
Q My golf elbow, which had healed once, has recurred. Is it more difficult to treat when it recurs?
A There is no evidence that recurrent golf elbow is more difficult to treat than the initial onset. However, since recurrence implies that tendon base fragility or triggering movements persist, it is important to combine treatment with correcting the underlying movements and performing tendon strengthening exercises. If you have returned to play before complete tissue recovery was achieved through previous treatment, the likelihood of recurrence increases; therefore, sufficient rehabilitation exercises must be performed even after the pain has subsided.
Detailed Answer
The main causes of recurrent golf elbow are incomplete initial treatment (returning to play early after pain subsides) or continued triggering movements. Since it takes an additional 6 to 12 weeks after pain disappears for collagen reconstruction of tendon tissue to be complete, you should not conclude that treatment is complete simply because symptoms have disappeared. It has been proven that eccentric contraction strengthening exercises and progressive load training are the most effective for preventing recurrence. Recurrent golfer's elbow is viewed as the result of continued strain while only superficial pain has subsided, without the blockage of stagnant blood and qi being completely resolved. In particular, if there is a deficiency of blood that nourishes the tendons, the recovery of tendon elasticity is slow, making the body vulnerable to recurrence. In the event of a recurrence, treatments involving needle acupuncture and thread embedding are necessary to address stagnant blood and tendon adhesions in deeper layers than the previous treatment. This is combined with personalized herbal medicine to replenish deficient blood and enhance the tendon's fundamental regenerative capacity. Maintaining tendon strengthening exercises for at least three months after the completion of treatment is key to preventing recurrence.
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