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Vol.147 关节健康系列:肘关节如何预防损伤?

November 12, 2026 · 39 min

Show notes

【听友福利】

【线下课程报名】

赤足训练课程:

12月5-6日 北京站

灵活稳定课程:

11月28-29日 北京站

功能性训练课程:

明年1月23-24日 上海站

明年2月27-28日 深圳站

壶铃入门课程:

明年2月20-21日 深圳站

明年3月6-7日 上海站

【内容简介】

拧毛巾时肘外侧一阵刺痛,端杯水都会疼一下——医生说你得了网球肘,可你根本没打过网球。这期节目从1877年的温布尔登讲起,聊聊网球肘和高尔夫球肘这两个名字的由来,先搞清楚到底是哪条肌腱在痛,再教你用一条毛巾自测无痛握力。为什么说它更像一次"修到一半的修复",而不是发炎?打针、PRP、筋膜刀到底有没有用?真正有效的负荷管理和渐进训练具体怎么做?健身的人做引体、弯举、卧推和壶铃时该怎么调整?还有出现哪些信号必须尽快就医。肘关节几乎参与你每一次伸手和抓握,却很少被想起,这期节目帮你学会正确地使用它、善待它。

【收听攻略】

01:09 节目开始:你没打过网球,为什么会得网球肘

02:28 网球肘名字的来历

04:04 肘关节结构:到底是哪里在痛

07:07 一条毛巾,自测你的无痛握力

07:39 不是发炎:肌腱"修到一半"的真相

10:46 什么人容易得:芬兰大型研究说了什么

13:53 好消息:八成患者一年内明显好转

16:00 封闭针的真相:好得快,一年后记性更差

17:47 PRP到底有没有用

20:17 真正有效的办法:负荷管理与渐进训练

27:41 健身房篇:引体、弯举、卧推、壶铃怎么调整

33:23 快问快答:冰敷、按摩、拍片子、手术

37:30 总结,与一个简单的行动建议

参考文献

Shiri, R., Viikari-Juntura, E., Varonen, H., & Heliövaara, M. (2006). Prevalence and determinants of lateral and medial epicondylitis: A population study. American Journal of Epidemiology, 164(11), 1065-1074.

Lai, W. C., Erickson, B. J., Mlynarek, R. A., & Wang, D. (2018). Chronic lateral epicondylitis: Challenges and solutions. Open Access Journal of Sports Medicine, 9, 243-251.

Smidt, N., van der Windt, D. A., Assendelft, W. J., Devillé, W. L., Korthals-de Bos, I. B., & Bouter, L. M. (2002). Corticosteroid injections, physiotherapy, or a wait-and-see policy for lateral epicondylitis: A randomised controlled trial. The Lancet, 359(9307), 657-662.

Coombes, B. K., Bisset, L., Brooks, P., Khan, A., & Vicenzino, B. (2013). Effect of corticosteroid injection, physiotherapy, or both on clinical outcomes in patients with unilateral lateral epicondylalgia: A randomized controlled trial. JAMA, 309(5), 461-469.

Karjalainen, T. V., Silagy, M., O'Bryan, E., Johnston, R. V., Cyril, S., & Buchbinder, R. (2021). Autologous blood and platelet-rich plasma injection therapy for lateral elbow pain. Cochrane Database of Systematic Reviews, CD010951.

Silbernagel, K. G., Thomeé, R., Eriksson, B. I., & Karlsson, J. (2007). Continued sports activity, using a pain-monitoring model, during rehabilitation in patients with Achilles tendinopathy: A randomized controlled study. The American Journal of Sports Medicine, 35(6), 897-906.

Vuvan, V., Vicenzino, B., Mellor, R., Heales, L. J., & Coombes, B. K. (2020). Unsupervised isometric exercise versus wait-and-see for lateral elbow tendinopathy. Medicine & Science in Sports & Exercise, 52(2), 287-295.

Tyler, T. F., Thomas, G. C., Nicholas, S. J., & McHugh, M. P. (2010). Addition of isolated wrist extensor eccentric exercise to standard treatment for chronic lateral epicondylosis: A prospective randomized trial. Journal of Shoulder and Elbow Surgery, 19(6), 917-922.


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