Jump to content
Brian Enos's Forums... Maku mozo!

SteveU

Classifieds
 View Profile  See their activity

  • Posts

    643

  • Joined

  • Last visited

 Content Type 

Posts posted by SteveU

    What If...

    in Miscellaneous Topics That Do Not Fit in Any Other Forum

    Posted

    When you realize that there is no "hokey" and there is no "pokey" then you will know what it is all about.

    - Buddha

    SACRELIDGE! You shall be burned at the stake by an angry mob of The Church Of The Hokey Pokey as a witch! :angry2:

    Where are my matches? :unsure:

    I'm not questioning the existence of the hokey pokey. I'm questioning the existence of a mind to question existence at all. :huh:

    My own money

    in What I Like

    Posted · Edited by Surge

    I might just cash the check and carry it around for awhile so I can feel like a big shot.

    And for those who don't know us, there's enough give and take in our marriage to accommodate this, I think. If it ever comes up. Which it won't right? :ph34r:

    Now I gotta go back and read that hokey pokey thread.

    My own money

    in What I Like

    Posted

    [her and the girls will go out and do the runway thing again

    Out of context that sounds pretty bad :roflol::roflol:

    I didn't see any icons after zhunter's 'honest is the best policy' comment. You can't be serious. :surprise:

    To tell you the truth, I was expecting a more supportive response from this crowd. I might have to post "Killjoys" in the What I Hate forum :angry2::roflol:

    And Barbara would find out if Clyde or Mrs. Clyde told her, which they can't do because she never comes to the matches, so her bad. :cheers: (looking over shoulder - all clear)

    Let's see now where was I...

    My own money

    in What I Like

    Posted

    Fortunately, my wife doesn't lurk on BE.com

    I just gave a lecture today and when I arrived, I was greeted with an envelope containing a significant honorarium. I forgot I was getting paid for it, since lecturing and teaching is sort of part of my job and good business for me. I didn't plan on getting it nor did I budget it in anywhere for our household expenses.

    The check is made out to me.

    I have the $$ in our savings account to cover it (would be missed if withdrawn), which will allow me to cash it at my bank without leaving any paper trail.

    It sort of feels sneaky, but now I have to think of what I want.... good optics for my AR, a single stack from the classifieds, a .223 caliber conversion setup for my 650....

    ... I will get a 1099 but by the time that comes I can shrug and say she didn't even miss it!

    :cheers:

    Jammed two of my fingers tossing a football!

    in What I Hate

    Posted

    Thanks for the info, you two.

    My father-in-law is a Doc., so both fingers are now in a splint for about 6 weeks. I can take them off for matches, though. Thank God.

    Cheers to you! :cheers:

    Ironically, I just did a lecture this morning called, "The Jammed Finger" on all kinds of 'trivial' finger injuries and how they are treated. Then I logged on and saw your post. :cheers:

    Jammed two of my fingers tossing a football!

    in What I Hate

    Posted

    Did this last night at my son's football practice catching a ball. Middle and ring finger in my off hand. I have steel match this Sunday.

    Any suggestions from you medical types? I iced it , but the first joint in each finger is bent down.

    This really sucks. <_<

    Google "mallet finger" and get it treated. Won't get better on its own, hard to treat later.

    worst day ever at match

    in What I Like

    Posted · Edited by Surge

    And PharohBender where was the post match beer you promised??? :devil:

    Sorry Joel...I was getting a chest x-ray while you guys were loading mags. I still owe ya one bro. Glad that you had a groovy time at the match today.

    Joel gets a metal plug in his heart, shoots the match and your excuse for missing it is 'chest xray'?

    :roflol::roflol:

    Edited to add:

    j/k. Hope you feel better.

    NEW kind of ELBOW PAIN?

    in Miscellaneous Topics That Do Not Fit in Any Other Forum

    Posted

    .

    My elbow can't support much weight without sharp pain right in the center of the joint.

    Not on the outside where the tendonitis usually hurts.

    Right on the inside where the bicep tendon meets the joint.

    Climbing a ladder is difficult, and I don't think I could support myself with my Right (Strong) Arm only if I needed to.

    The pain increases progressively with increased weight (no kidding huh) but also peaks when I rotate my wrist.

    Any Ideas????

    Anyone??

    Distal biceps tendinopathy/chronic partial tear. Final answer.

    Steel1212

    in Range Diary

    Posted

    Umm with today's performance....yeah...yeah I think I will....he had just better hope I didn't beat him on the HF with a 8 round gun even with the mikes :roflol:

    Hey, now wait a sec. I'm only here for the "dishing it out." You have to post THAT stuff in MY range diary. :cheers: j/k

    Corey, IMHO you looked like you shot well. I think at some level, if you register that you missed with your second shot after you've already moved, and it's too late for you to make it up, then your brain and body are a bit out of 'sync'. Slow it down a smidge and with your hits and movement, you'll be much happier. Doesn't have to be too much.

    That's the a similar your followup shots after a misplaced shot went to the same place. You know you missed/hit the gong/hit a NS (whatever), (so you're obviously seeing it) but your makeup shots are getting off before you realign the sights on the true target. But the difference between your brain recognizing the miss and telling your body to correct is a matter of milliseconds, so it's not much.

    Does that sound like it makes sense? But if I read this stuff right, if you CONSCIOUSLY try to work on it, it'll slow you down. Therefore it's a "between matchs" problem to solve, not a "during match."

    Not that I'm much for advice...

