Do braces actually help bad elbows? (climbers/tennis elbow)

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brunchman

climber
Topic Author's Original Post - Aug 4, 2015 - 01:21am PT
The one shown in the video appears to be just a tensioned piece of fabric, how can this possibly serve to lessen an impact on a damaged tendon?

Many thanks
brunchman

Seen towards the end of the video:
http://www.youtube.com/watch?v=k-qO3WxSbko
xtrmecat

Big Wall climber
Kalispell, Montanagonia
Aug 4, 2015 - 05:33am PT
Yes, this is the route I went both times I had tennis elbow. Both were from climbing.
Recovery is slow, but way slower without the band. The band helps keep the muscle /tendon running in the proper place. I still climbed with it for a while after symptoms subsided the second time around to insure that it didn't recur. Just keep it slightly looser if you do this also.

Burly Bob
donini

Trad climber
Ouray, Colorado
Aug 4, 2015 - 07:07am PT
My wife had tennis elbow last year and hardly climbed at all. She started using Kinesia Tape and it cleared up completely. She turned 60 this year and is climbing the best I have seen her climb.
overwatch

climber
Aug 4, 2015 - 07:32am PT
How is she taping, Mr. Donini, sir, if you don't mind me asking? just wrapping around like a sleeve or is she using the tape along the arm?
donini

Trad climber
Ouray, Colorado
Aug 4, 2015 - 07:45am PT
the principle behind KT tape is to support the injured component while tenting the skin to allow the body's natural anti-inflammatory processes to be encouraged into the site. I followed the video on YouTube from KT tape, replaced it every few days as it peeled off and had immediate small relief in pain and over a period of 2-3 months the chronic ache completely resolved. The original injury was late Dec but I didn't hear about the tape until July.By October I was climbing again. Angela
Killer K

Boulder climber
Sacramento, CA
Aug 4, 2015 - 08:27am PT
I'd say that you'd get as much help from one of those little magnetic bracelets.

Try pronators (with a 3lb sledge) and reverse wrist curls with 15-20 dumbell 20-25 reps twice a day for two weeks. Lay off crimps and overhangs. The keep up the exercises while returning to crimps and overhangs. Remember to keep elbows close to the body when climbing if possible.
Kalimon

Social climber
Ridgway, CO
Aug 4, 2015 - 08:32am PT
As a carpenter, I have had my share of elbow tendonitis and have used a neoprene elbow brace to enhance the healing process. They do work.
overwatch

climber
Aug 4, 2015 - 08:42am PT
Thank you, ma'am for the response.

I use a bucket filled with tapioca pearls and work various vectors for the forearm. The 3lb sledge is a good idea though for a more portable instrument. When I had tendonitis type issues I was climbing all the time and working as a rigger. Now I'm not climbing as much or working as a rigger that often. Amazing how that helped.
I definitely had some overuse going.

anyone tried the Tommy copper sleeves? I know it's probably all in my head but the mind makes anything possible. I use them for my elbows and knees.
Fat Dad

Trad climber
Los Angeles, CA
Aug 4, 2015 - 09:41am PT
Taping and braces helped with my golfer's elbow, which got to be pretty chronic. I've read that there's only anecdoctal evidence that bracing helps, but it seemed to work for me when not much else did.

I've got a buddy who has a Ph.d in solid state physics who says that copper bands are complete snake oil. I'm not even sure how they can sell those without getting sued for fraud.
phylp

Trad climber
Upland, CA
Aug 4, 2015 - 09:44am PT
I just had my first ever bout of tennis elbow, got from a too long day of gardening/sawing.
For two months I tried rest and ice and it seemed to just get worse. Couldn't hold my toothbrush with my right hand, couldn't use a nail clipper.

Then I finally started PT. Combination of electrostimulation, doing the prescribed exercises and using the compression brace right below the elbow when I was using the right arm. Improvement was rapid, after 6 weeks I'm back to 90%. My PT thought the brace was important to keep the stress off the injured/inflamed area.
snowhazed

Trad climber
Oaksterdam, CA
Aug 4, 2015 - 11:10am PT
ArmAid

Eliminated my elbow tendonosis in a month after dealing with it for a year
Splater

climber
Grey Matter
Aug 4, 2015 - 12:10pm PT
The theory I have heard with a band is to use one that has a pad made of foam or air bladder. The pad loads the tendon in a different spot about 1.5 inches from the damaged epicondyle attachment. Loading a different part of the tendon is supposed to reduce damaging loads on the injured section.

