Erasmus : Tennis elbow and golfers elbow are conditions thought to be due to excessive strains on tendons at their origin or insertion to bones, resulting in tearing the tendon fibres of the bone. Rest should heal this problem but many patients never recover from their problem. Usually golfers elbow or tennis elbow is treated with rest, ultrasound, and painkillers. Often they become chronic and painful. This web page discusses a new theory to cases of apparently sports related injuries that never heal: symptoms, signs, diagnosis, treatment. The Pail Spectrum model explains why these conditions may fail to settle and how Paill Spectrum can affect sports performance. The significance of symptoms under the Paill Spectrum model is discussed.

Often patients will be found to have other symptoms which are not traditionally associated with tennis elbow or golfers elbow. These include: Chronic fatigue, Sore Hands, Dizziness, dizzy, sleepy, weight gain, loss of balance, sports performance deteriorating, being wobbly or unstable, anger impulsiveness and violent behaviour., Many patients with elbow pain / tendonitis will also often have undiscovered rotator cuff tendon inflammation.

doctors can change many aspects of the disease or illness using the Paill Spectrum Model.

Elbow Pain: Tennis Elbow or Golfers Elbow,
Shoulder Pain: especially in the Rotator Cuff Tendons

DR Xxxxx : Many Patients develop these symptoms and fail to get better spontaneously. They go to see their doctor. The doctor examines them and diagnoses Tennis Elbow or Golfers Elbow or Rotator Cuff Tendonitis of the shoulder. Often the bicipital tendons of the shoulder are involved as well.

Patients are advised to rest the strain. Strangely, most of these patients end up complaining of the same symptoms to the doctor for years to come. They do not recover from their simple strain.

Under the standard current medical model of how these conditions are caused, this just does not make sense. Dr. Xxxxx relates that he often sees patients who have "really" strained their tendons. They do get better and they do stay better, if there are no Paill Spectrum Symptoms, signs or blood test changes, present. Back To Tennis Elbow Top

Kinkajou: So what is wrong with the standard medical model of these conditions? Why don’t they get better? Why can’t doctors fix people?

DR Xxxxx : The answer lies in that the standard medical model may be wrong. The PaillSpectrum model may be a better explanation for the condition of tennis elbow ( a traction apophysitis), and its poor response to treatment, than the standard medical model of this condition. When a doctor assesses a patient and uses the standard medical model to predict that the patient will get better, surprisingly the prediction he or she makes as to the course of the illness is wrong, because the model the doctor is using to predict the progress of the disease is wrong. For shoulder problems, the excuse most frequently trotted out is that there must be some arthritis present. This excuse cannot be used to explain elbow pain, as the elbow joint is well away from where the pain and tenderness due to arthritis is found. So the patient is blamed for not resting enough.
Back To Tennis Elbow Top

In the Paill Spectrum Disease Model of Tennis Elbow, Golfers elbow or Rotator Cuff Tendonitis, the disease causation is multifactorial. There are a number of important factors that if fixed, will result in improvement of symptoms.

Some of the risk factors for Paill Spectrum disease become risk factors in their own right. E.g. Vitamin B12 deficiency allows Paill Spectrum infection to becomes worse, but will also independently stop the shoulder tendons or elbow tendons from healing because the body does not have the “resources” to heal the damaged tissues. (Tendons). Back To Tennis Elbow Top

Many Patients develop these symptoms and fail to get better spontaneously. They go to see their doctor. The doctor examines them and diagnoses Tennis Elbow or Golfers Elbow or Rotator Cuff Tendonitis of the shoulder. Often the bicipital tendons of the shoulder are involved as well.

