Monday, January 09, 2006


Readers Question Re: Tendonitis and Tennis Elbow

Q) I have a client who is suffering from Tendonitis and Tennis Elbow and she believes this may come from her starting Nordic Walking. Her technique is good. Have you had any complaints from other Nordic Walkers.... Paula

David Says...

A) In answer to the question - No I have had no such reports myself, although these are fairly common injuries associated with exercise and sport in general.


Tendonitis is an inflammation of a muscle tendon. A tendon connects muscle to bone.

The most common cause of tendonitis is overuse. People who are new to exercise can be susceptible to this type of injury, as can those who suddennly increase the level or intensity of their exercise program or overdo the intensity. The tendon is unaccustomed to the new level of demand, and this overuse can cause an inflammation and tendonitis.

So, remember to warm-up and stretch properly, start slowly and increase intensity gradually over the weeks and months ahead. In most cases of tendonitus symptoms tend to develop gradually. Discomfort may be relatively minor at first and worsen if you try to "work through" the pain.

If this is indeed tendonitus then this injury needs to be treated seriously as repeated or continued overstress increases the inflammation.

Tennis Elbow

Tennis elbow is an injury to the muscles and tendons on the outside (lateral aspect) of the elbow that results from overuse or repetitive stress

Repetitive use of the wrist may aggravate tennis elbow, so you may need to look at the use of the wrist by your client during the poling action. A good quality pole is important as the least vibration travelling up the forearm the better.

Repetitive flexion and extension of the elbow during the poling action will not help either. If you are not already doing so, consider teaching the straight arm plant (the pump handle technique as Tom Rutlin calls it), keeping the arm almost straight throughout the poling action as discussed elsewhere on this Blog.

As an instuctor I am sure you will have recommended your client to do this already but for the benefit of other readers it is essential that with any kind of injury, however caused you must seek medical advice from an appropriately qualified person, sooner rather than later.

Note: I am not qualified to give medical advice and nothing in this posting should be considered as medical advice. The information included in this posting is generally available on the internet.

Readers are welcome to post their experiences, knowledge or comments concerning this posting by clicking on the comments icon below.

That was interesting, that you could get tendonitis from a Nordic machine. I had never heard of that before. I do a lot of research on tendonitis also Tendonitis Treatment and have never heard of this either. I enjoyed reading your site and will come back a visit again. I want to learn more on tendonitis and a Nordic machine and the other interesting information you have. Thanks
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