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Judge orders all parties into mediation in South Carolina church…

first_img In-person Retreat: Thanksgiving Trinity Retreat Center (West Cornwall, CT) Nov. 24-28 Episcopal Church in South CarolinaPosted Jul 24, 2019 Assistant/Associate Rector Washington, DC Rector Smithfield, NC AddThis Sharing ButtonsShare to PrintFriendlyPrintFriendlyShare to FacebookFacebookShare to TwitterTwitterShare to EmailEmailShare to MoreAddThis New Berrigan Book With Episcopal Roots Cascade Books Property Featured Events Submit an Event Listing Submit a Press Release Rector (FT or PT) Indian River, MI Rector Belleville, IL Seminary of the Southwest announces appointment of two new full time faculty members Seminary of the Southwest Inaugural Diocesan Feast Day Celebrating Juneteenth San Francisco, CA (and livestream) June 19 @ 2 p.m. PT Rector/Priest in Charge (PT) Lisbon, ME The Church Investment Group Commends the Taskforce on the Theology of Money on its report, The Theology of Money and Investing as Doing Theology Church Investment Group TryTank Experimental Lab and York St. John University of England Launch Survey to Study the Impact of Covid-19 on the Episcopal Church TryTank Experimental Lab Ya no son extranjeros: Un diálogo acerca de inmigración Una conversación de Zoom June 22 @ 7 p.m. ET Director of Music Morristown, NJ Join the Episcopal Diocese of Texas in Celebrating the Pauli Murray Feast Online Worship Service June 27 This Summer’s Anti-Racism Training Online Course (Diocese of New Jersey) June 18-July 16 Episcopal Charities of the Diocese of New York Hires Reverend Kevin W. VanHook, II as Executive Director Episcopal Charities of the Diocese of New York Submit a Job Listing Episcopal Migration Ministries’ Virtual Prayer Vigil for World Refugee Day Facebook Live Prayer Vigil June 20 @ 7 p.m. ET Rector Hopkinsville, KY Rector Collierville, TN Tags Family Ministry Coordinator Baton Rouge, LA Rector and Chaplain Eugene, OR Associate Rector for Family Ministries Anchorage, AK Bishop Diocesan Springfield, IL Youth Minister Lorton, VA center_img Director of Administration & Finance Atlanta, GA Rector Washington, DC Back to Press Releases Rector Bath, NC The Church Pension Fund Invests $20 Million in Impact Investment Fund Designed to Preserve Workforce Housing Communities Nationwide Church Pension Group Virtual Celebration of the Jerusalem Princess Basma Center Zoom Conversation June 19 @ 12 p.m. ET Rector Albany, NY Featured Jobs & Calls Assistant/Associate Priest Scottsdale, AZ Missioner for Disaster Resilience Sacramento, CA An Evening with Presiding Bishop Curry and Iconographer Kelly Latimore Episcopal Migration Ministries via Zoom June 23 @ 6 p.m. ET Rector Pittsburgh, PA Associate Priest for Pastoral Care New York, NY Press Release Service Curate (Associate & Priest-in-Charge) Traverse City, MI Canon for Family Ministry Jackson, MS Assistant/Associate Rector Morristown, NJ Course Director Jerusalem, Israel Rector Shreveport, LA Judge orders all parties into mediation in South Carolina church property case Curate Diocese of Nebraska After a two-hour hearing at Calhoun County Courthouse in St. Matthews, SC, this morning, First Circuit Court Judge Edgar Dickson ordered all parties—The Episcopal Church in South Carolina (TECSC) and The Episcopal Church, along with a group that broke away from the Church in 2012—to enter into mediation in the ongoing dispute over enforcing the South Carolina Supreme Court’s 2017 decision on diocesan and parish properties.The hearing was initially in regard to a lawsuit filed against TECSC and The Episcopal Church by the breakaway group that has come to be known as the Betterments Act case. It was filed in November 2017 and cites the little-used Betterments Act statute to seek compensation from TECSC and The Episcopal Church for the cost of improvements made to the properties over the years. That suit followed a decision by the South Carolina Supreme Court on August 2, 2017 ruling that all diocesan property and the property of 29 parishes is held in trust for The Episcopal Church and TECSC.During the hearing, attorneys for TECSC and The Episcopal Church argued the grounds for dismissal of the case, per their motion filed on December 15, 2017. During the course of the arguments, Judge Dickson asked several questions on issues surrounding ownership and trusteeship of the involved properties.In response, the attorneys for the breakaway group primarily argued that the Supreme Court decision of August 2, 2017 does not, in their view, specifically identify the parishes that directly acceded to the Dennis Canon. That canon requires that church properties be held in trust on behalf of the diocese, to be used for the benefit of the Episcopal Church.The attorneys for the breakaway group argued that the court still needs to determine which parishes acceded to the Dennis Canon. Attorneys