Symptoms of tennis elbow

• Tenderness in the outer aspect of the elbow
• Pain when bending or straightening the elbow
• Pain in resisted extension of the wrist
• Increased tension in the forearm muscles
• Pain when holding objects forcefully or twisting objects

Physiotherapy for tennis elbow

Electrotherapy Electrotherapy such as ultrasound and IFT can increase blood circulation at the elbow so as to decrease inflammation.

Manual therapy Deep friction massage can increase the local blood circulation. Joint mobilization can help to mobilize the stiff elbow joint.

Exercise therapy Strengthening and stretching exercise to the muscles around the elbow protects them from further injury.

Acupuncture According to the individual conditions of each patient, the therapist will choose appropriate acu-points to relieve the pain from tennis elbow.

Prevention and maintenance

• Ice can be applied to acute injury
• Reduce the use of the forearm muscles during an onset
• Avoid repetitive use of wrist and fingers
• A tennis elbow brace may be used to decrease the stress on the forearm when working
• Do frequent stretching exercises

Symptoms of plantar fasciitis

• Heel pain, especially when getting out of bed or standing up after prolonged sitting
• Heel pain after prolonged standing or walking
• Swelling or temperature increase on the plantar side of the foot
• Tightness in the calf muscle
• In serious conditions, pain is felt anytime the foot is bearing weight

Physiotherapy for plantar fasciitis

• Manual therapy
  Deep friction massage on the plantar fascia can increase blood circulation and the flexibility of the fascia.
• Cryotherapy
  Cryotherapy can be used to control the swelling and pain.
• Electrotherapy
  Electrotherapy such as ultrasound and IFT can be used to increase blood circulation and thus reduce inflammation.
• Acupuncture
  Certain Acu-points can be used to decrease the heel pain.
• Exercise
  Appropriate stretching exercise can increase the flexibility of the calf muscles and the plantar fascia.
• Foot care suggestions
  Appropriate shoe wear and insole can improve the alignment of the foot.

Prevention and maintenance

• Adequate rest for the foot. Avoid prolonged standing or walking.
• Appropriate exercise such as stretching for the calf and thigh muscles.
• Appropriate shoe wear, such as shoes with soft bottom and good shock absorption function; avoid wearing high heels or shoes with too thin a bottom.
• Adequate exercise and balanced diet; avoid overweight.

疼痛和壓痛

• 疼痛表現為痠痛或鈍痛。
• 早期：肩部疼痛劇烈及脹痛明顯，甚至放射至同側肘部，遇寒濕時疼痛加重，日輕夜重，影響睡眠。
• 後期：肩部疼痛減輕，但活動障礙顯著，在肩部周圍能找到明顯壓痛點。

活動障礙

• 病情越長，活動障礙越明顯。常常不能完成穿衣、洗臉、梳頭等動作。
• 肩關節被動上舉、後伸、內斂、外展、內旋等動作受限。日久，肩部功能幾乎完全喪失，而成凍結狀，但疼痛減輕。

肌肉萎縮

• 病情久者，因疼痛與廢用，出現肩部肌肉廣泛性萎縮。

中醫針灸及骨傷推拿對治療五十肩皆有很好療效，有需要可以詢問中醫師。