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as the goalie coach for his son’s hockey team, joe masse* says he barely registered the pain building up in his right arm, despite facing as many as 75 shots each practice.
“i think my arm was so used to being abused three times a week at practice, it wasn’t until i stopped coaching about three years ago that i really noticed how much it hurt,” says masse.
by then, he could no longer ignore the pain radiating along the outer side of his right forearm. as an avid golfer, masse enjoys getting out on the course several times a week. however, his arm was so sore that the 46-year-old had to cut back.
it also affected his work as a manager of a beer store in st. thomas, ont. used to lifting cases of beer onto store shelves, masse says the persistent ache in his arm began to restrict what he could do on the job.
masse tried massage therapy and over-the-counter pain medications, but nothing worked to alleviate the pain for longer than a few hours.
earlier this year, masse’s general practitioner referred him to the arbeau sports medicine centre (asmc), a multidisciplinary clinic in london, ont., specializing in acute injuries. dr. ryan arbeau*, who co-founded the asmc in 2016, is trained as an emergency and sports medicine physician.
among the sports-related conditions dr. arbeau treats is tendonitis, which he describes as inflammation of the tendon, typically due to repetitive strain. after meeting with masse, dr. arbeau diagnosed him with lateral epicondylitis, or “tennis elbow,” which can occur when you perform a repetitive motion frequently, such as twisting or swinging your lower arm. it affects roughly one to three per cent of adults, especially among people in mid-life (35 to 50 years).
a type of tendonitis, tennis elbow happens “when the muscles that extend along the forearm and the outside part of the elbow become swollen and inflamed,” explains dr. arbeau. tennis elbow isn’t limited to tennis players; in masse’s case, the pain in his right arm was likely brought on by the frequent swinging of clubs in his golf game.