for TECSC and The Episcopal Church countered, noting that the Supreme Court already made that determination, identifying 29 parishes that acceded and are bound by the Dennis Canon. Both sides agreed that there were seven or eight parishes that did not accede to the canon, and therefore, those parishes are not a part of the underlying case.After both sides had a chance to present their positions to the court, Judge Dickson ordered the parties to return to mediation, even though both sides had agreed at a point earlier in the hearing that previous efforts toward mediation have not proved effective. From October 2017 to January 2018, the parties held four days of mediation ordered by U.S. District Judge Richard Gergel in connection with a separate federal lawsuit. No agreements resulted from that mediation, which was conducted by Senior U.S. District Judge Joseph F. Anderson, Jr. in Columbia, SC.Judge Dickson noted that mediation is now mandatory in circuit court, and it is his belief that because there are “problems of the court deciding church issues,” mediation would be the best way to resolve the “competing interests in this case.” He advised that his mediation order is “global and complete” for all cases before him involving the associated parties (other than the seven or eight parishes that all parties agreed are no longer involved).All parties agreed to select a new mediator, and the judge encouraged them to work together to select someone who is agreeable to both sides. Overall, the attorneys for TECSC were pleased with the tone of the hearing. “We have to  leave open the possibility that some things could change, and mediation would be effective,” said Chancellor Thomas Tisdale, Jr.No timetable was set for the next steps. Judge Dickson did not rule on the motion to dismiss the Betterments Act case, nor did he grant a stay (as requested by the breakaway group) that would put the case on hold until mediation is complete.​According to attorneys, mediation is best understood as a conversation, with a mediator directing and facilitating. The only way mediation results in any action is if all parties agree to a resolution in writing. Cathedral Dean Boise, ID Priest-in-Charge Lebanon, OH Remember Holy Land Christians on Jerusalem Sunday, June 20 American Friends of the Episcopal Diocese of Jerusalem Rector Knoxville, TN Rector Tampa, FL Associate Rector Columbus, GA Priest Associate or Director of Adult Ministries Greenville, SC Rector Martinsville, VAlast_img read more

Telecoms at the Edge Offers Huge Opportunity

first_imgWe’ve talked previously about the role Dell Technologies will play in 5G transformation and the huge opportunity that the combination of 5G, the edge and IoT will deliver to business but what about the telecom industry, which is at the very heart of that transformation?New services and incremental revenue streamsWhile the edge is just one individual component, its inclusion in the telecom network changes some important fundamentals. Effectively, the telecom network now becomes a mobile platform with radio, core and IT workloads all running on a common infrastructure, capable of providing new services and delivering incremental revenue streams. And so, while 5G will turbocharge the intelligent edge revolution, I believe that the edge will also drive 5G adoption and help to create new and revolutionary communications platforms.Dell Technologies and Intel recently commissioned independent research on this very topic, entitled ‘The Edge Opportunity’, which presents a huge range of exciting, new market opportunities for telecom players. I’ve highlighted just a few of these below along with some of my own observations. Video caching and transcodingFor example, for operators, who provide video-on-demand services, the edge is an obvious location to place content caches. Reducing the latency in streaming video is great in its own right but by keeping popular content close to the subscribers and end-users, you can also reduce bandwidth and preserve network capacity. Of course, this is not a new concept, but commoditization of infrastructure supporting 5G will certainly simplify implementation directly into the mobile network.ComplianceAnother good example is copyright enforcement, which comes into play during concerts, plays and sports events when members of the audience are prohibited from transmitting the video via their cell phones. In this scenario, an edge application could either disable the upstream transmission completely or reduce the resolution to make the transmission compliant. With new data privacy laws, some data has to reside in a particular geography. Edge applications can enforce these laws, and add value by processing the data locally, within the appropriate jurisdiction.Virtualized Radio Access NetworksGiven the location of edge platforms, elements of virtualized 5G Radio Access Networks fit perfectly. For example, the