Assessing an elbow for soreness

Predictions on Other Symptoms Found in These People

DR Xxxxx : The Paill Spectrum Model Predicts that patients with Paill Spectrum golfers elbow, tennis elbow or rotator cuff tendonitis will have a number of other characteristic symptoms and signs. These include:

Sweaty Hands: more common only in younger patients especially up to mid adult age
Other Pains in the Paill Spectrum Syndrome Pain Sites:
- Chest
- Achilles,
- Metatarsal V edge,
- Para-aortic,
- Pubic. (See Picture)
Dizziness or Loss of Balance
Weight Gain (with developing insulin resistance),
Vague aches in the shoulders (Trapezius, deltoids), sometimes just felt rather than elicitable (findable) on examination Back To Tennis Elbow Top

Irritability and Mood changes :-0
Increasing need for night time sleep: more hours per day, feel worse on awakening or need for naps during the day.

In the PaillSpectrum model, if no treatment is given to the patient, the patient remains sore and unable to return to their normal work or activity. Other symptoms will eventfully appear, though it may take years. Back To Tennis Elbow Top

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Treatment according to the Paill Spectrum Model:

DR Xxxxx :Suggested Treatments include:

Always start with basic Paill Spectrum treatment: a good broad spectrum Multivitamin delivering RDI (recommended daily intake) levels of vitamins. Use daily, long-term and regularly.
Assess if you have low grade wheat allergy symptoms or a partially positive blood test: (non-Celiac).
If you do, reduce your wheat intake to the level required for control of your wheat symptoms.

Wear an elbow warmer at night: It is important to achieve more warm hours per day at the elbow. Antibiotic and nutritional therapy can both be largely negated by failure to heat the body part to at least 37 degrees Celsius.
Heat to the Elbow during the day is also useful. Again, follow the principle of hours per day warm, but not hot. The heat needs to be “safe: i.e. 40-45 degrees Celsius to be useful. Avoid “hot” heat therapy as this can damage tissues which are not designed to withstand these temperatures, even though it feels good. Almost invariably someone using high heat therapy, ends up burning them self, if "hot" warming packs are used. Burns or deep tissue heat injury will increase the healing time. Back To Tennis Elbow Top
For women with shoulder problems, wear clothing with sleeves, not off the shoulder designs.

Avoid Elbow movements as much as possible, but this treatment protocol is much less important in the Paill Spectrum model, than in the standard medical model of golfers elbow or tennis elbow or rotator cuff tendonitis.
Using a therapeutic (Not imaging) ultrasound machine, Ultrasound @ 2.0 Watts, 50% for the elbow or Ultrasound @ 3.0w 99% for the subacromial region (shoulder) will give some reasonable additional relief to the other treatment modalities. Ultrasound in these conditions is not a treatment in its own right and has an ancillary role only to the other modalities of Paill Spectrum Therapy. Interferential therapy can give some additional relief in the case of shoulder tendonitis or trigger areas.

This treatment often only needs to be done several times a week for up to several weeks. Relief of these symptoms is much slower and less complete at these sites, than it is with therapy of hand conditions with ultrasound. Back To Tennis Elbow Top

DR Xxxxx : Long-term Suggested Treatment Protocol:

Undertake Paill Spectrum treatment program if appropriate.

A patient needs the assistance of a medical practitioner to undertake Paill Spectrum treatment. Currently the Paill Spectrum model has been pioneered by Dr. Xxxxx. It is not well known to the majority of practitioners. There is however sufficient information on this web site to enable most practitioners to initiate and monitor treatment for a Paill Spectrum condition. Back To Tennis Elbow Top :-<

Erasmus Sports Performance, Flat Spots for high Performance Athletes

Paill Spectrum causes a range of symptoms which can make high performance sports difficult or more dangerous. :-[[

Currently, performance enhancing medications are banned. Paill Spectrum therapy is not performance enhancing. It merely stops deterioration or corrosion of the body’s systems, that in the long term may affect performance.

Gay Men! What causes this condition?

Wave2 layer 1: an important syndrome at least to some souls and their families

DR Xxxxx : Key Elements in Paill Spectrum affecting Sports Performance include:

Dizziness or Loss of balance.

Patients typically wobble just a little bit more when they stand with their eyes closed. An extra wobble of just one or two millimeters at the Sportsperson level, can translate into much greater distance variation where a ball is thrown or kicked. So "balance" sense needs to be carefully preserved. Balance affects performance in most sports even for example, sports like golf. So poor balance will be a serious performance affecting issue for anyone competing at elite levels.

