I've been working with a competing body builder who has been experiencing elbow pain slightly radiating to his forearm. I have been unable to provide any long term...
Leah M. replied:
And open the brachial plexus. Yoga pose sun salutation and door jam stretch. Body builder's tend to over work pecs which can cause referral pain radiating down to elbow and or hand. I've had this just from years of being a body worker. Started in left elbow then in both, couldn't even put a plate in the cabinet or carry bags of groceries. Pt suggested brachial plexus due to our forward posture and it worked. I could massage all day with no working pain, but if I tried to pick something up it was excruciating or just painful and weak. Now I just try to remember to do my stretching and no more pain. I had it going on 8 months with no relief from ice, massage, accupuncture, Advil, light therapy or chiropractic, but the damned stretches worked.
Nathan S. replied:
http://www.ncbi.nlm.nih.gov/m/pubmed/1997802/
Nathan S. replied:
What are his new movements/ isolations? Personally I'd look at Pronator Teres (body scan knuckles showing), look at brachialis (pronated bicep curls strain brachialis tremendously) look at the median nerve and entrapment between the superficialis/ profundus/ (curled fingers in neutral)
Joan C. replied:
As a totally unreliable internet diagnosis that is out of LMT scope to make, it does sound like it could be tendinitis, which as Andrew stated requires REST and getting as much blood flow as possible to the tendon to heal. If it's tendinitis (which is really usually tendinosis, actually - not an inflammation but a tissue degeneration) and you do everything right, you are still looking at something like six weeks. So it requires PATIENCE above all. If the patient refuses to take a break from the activity that is creating injury, it will not heal and will become chronic and much harder to ever get resolution. So they need to understand six weeks now or possibly months or even years of grief. Which do you prefer? When you say radiating to forearm - flexor or extensor side? That will tell you whether you are thinking in terms of lateral or medial epicondyle. Be sure you treat especially the contributing zones ABOVE the elbow - it fills so good to dig where the pain is, but it doesn't actually get to the problem and can impede healing to keep battering the tendon itself. It could ALSO or INSTEAD be nerve impingement. If it is nerve impingement, removing the various compressions that are creating impingement and keeping those areas open should give more relief. Depending on which nerve is impinged, the elbow area has common impingement zones in radial tunnel (supinator), cubital tunnel and pronator teres. Could be you have not found all the sites of compression. Follow all the way from the neck and chest down. Some of the nerve branches will need attention to the posterior side of the axillary area, similar to subscap release. Radial nerve impingement (http://www.methodistorthopedics.com/radial-tunnel-syndrome) I have seen create weakness in grip without numbness. If you can do the assessments to figure out whether it is more likely to be nerve or tendon, that is helpful. But it would not be out of line at all to refer to a sports med physician if this has been going on for awhile. It's always better to have a REAL diagnosis, that you are not qualified to make. Supported chest opener for pecs. Pictures at my website (http://www.joancolemassage.com/jos/why-your-neck-hurt.html) - lying on bolster or rolled towel(s) with arms out and palms up and letting the chest open is very helpful.
Recommendations for residential fence builder I'm looking for recommendations for a reliable company or individual to build a new fence at my home. This would be the...
braccheus replied:
CitiFence did mine a year back. I had them do a combination of wood and iron fence work. They finished the job when they said they would, showed up when they said they would, took care of coordinating utility locates with one call, hauled everything away, and it was one of the smoothest contractor jobs I could have had. That said, get multiple quotes from multiple sources. I got a range of prices including one that was 30% more than what I ended up paying in the end.
FoolHunter replied:
Just had a 8'2" board on board fence done by Texas Fence. A bit more than you're looking for, but they were quick and did a great job for me. Getting scheduled is what took the most time. But aside from that, good pricing, good work, cleaned up, etc.
boomboomroom replied:
I recently did a rebuild (after 2015 flood) and would recommend: http://www.etdlandscape.com/. They may contract it out, but this was a good-looking fence and by far the most affordable, so I would definitely get a quote here. I've used Houston Fence Co, but wouldn't recommend them. Had them come back to the property and redo gate hardware, missing nails (I had to put it). Had another issue that they put the fence on the wrong side of the gas meter. So couldn't follow instructions, poor craftsmanship.
laddphoto replied:
Brian Cherry, Residential Fence and Deck. We've been using him for 10+ years. In fact, he just did a new fence for us about a week ago. Super nice guy, quality work.
ejwolberwood replied:
Lanson B. Jones & Co
kutabare_86 replied:
Great friend of mine, struggling veteran that could really use the business. He does fantastic work. [Jet Set](https://imgur.com/a/HosbQ)
Seeking a smokin' good deal (read: cheap) on a small amount of concrete driveway work. City is replacing the bottom 1/2 of ours due to construction, the other half...
Allyson R. replied:
Depending on the amount of sq ft and where it is located. The price can go as low as 6.50 sq ft to 7.50 sq ft. That includes demo and rebar and repour. Sugar Land Tree, Landscaping & Concrete Services pictures of work on our page. Call my husband Kevin 832 215 2472
Could anyone recommend a builder/contractor, business or owner/operator individual(s), that may be interested in building a large pole barn/equipment storage/garage in...
Linda C. replied:
Nancy Underwood Holcomb, her son has a business and does awesome work.
Angie C. replied:
Jimmy & Libby Durham at Durham Builders built our warehouse-can def recommend them!