BBU (Base Band Unit) as part of a CRAN solution can run on edge platforms, taking advantage of commodity platforms and flexible component configurations. Once commercialized, these virtualized networks will enable faster and more flexible introduction of new AI and IoT services.Third-party edge applicationsOn that note, I believe that the edge offers the perfect ecosystem to encourage third-party application developers to create new applications that can take advantage of the unique nature of the edge platform. Some of these new applications areas already enabling more immersive, real-time experiences like visual recognition and augmented or virtual reality. Other applications like gaming are also benefitting from the lower latencies near the edge, improving the real-time, online game experience.And of course, there are still environments with either intermittent, highly constrained, or no connectivity support. These include planes, mines, farms, oil rigs, trains, pipelines, wind farms, solar power plants, and power grids. Having a standardized edge platform in these places will undoubtedly enable new applications to be build out more cost-effectively.AnalyticsLooking at the bigger picture, IDC estimates a total of 41.6B IoT connected devices by 2025[i], including connected cars, medical devices, factories, hospitals, homes and cities. As that sprawl begins to happen, operators will need to figure out fast how to manage and optimize the network. In addition to analytics, I expect to see increased levels of automation with the ability to connect and disconnect devices remotely. Inevitably, we will also see machine learning and AI being deployed to help with security and the overall quality of customer service.Current trendsInterestingly, I am currently seeing two key trends in the marketplace. In large venues, like sports stadiums, some operators are converging elements of the network to create a single, consolidated platform for live replay instead of each operator installing its own infrastructure. Alternatively, some commercial companies like large enterprises, mining customers, airports and factories are actually installing their own private mobile network solutions for maximum security and bandwidth.Where is the Edge?This leads me to the next big question – what locations can be classified as the edge? Of course, there isn’t one edge, but multiple edges across a continuum but if we stick with the topic of sport, one of the most interesting examples has to be a venue like a sports stadium, where an edge application could, for example, allow the audience to watch a game from numerous perspectives.Imagine augmented reality, where you could use VR googles to view incremental information to complement the live replay on the pitch. The stuff of dreams for avid sports fans! Ultimately, it’s all about offering personalized, high-definition content without burdening upstream bandwidth.Practical considerationsIn practical terms, what do telecom operators need to consider when planning edge deployments? My customers tell me that they need tough, ruggedized products, resistant to shock, dust and vibration, capable of operating in temperature of up to 45 degrees C and certified for telecom usage, where failure is not an option.Space is often limited and so light-weight, small, compact products are important, with cabling and cooling designed in a ‘nonstandard’ (for IT) way. This is exactly why we offer shallow-depth servers and provide equipment enclosures and shelters. As access for maintenance is often challenging, the hardware platform should provide extended long-life and include tamper-detection capabilities.The right partnerDell Technologies OEM | Embedded & Edge Solutions provides hardware and software solutions that can play at every level from the edge to the core, to the cloud. Think scalable, secure, manageable and open infrastructure architecture, IoT, Edge, and big data expertise, the ability to customize, plus a sophisticated global support and supply chain.As Intel’s largest customer, we have early insight into technology roadmaps and offer a full ecosystem of wrap-around solutions and services including virtualization and security solutions through sister companies like VMware and SecureWorks as well as high-end from partners like Nvidia. To learn more about how we enable telecoms with embedded and edge solutions and to talk to a sales expert visit us online.Do join the conversation. I’d love to hear your thoughts on #Telecoms at the #Edge. Read ‘The Edge Opportunity – Platform Matters’ research report from AvidThink here. Follow us on Twitter @delltechoem and @ronatdell. Join our LinkedIn Dell Technologies OEM | Embedded & Edge Solutions Showcase page here.[i] “Worldwide Global DataSphere IoT Device and Data Forecast, 2019-2023” https://www.idc.com/getdoc.jsp?containerId=prUS45213219last_img read more

The Evolution of… Come Again?