DR Xxxxx : Tender Areas:

There are a number of sore body parts, most notably elbows (tennis elbows, golfers elbows) and shoulder tendonitis), that can seriously impair a Sportsperson’s ability to undertake high performance sports. Most people and athletes put this down to overwork or simple strains from pushing yourself to hard. With usual treatment, these symptoms or problems may never disappear. The Sportsperson may end up a year later with the same symptoms in the same place and to the same extent, no matter that they have done their best to follow medical advice for the past year. The tendon tear syndromes cover a range of conditions of which tennis elbows, golfers elbows and sore shoulders are the most known. Many other body tendons can be affected by "chronic pain" from what is assumed to be a strain.

Dr. Xxxxx relates that in his practice where patients really give a good history of injury to shoulder or elbow tendons , these patients recover fully as expected without treatment, within a few months at most. If there is just a simple strain really present they get better quite quickly and completely.

Other patients who have Paill Spectrum tendon damage, often fail to give a convincing history of serious injury. Where other Paill Spectrum symptoms, signs or blood tests are found, these patients typically have symptoms for a long time. These patients still blame simple "strains" for their problems, but perhaps other reasons for illness or failure to recover form illness, should begin to be suspected. :-<

DR Xxxxx : Chronic Fatigue:

Tired athletes are not good athletes. The difficulty comes when the athlete is told the tiredness is caused by just a "virus" by his or her doctor, but the symptom of tiredness never goes away, like the average virus. They stay tired and often indeed become more and more tired, with time.

Typically, in the long term , many patients with chronic fatigue begin to develop aches and pains. These are made worse with exercise and people begin to avoid exercise due to the prolonged discomfort triggered by activity. Early, there may be no specific sore spots. even pressing may not trigger pain. The person affected just knows that their muscles are hurting.

Patients also often wake up feeling absolutely terrible in the morning and fail to get out of bed easily anymore. Eventually, they begin to sleep more and become less active. In the end, their performance peak slowly fades away over many months. Their athletic performance deteriorates.

DR Xxxxx : Impulsiveness:

Self explanatory: people are more likely to do more stupid things without thinking about other options. e.g. in a team sport, people are more likely to do what they want to do, without that split second thought about possible options. They often never consider the consequences of their actions. They soon get a reputation for just not quite doing the right thing.

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DR Xxxxx : Easily Angered or Violent :-O

There was an interesting case in the media where a jockey had returned to horse riding and been involved in a fight with another jockey during the race. He had used his riding crop on the other rider. (This is not one of Dr. Xxxxx’s patients and Dr. Xxxxx has no knowledge of the person’s medical history , so this discussion is all supposition based on the Paill Spectrum Theory). Interestingly, he had been forced to lose over ten kg in the months prior to his return to riding.

The Paill Spectrum model would predict that long term micronutrient deficiency (as would occur in weight loss starvation), would likely result in an acceleration of the Paill Spectrum Illnesses in the long term. Typical symptoms would involve for example “Jockey Rage”.

Another interesting example, was one Sportsperson with a history of bad behaviour / angry outbursts on the field. He was sacked by his club and forced to seek employment elsewhere. Within a few months, he was involved in a gouging / probing incident on field, resulting in further suspension from the sport. You would think he would realise that his second chance was going to be his last chance. Back To Tennis Elbow Good Sportsman Top

In short, affected people cannot help how their mind works and it is only with difficulty that they can change their behaviour. People who behave badly probably do so for a reason, and for the same reasons often continue to do so.

Erasmus : In the long-term, if the person is willing, education can always teach old dogs new tricks. In light of this, the long drawn out official complaints processes, usually highlight the bad behaviour to the individual long enough and intensely enough, to allow people to learn to behave in a newer more appropriate way. The value of the punishment is not in the result in the end , but in the process of getting there.

Patients who are having medical problems that are related to Paill Spectrum, are likely to have other problems as well. In fact because their problems are more severe to start with, they are likely to have an overall pattern of more severe problems with performance affecting medical issues. (perhaps as mentioned in the above lists.) Sick people are not going to make good sportsmen or sportswomen, in the long term.

