ELBOW med. or lat. epicondylitis

Question 1

epicondylitis classic presentation

Answer 1

• the wasting and pain of the affected compartment
• golfers = medial epi
• tennis = lateral epi

Question 2

similar DDX’s

Answer 2

• chronic sprain/strain of wrist ext.flex
• radial tunnel syndrome (lat.)
• carpal tunnel syndrome (med.)
• elbow arthritis

Question 3

supporting factors

Answer 3

• worse with repetitive activity
• eased by resting
• dull, achy and stiff pain with intermittent sharp pain
• dec. in active and passive ROM
• more common in men
  poor strength

Question 4

relevant orthos

Answer 4

• cozen’s
• mill’s
• golfer’s elbow test

Question 5

referrals

Answer 5

• physio and steroid injections
• x-ray to look for calcification or degeneration

Question 6

contraindication

Answer 6

• avoid adjusting the affected side