first_img The narrator claimed that the lobed fins “represent the first rudimentary legs which enabled the ancestral amphibians to drag themselves from the water, and begin the colonization of the dry land.”  Trouble is, the coelacanth does not use its lobed fins in any way for walking on land or even the sea floor, nor its “beginnings of an air-breathing lung” for breathing air—the fish inhabits deep water.  The video narrator compounded credulity by claiming that the emergence of land-dwelling creatures was “a process that the little recently evolved mudskippers are repeating on their own account.”   One wonders how the writer and narrator can speak so confidently about an unobserved history, from a fish that shows no change for alleged 60 million years, when Walker admitted early on that “new research just published reveals, in its own way, just how little we still know about this fish, despite it being the subject of intensive scrutiny and excitement for more than 70 years.” In no case did the authors of these stories describe how the exquisitely functional equipment in any of these creatures, whether horses, tunicates, weevils, coelacanths or athletes, could have originated out of a blind, purposeless, unguided process.   It is left as an exercise to the reader to ponder how PhysOrg’s article claiming Homo erectus and modern humans did not interact “offers new insights into evolution.” Do you catch the utter madness of these claims about evolution?  Where is it?  They have strained at gnats and swallowed a whole herd of camels.  They even turned evidence against evolution into support for it, promising us they were shedding light on evolution and offering new insights into evolution.  The appropriate facial expression can be seen here. Evolution is like a holographic house of cards in a hall of mirrors in black light, supported by turtles all the way down.  This is absurd, dumb, inexcusable.  Vote these rascals out of the science lab and replace them with consistent realists who know design when they see it.(Visited 58 times, 1 visits today)FacebookTwitterPinterestSave分享0 The evolution of horses:  New Scientist featured a six-picture gallery of horses with the headline, “The not-so-natural history of horse evolution.”  It was clear from the photos, however, that all the horses except two are modern products of artificial breeding.  The first photo showed an artist reconstruction of Hyracotherium, “considered by palaeontologists to be the earliest horse.”  Even granting that, the creature had more toes than modern horses, and differed little from modern horses except in size (i.e., it had all the horsy equipment of body plan, internal organs, and systems).  Przewalski’s horse, an endangered species, “the last true wild horse,” is a member of the same genus as all modern horses.  Whatever evolution the article promised seems trivial, but the subhead read, “New Scientist traces the course of horse evolution and breeding from their ancient origins and wild forms to the first cloned racehorse.” The evolution of tunicates:  An article on PhysOrg promised hat a “Study sheds light on tunicate evolution.”  Scientists at Woods Hole Oceanographic Institution compared one gene, 185 rDNA, between 72 species of thaliacens, subgroups of tunicates that live primarily in sea plankton.  The group, they said, was monophyletic, “indicating that the pyrosomes, salps, and doliolids arose from a common ancestor,” the article explained, claiming that the study allowed them to gain “new insights on evolutionary relationships both within the Thaliacea and between thaliaceans and other tunicates.”  This claim ignores whether or not creationists would classify these pelagic filter-feeders, all with similar levels of complexity, within a single created kind.  It also makes its judgment based on one gene, when comparisons of different genes and proteins are often known to lead to different phylogenies. The evolution of sports:  One might think that sports are products of intelligent design rather than evolution, but researchers in France, according to Medical Xpress, traced the evolution of sport and said it follows a physiological law of nature.   The confused reader, by looking into the text and seeing how the word evolution is used, realizes it has nothing at all to do with Darwin, but with individual performance curves over a single person’s lifetime: “Physiological parameters that characterize human capabilities (mobility, reproduction or the capacity to perform tasks) evolve throughout the life cycle. The physical and intellectual abilities follow the same pattern, starting at the moment of conception:  The performance of each individual is limited at birth, then increases to a peak before declining until death.” Evolution of weevils:  Some weevils in New Guinea were found to have tips of their legs that seem to screw on.  