    Used returns

    in What I Hate

    Posted

    From now on, whenever I return something, I'm tucking a note into the instruction manual where the vendor will not find it upon cursory examination.

    As the next customer, I might have a hard time finding the note if you left it there... :blush:

    "Shooters Elbow"

    in Physical Training

    Posted · Edited by Surge

    I'll bow out of this discussion. I've offered a pointer to information which has helped me. I'm not pretending to be an expert.

    Being an expert doesn't help with recommending treatment in this condition. Here's a good read for all. Some things work for some people and not others. No treatment has been validated as beneficial experimentally, though almost anything works anecdotally.

    J Shoulder Elbow Surg. 1999 Sep-Oct;8(5):481-91.Links

    Lateral tennis elbow: "Is there any science out there?".Boyer MI, Hastings H 2nd.

    Department of Orthopaedic Surgery, Washington University School of Medicine, St Louis, MO, USA.

    As orthopaedic surgeons, we are besieged by myths that guide our treatment of lateral epicondylitis, or "tennis elbow." This extends from the term used to describe the condition to the nonoperative and operative treatments as well. The term epicondylitis suggests an inflammatory cause; however, in all but 1 publication examining pathologic specimens of patients operated on for this condition, no evidence of acute or chronic inflammation is found. Numerous nonoperative modalities have been described for the treatment of lateral tennis elbow. Most are lacking in sound scientific rationale. This has led to a therapeutic nihilism with respect to the nonoperative management of this condition. An examination of the literature can only lead us to believe that most, if not all, common nonoperative therapeutic modalities used for the treatment of tennis elbow are unproven at best or costly and time-consuming at worst. Most of the published literature on the nonoperative treatment of patients with lateral tennis elbow consists of poorly designed trials. The selection criteria are nebulous, the control group is questionably designed, and the number of patients is often too low to avoid a serious loss of study power. These studies therefore have a high beta error, implying an inability to detect a difference between groups, even if one truly existed. If clinical signs and symptoms persist beyond the limit of acceptability of both patient and surgeon, then an array of surgical options are available. These range from a 10-minute office procedure (the percutaneous release of the extensor origin with the patient under local anesthetic) to an extensive joint denervation, in which all radial nerve branches ramifying to the lateral epicondyle are directly or indirectly divided. How is the surgeon to choose, given the fact that most of the published surgical studies are case series of one type of operation or another, consisting of patients operated on and evaluated by the same surgeon, who has a vested interest in his or her own patients' successful outcome? The orthopaedic surgeon therefore has very little on which to "hang his hat" when it comes to objective data to guide treatment of patients with lateral tennis elbow syndrome. In the final analysis we are guided simply by our own subjective viewpoint and clinical experience. In 1999, to have such a common clinical condition have such a paucity of peer-reviewed published data of acceptable scientific quality is disappointing. In this review article we will examine the "myths" of tennis elbow: the name, the salient features on history and physical examination, the diagnostic modalities, the pathology of the "lesion," the anatomy of the lateral elbow and extensor origin and why it has led to such confusion in differential diagnosis, the nonoperative and operative treatment of tennis elbow, and finally the various studies that have been carried out on elbow biomechanics as it relates to the pathoetiology of true "tennis elbow." It is our hope that the reader will emerge with a clearer picture of the pathoetiology of the condition and the scientific rationale (or lack thereof) of the various operative and nonoperative treatment modalities.

    PMID: 10543604 [PubMed - indexed for MEDLINE]

    and just for fun:

    J Hand Surg [Am]. 2008 Jul-Aug;33(6):909-19. Links

    Injection of dexamethasone versus placebo for lateral elbow pain: a prospective, double-blind, randomized clinical trial.Lindenhovius A, Henket M, Gilligan BP, Lozano-Calderon S, Jupiter JB, Ring D.

    Harvard Medical School, Boston, MA, USA.

    PURPOSE: We tested the hypothesis that there is no difference in disability, pain, and grip strength 1 and 6 months after corticosteroid and lidocaine injection compared with lidocaine injection alone (placebo). METHODS: Sixty-four patients were randomly assigned to dexamethasone (n = 31) or placebo (n = 33) injection. At enrollment, disability (Disabilities of the Arm, Shoulder, and Hand [DASH] questionnaire), pain on a visual analog scale, grip strength, depression (the Center for Epidemiologic Studies Depression Scale; CESD), and ineffective coping skills (the Pain Catastrophizing Scale; PCS) were comparable between treatment groups. At 1 and 6 months, DASH, pain, and grip strength measures were repeated. Univariate and multivariate analyses were used to determine predictors of disability. Analysis was by intention to treat. RESULTS: One month after injection, DASH scores averaged 24 versus 27 points (dexamethasone vs placebo), pain 3.7 versus 4.3 cm, and grip strength 83% versus 87%. At 6 months, DASH scores averaged 18 versus 13 points, pain 2.4 versus 1.7 cm, and grip strength 98% versus 97%. CESD and PCS scores correlated with disability as measured by the DASH questionnaire. The best multivariate models included CESD at 1 month and PCS scores at 6 months and explained the majority of variability in DASH scores. CONCLUSIONS: Corticosteroid injection did not affect the apparently self-limited course of lateral elbow pain. In secondary analyses in a subset of patients, perceived disability associated with lateral elbow pain correlated with depression and ineffective coping skills. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic I.

    PMID: 18656765 [PubMed - in process]

×
×
  • Create New...