three times a day are helpful.\u00a0 Another exercise that I found to be very beneficial is gripping a tennis racquet or baseball bat and rotating it clockwise and counter clockwise with the elbow extended out in front of one back and forth repetitiously.\u00a0 This seems to stretch the muscles that insert into the elbow and prevent the contracture that results from the healing process of damaged muscles being stretched out and pulled apart the next time you cast.\u00a0 Keeping these muscles and tendons and the forearm muscles strong is the key to preventing chronic epicondylitis.<\/p>\n

    Most cases of epicondylitis are allowed to progress too far before they are treated so I would encourage anyone who has the signs and symptoms not to ignore them but to get immediate treatment which can prevent a fishing trip from being ruined.<\/p>\n

    Thomas R. Dempsey, certified casting instructor Mobile, Alabama.<\/em><\/p>\n

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    Angler\u2019s Elbow (Tennis Elbow) Instruction By Thomas R. Dempsey, M.D. CCI Anglers, like all other athletes, are subject to musculoskeletal injuries, and like athletes in certain sports, fishermen have specific aches and pains which are unique to his sport that can rear their head on a fishing trip and make him uncomfortable.\u00a0 One of the […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[3],"tags":[],"class_list":["post-287","post","type-post","status-publish","format-standard","hentry","category-instruction"],"yoast_head":"\nAngler\u2019s Elbow (Tennis Elbow) - Gulf Coast Fly Fishing School<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/gulfcoastflyfishingschool.com\/wordpress\/2019\/02\/28\/anglers-elbow-tennis-elbow\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Angler\u2019s Elbow (Tennis Elbow) - Gulf Coast Fly Fishing School\" \/>\n<meta property=\"og:description\" content=\"Angler\u2019s Elbow (Tennis Elbow) Instruction By Thomas R. Dempsey, M.D. CCI Anglers, like all other athletes, are subject to musculoskeletal injuries, and like athletes in certain sports, fishermen have specific aches and pains which are unique to his sport that can rear their head on a fishing trip and make him uncomfortable.\u00a0 One of the […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/gulfcoastflyfishingschool.com\/wordpress\/2019\/02\/28\/anglers-elbow-tennis-elbow\/\" \/>\n<meta property=\"og:site_name\" content=\"Gulf Coast Fly Fishing School\" \/>\n<meta property=\"article:published_time\" content=\"2019-02-28T23:03:57+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2019-03-19T20:29:27+00:00\" \/>\n<meta name=\"author\" content=\"adminjaben88\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"adminjaben88\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/gulfcoastflyfishingschool.com\\\/wordpress\\\/2019\\\/02\\\/28\\\/anglers-elbow-tennis-elbow\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/gulfcoastflyfishingschool.com\\\/wordpress\\\/2019\\\/02\\\/28\\\/anglers-elbow-tennis-elbow\\\/\"},\"author\":{\"name\":\"adminjaben88\",\"@id\":\"https:\\\/\\\/gulfcoastflyfishingschool.com\\\/wordpress\\\/#\\\/schema\\\/person\\\/55016a5273c08185a8919d5ba6c8a89e\"},\"headline\":\"Angler\u2019s Elbow (Tennis Elbow)\",\"datePublished\":\"2019-02-28T23:03:57+00:00\",\"dateModified\":\"2019-03-19T20:29:27+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/gulfcoastflyfishingschool.com\\\/wordpress\\\/2019\\\/02\\\/28\\\/anglers-elbow-tennis-elbow\\\/\"},\"wordCount\":982,\"commentCount\":0,\"articleSection\":[\"Instruction\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/gulfcoastflyfishingschool.com\\\/wordpress\\\/2019\\\/02\\\/28\\\/anglers-elbow-tennis-elbow\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/gulfcoastflyfishingschool.com\\\/wordpress\\\/2019\\\/02\\\/28\\\/anglers-elbow-tennis-elbow\\\/\",\"url\":\"https:\\\/\\\/gulfcoastflyfishingschool.com\\\/wordpress\\\/2019\\\/02\\\/28\\\/anglers-elbow-tennis-elbow\\\/\",\"name\":\"Angler\u2019s Elbow (Tennis Elbow) - 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