Personally I would say stretching and moderate eccentric dumbbell or flexbar type exercises are more helpful.

http://www.mountainproject.com/v/dave-macleod-new-book-on-injuries-make-or-break/110099768

armaid study
http://classic.backbenimble.com/new/pages/armaid/study.htm
I don't know if this was a full scientific study since I didn't find more references or citations to it.

rubber flexbar
http://well.blogs.nytimes.com/2009/08/25/phys-ed-an-easy-fix-for-tennis-elbow/comment-page-5/?_r=0
Killer K

Boulder climber
Sacramento, CA
Aug 4, 2015 - 12:16pm PT
http://www.drjuliansaunders.com/resources/feature_articles/dodgy_elbows/
darkmagus

Mountain climber
San Diego, CA
Aug 4, 2015 - 12:42pm PT
^^^ dude knows what's up

They certainly can help, but be sure to address the underlying cause as the brace may only provide relief but not do anything to correct the actual problem.
Ken M

Mountain climber
Los Angeles, Ca
Aug 4, 2015 - 12:57pm PT
I've treated several hundred people with tennis elbow (from many causes), and there is no doubt in my mind that braces help.

Here is a study that supports that it works (but no better than lasers!)
http://www.ncbi.nlm.nih.gov/pubmed/25614134

The biggest reason for failure is that people place it wrong, at the elbow itself, instead of on the forearm.

How does a brace work? I have always thought (without scientific evidence), that it altered the fulcrum of force being applied, and moved it forward of the injured spot (the epicondyle).

There is evidence for other mechanisms:

http://www.ncbi.nlm.nih.gov/pubmed/23225823

TGT

Social climber
So Cal
Aug 4, 2015 - 01:00pm PT
For quite a few years I used a small wet suit rubber knee brace on the bad elbow. (the solid ones, not the one with the doughnut. They look like someone just cut a section out of a wet suit)

it worked better than a band or tape since it provided enough pressure in the correct place on the forearm, but spread the pressure over a wider area. You can't get it too tight and cause the hand to pump out from lack of circulation. It also keeps it warm, probably the best benefit. The purpose built elbow braces didn't seem to do anything and the forearm strap was always too tight or not tight enough to be effective.

Long term cure was from changing from turning a screwdriver all day to sitting at a puter along with transverse massage of the tendon (have an ortho or PT show you how), and the dumbbell exercises to balance out the muscle groups. Long term probably the most important.

vlani

Trad climber
mountain view, ca
Aug 4, 2015 - 01:47pm PT
There are several simple exercises that will let you work tennis/golfer elbow away in reasonable time - from weeks to months, depending on your age and severity of the problem. Lots of them on youtube. They all involve arm twisting motion under load of some sort. The best thing about it - you need to keep climbing to speed up the recovery.

Braces help as much as band aid or aspiring. To get a real fix you need to develop-strengthen your tendon tissue, through proper training/exercise.

The simplest exercise is:
with two heavy dumbbells (15-30 pounds, depending on your size/strength) - hands straight down, spin dumbbells slowly both ways, about 20 times per set, 3-4 sets. Warm up well before doing it. Select dumbbell weight so 20 spins per set will be close to your limit. Do it every day.
Bruce Morris

Social climber
Belmont, California
Aug 4, 2015 - 02:36pm PT
Placebo. You believe in the efficacy of the band or brace and the mind does the healing. Very much like a fetish object.
Gnome Ofthe Diabase

climber
Out Of Bed
Aug 4, 2015 - 06:02pm PT
YES, Much More than a placebo, adding extra support, limiting 'bad motion' and keeping the 'flexors', from moving.that movement, which causes scar tissue build up under and around the structures stopping the tendons from lying in the 'grooves.
The Jerry Moffit story.


Mr & Mrs don ini said it:
My wife had tennis elbow last year and hardly climbed at all. She started using Kinesia Tape and it cleared up completely. She turned 60 this year and is climbing the best I have seen her climb.
and
the principle behind KT tape is to support the injured component while tenting the skin to allow the body's natural anti-inflammatory processes to be encouraged into the site. I followed the video on YouTube from KT tape, replaced it every few days as it peeled off and had immediate small relief in pain and over a period of 2-3 months the chronic ache completely resolved. The original injury was late Dec but I didn't hear about the tape until July.By October I was climbing again. Angela
Prod

Trad climber
Aug 4, 2015 - 07:52pm PT
Arm Aid.

Had bad medial tendinitis (golfers elbow) for 3 years. Tried PT, acupuncture, dry needling, bone broth for connective tissue, braces, bands, massages, etc.

Arm Aid cleared me up in about 2 months.

Prod.
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