This amazing resemblance to the human nut and screw was described on New Scientist under the headline, “Beetles beat us to the screw and nut.”  Marvel at this explanation by Michael Marshall about how evolution works: “The weevils are another example of evolution coming up with the same solutions to problems as human engineers,” he said.  “Bacteria had continuously rotating wheels long before we did, in the form of spinning ‘tails’ called flagella. It seems the weevils beat us to threaded screws and nuts.”  Note to Marshall: the bacterial flagellum is an icon to advocates of intelligent design as a prime example of irreducible complexity. The non-evolution of coelacanth:  One might think that Matt Walker, the Wonder Monkey of the BBC, would avoid using the word evolution in an article about Coelacanth, the lobe-finned fish found alive in 1938 after textbooks called it extinct since the age of dinosaurs.  This living fossil has been widely showcased by creationists as evidence against evolution and long ages.  This prime evidence for stasis (non-evolution), however, was used by Walker and a video clip accompanying the article to tell us we the people evolved from it: “The fish provided an immediate link to our dim evolutionary past, resembling the lobe-fin fish that were likely the first to leave the water and take to land, ultimately begetting the amphibians, reptiles and mammals we see today, including the human race.”  Science news articles speak freely of the evolution of this or that, but the fine print often shows a disconnect with the evolution explanation.  Can one speak of the evolution of something that has not changed for millions or years?  The details in the following stories raise questions whether anything significant has evolved in the sense Darwin meant – from simple to complex.last_img read more

Helping kids shine at school – in their own language

first_imgFounder and director Maurita Glynn Weissenberg reads to a group of pupils, developing their reading skills. The happy smiles attest to the success of improved reading skills for these children. (Images: The Shine Centre) MEDIA CONTACTS • Linda Codron Manager, Communications, The Shine Centre +27 21 762 4320 RELATED ARTICLES • Instilling a love of reading • Storybook sparks love of reading • Why we need a literate nation • Reading to boost our self esteem Lucille DavieLiteracy is crucial for long-term success in today’s world, and a love of reading is vital for children’s long-term happiness at school and life beyond the classroom. The Shine Centre, based in Cape Town, is giving children that love of reading.It brings volunteers into schools to give children one-on-one help with reading. “Perhaps the most important thing we ever give each other is our attention. Once children have our attention we will have theirs, and then we can share our love of books with them,” says Maurita Glynn Weissenberg, the founder and director of the centre, where the slogan is “Words can change worlds”.Established in 2000, the centre has given some 5 000 children a better start in life by taking them out of the classroom and giving them extra attention. There are seven satellite centres in Cape Town, with an eighth to be opened next year. There are also five Shine Chapters, or social franchises, in Cape Town, Durban and Port Elizabeth; in Johannesburg, there are nine Shine-inspired independent Literacy Centres.Four-prong approachWeissenberg’s model, which has a four-prong approach, is being used by others too: she has trained orphanage teachers and after-school centres in the method.The Shine Centre supports children in grades two and three. At the end of Grade 1, every child in a Shine-supported school is assessed, and those at risk of not coping are given weekly two-hour sessions with a trained volunteer in Grade 2 in Shine’s Literacy Hour Programme. On average, depending on class sizes and schools, approximately 40% of children assessed will need to attend the programme. By the end of the year, however, a very small percentage will need to attend the following year.The children have a refresher course, in which they are given the basics of reading again. These involve a volunteer sitting with them, helping them to read, and building their confidence and self-esteem in the process. “The children quickly make up when they are paired with a volunteer,” says Weissenberg. She emphasises that the work is done at the pace set by the child.The next step is paired reading, where, if the child falters, the volunteer strives to reduce anxiety by slowing down the reading. The emphasis is on language acquisition, vocabulary and general knowledge. Then games are introduced, in which the child’s reading speed is improved. These also concentrate on phonics, encouraging the child to perfect the pronunciation of words. At this level, comprehension of sentences and concepts is strengthened.The fourth stage is called “have-a-go” writing, in which the emphasis is on