Sportsmen and women will need to seek Paill Spectrum treatment if they wish to remain in their sport long term.

Kinkajou: What Treatment Would be Recommended for Sportsmen if You Suspect They Have Paill Spectrum symptoms?

DR Xxxxx : Basic therapy is always a good safe place to start. The principles for treatment are the same for Paill Spectrum, no matter where the symptom is found. There is a single disease process so it responds to a single treatment package.

None of the Paill Spectrum treatment involves performance enhancing medications. The treatments are not banned for use by sportspersons. The PaillSpectrum Treatments essentially are performance preserving medications. Back To Tennis Elbow Good Sportsman Top

The antibiotics are listed as “Product is permitted for use in sport”. However, all treatments should be checked as approved for use in sportsman, by the person’s usual medical practitioner prior to initiating any treatment. Rules, trends and guidelines for medication usage permission in sports may change.

Kinkajou: Brands of medications may be a problem also, as in the recent Australian case of medication adulteration by a Natural Therapies Company. e.g. Some patients found that their multivitamin contained substantial doses of laxative. This problem was well illustrated to Dr. Xxxxx. He relates that two patients were seeing him about chronic diarrhoea. Nothing could be found to help or explain the problem. The patients found the answer themselves. They noticed that when they stopped their multivitamin tablet, their diarrhoea went away. The company has since been deregistered in Australia, and standards have been tightened up. I think we can all safely expect that we are getting exactly what it says on the packet when we buy a vitamin or supplement, in this day and age .

Erasmus : In view of this, where your livelihood insists that medications are only to be used on a restrictive basis: check first and stick to known brands of medicine from recognised pharmaceutical companies. The fifty cents you save won’t be worth it if traces of steroids or non-steroidal medications are found to be adulterating your OTC (over the counter herbal medicine). Many countries in the world do not have as stringent standards for medical pharmaceutical products as is "usual" in many western countries. Additionally, many herbal medicines are complex mixes of chemical families. Don’t volunteer yourself to take these medicines. You may unwittingly find there are traces of banned substances in some of these, quite apparently harmless herbal medications. Stick to what you know to be safe. Check!

Stethoscope: diagnosing Paill

Chest pains or Little Jabs in the Chest: People often worry about heart attacks

Disclaimer

Erasmus : Accepted causes of tennis or golfers elbow or rotator tendon cuff problems is tearing of the tendons at their origins from or insertions to bone. Usually golfers elbow or tennis elbow is treated with rest, ultrasound, and painkillers. Often they become chronic and painful. The Pail Spectrum model explains why these conditions may fail to settle and how Paill Spectrum can affect sports performance. Blood tests can help to confirm a diagnosis of illness.

Wave 3 + Colonisation Layer 1

title
Erasmus : Tennis Elbow - Good Sportsman Treatment New

description content
discusses a new theory to cases of apparently sports related injuries that never heal: symptoms, signs, diagnosis, treatment , doctors can change many aspects of the disease or illness

keywords content
Chronic fatigue, Good Sportsman, Sore Hands, Tennis Elbow, Dizziness, shoulder pain, tendonitis, dizzy, sleepy, weight gain, loss of balance, sports performance, flat spot, wobble or unstable, strain, tennis elbow, chronic fatigue, anger impulsive, violent, rotator cuff, golfers elbow, blood test, sport, tendon, shoulder

abstract content
Accepted causes of tennis or golfers elbow or rotator tendon cuff problems is tearing of the tendons at their origins from or insertions to bone. Usually golfers elbow or tennis elbow is treated with rest, ultrasound, and painkillers. Often they become chronic and painful. The Pail Spectrum model explains why these conditions may fail to settle and how Paill Spectrum can affect sports performance. Blood tests can help to confirm a diagnosis of illness.

Elbow Pain: Tennis Elbow or Golfers Elbow, Shoulder Pain: especially in the Rotator Cuff Tendons