spelling and handwriting, with the aim of getting the child to write with confidence. Along the way, the child is assessed every six months, to get a fix on his or her progress. These tests include eye assessments, and glasses are supplied, if necessary. These are usually provided by optometrists as part of their corporate social responsibility programmes.Other programmesWeissenberg, who is a primary and remedial teacher with 20 years’ experience, has drawn on other programmes to create Shine: the Tower Hamlets Education Business Partnerships in the UK, combined with the Paired Reading and Storybook Reading method, 36 bespoke games, and the Have a go Writing method. She has worked with specialists in the field too.The principles of the Time to Think programme have also been incorporated: creating a physical environment where each individual matters; affirming the children’s importance; listening with respect and without interruption, and no hurrying of the child; giving them undivided attention; treating each other as thinking peers, and learning from each other, regardless of age, qualification or race; “ease creates, urgency destroys”, in other words, creating an environment that encourages children to work at their own pace; and, to practise the art of appreciation, with a lot of praise and encouragement for the children.An element of this is involving the parents in their children’s reading. All the schools where Shine operates are given a parent workshop for parents of children in grades R and one. “Our aim is to help parents see that just a little bit of positive support using basic literacy skills such as reading stories to the children, telling stories to them, engaging with them by really listening to them, asking them questions, asking their opinion,” explains Weissenberg.Shine has the backing and support of the Western Cape education department. “They like the fact that we have a set programme, formal training for our volunteer tutors, assessments every six months from Grade 1 to Grade 3, and set outcomes.” She adds that literacy and numeracy levels have risen in all the schools in which they work, except for one, where the school is plagued by crime, gangsters and drug abuse, “that affects the children deeply”.Buddies programmeThe Shine Centre also has a Book Buddies programme, in which older children have the opportunity to read to younger children. It has advantages for the readers, who gain more fluency reading aloud, while they become aware of expression and vocalisation. And for the younger children, they gain comprehension by talking about the stories to their mentors.“Children will begin to understand that reading can be enjoyable while they improve their reading skills and foster a lifelong love of reading,” indicates the website. There are other spin-offs. It is a chance to build friendships by learning from one another. It gives older children the chance to be role models, thus boosting their confidence and self-esteem.And, older children are less likely to be bullies, as they appreciate the needs of younger children, and at the same time learn constructive behaviour and social skills. It’s a win-win for everyone. “Relationships built between children of different ages benefit the entire community. The older children feel needed by their peers and empowered with knowledge and responsibility. The younger children feel supported and nurtured with the ability to confidently take on new challenges,” reads the website.Shine reinforces this work with workshops for communities and organisations to “empower them to be a proactive part of the school community and support children’s learning outside of the school environment”.Xhosa versus EnglishA problem Weissenberg has encountered is that children are largely Xhosa-speaking but urban schools are usually English medium. They are taught for two years in Xhosa, and switch to English by Grade 3, a language with which many are unfamiliar. “This means that most are learning in a second language. Every child should read in their mother tongue.”This means, says Weissenberg, that by Grade 6 less than 1% are coping at school.Getting books suitable for the children’s reading age is also a challenge. Books in the classroom are not always suited to their reading age, which is often below the standard for their grade. Shine buys its books from Cambridge and Oxford Press, but also uses the Talking Stories readers, which are printed in Xhosa and English. They also use the Biblionef books, which aims to have story books printed in all 11 official languages. “We buy their books in English and Xhosa so that the children have the best of both worlds,” says Weissenberg.New Shine centresWeissenberg and her team also facilitate the establishment of new Shine centres, called Shine Chapters, a social franchise, and reading clubs. They provide training to prospective franchisees, to help them set up around the country.“I attended Shine’s formal seminar about setting up a literacy centre. It was a privilege to be among people of such integrity and competence,” writes Margi Bashall on the website. “Their standards are uncompromisingly high, their system is professional and their commitment to education is absolute.” She has helped set up nine independent literacy centres in Johannesburg. “I know this work is healing.”Weissenberg has some 500 volunteers working in Shine’s centres and chapters around the country. By 2016, she hopes to have reached 16 000 children through reading clubs in faith-based organisations, after-care clubs, community reading clubs and Shine Chapters. The most rewarding part of her role as director, she says, “is witnessing the impact a love of reading can have on children”. Her top tip for encouraging children to read is to first gain their trust.Shine sponsors include DG Murray Trust, Sanlam, UK and US foundations, Rotary, School Aid in the UK, and individual sponsorships and family trusts. The Shine Trust is part of the MySchool MyVillage MyPlanet fundraising scheme, which raises money for schools, charities and environmental organisations.last_img read more

Tennis elbow

first_imgDefinition Tennis elbow is soreness or pain on the outside (lateral) side of the upper arm near the elbow.Alternative NamesEpitrochlear bursitis; Lateral epicondylitis; Epicondylitis – lateralCauses, incidence, and risk factorsThe part of the muscle that attaches to a bone is called a tendon. Some of the muscles in your forearm attach to the bone on the outside of your elbow.When you use these muscles over and over again, small tears develop in the tendon. Over time, this leads to irritation and pain where the tendon is attached to the bone.This injury is common in people who play a lot of tennis or other racquet sports, hence the name “tennis elbow.” Backhand is the most common stroke to cause symptoms.However, any activity that involves repetitive twisting of the wrist (like using a screwdriver) can lead to this condition. Therefore, painters, plumbers, construction workers, cooks, and butchers are all more likely to develop tennis elbow.This condition may also be due to constant computer keyboard and mouse use.SymptomsElbow pain that gradually worsensPain radiating from the outside of the elbow to the forearm and back of the hand when grasping or twistingWeak graspSigns and testsYour doctor or nurse will examine you.The exam may show:Pain or tenderness when the tendon is gently pressed near where it attaches to the upper arm bone, over the outside of the elbow.Pain near the elbow when the wrist is bent backwards.X-rays may be done.advertisementTreatmentThe first step is to rest your arm and avoid the activity that causes your symptoms for at least 2 – 3 weeks. You may also want to:Put ice on the outside of your elbow 2 – 3 times a day.Take nonsteroidal anti-inflammatory medications (such as ibuprofen, naproxen, or aspirin).If your tennis elbow is due to sports activity, you may want to:Ask about any changes you can make in your technique.Check any sports equipment you are using to see if any changes may help. If you play tennis, changing your grip size of the racket may help.Think about how often you have been playing and whether you should cut back.If your symptoms are related to working on a computer, ask your manager about making changes to your work station or have someone look at how you chair, desk, and computer are set up.An occupational therapist can show you exercises to stretch and strengthen the muscles of your forearm.You can buy a special brace for tennis elbow at most drug stores. It wraps around the upper part of your forearm and takes some of the pressure off the muscles.Your doctor may also inject cortisone and a numbing medicine around the area where the tendon attaches to the bone. This may help decrease the swelling and pain.If the pain continues after 6 – 12 months of rest and treatment, surgery may be recommended. Talk with your orthopedic surgeon about the risks, and whether surgery might help.Expectations (prognosis)Elbow pain may get better without surgery. However, most people who have surgery have full use of their elbow forearm afterwards.Calling your health care providerCall for an appointment with your health care provider if:This is the first time you have had these symptomsHome treatment does not relieve the symptomsReferencesRegan WD, Grondin PP, Morrey BF. Elbow and forearm. In: DeLee JC, Drez D Jr., Miller MD, eds. DeLee and Drezs Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa: Saunders Elsevier;2009:chap 19.Schmidt MJ, Adams SL. Tendinopathy and bursitis. In: Marx JA, ed. Rosens Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009: chap 115.Review Date:8/11/2012Reviewed By:David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc., and C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery.last_img read more