Elbow Pathologies Pt 2 Flashcards
What might you find in radiographs for those with LE tendinopathy?
Bony thickening of LE
Osteophyte formation at common extensor tendon
Soft tissue calcification
What might you find in MRIs for those with LE tendinopathy?
Possible degenerative changes
Does not correlate with symptoms
Corticosteroid injection characteristics for LE tendinopathy
Short term effects only
Poorer outcomes with repeated injections
When is surgery an option in LE tendinopathy?
As a last resort and when it lasts greater than 6 months
Pain control in therapy management for those with LE
Rest Wrist extension orthosis Counterforce bracing Modalities Dry needling/acupuncture
Clarify how one should rest in those with LE tendinopathy
Rest by modifying or avoiding aggravating activities, not movement
How does counterforce bracing work?
It redistributes compressive forces on the extensor mechanism
What modalities are used for pain control?
Iontophoresis HVGS with sleeve US/phonophoresis Ice massage Low level laser therapy
What does therapy management consist of for those with LE tendinopathy, besides pain management?
Soft tissue mobilization/cross friction massage
Mobilization with movement
Joint mobilization/manipulation
What is commonly STMd in LE tendinopathy?
Proximal tendon of ECRB
Common joint mobilization techniques for LE tendinopathy discussed in class
Lateral gapping
Cervicothoracic
Radial head distraction
Common exercises for LE tendinopathy
Stretching Proximal stabilization Correction of muscle imbalances Isometrics Eccentrics Resisted exercises Plyometrics/functional training/total body conditioning
How should resisted exercises be progressed in LE tendinopathy?
Start with isometric wrist extension
progress to concentric with elbow bent
Then eccentric as pain allow
What patient education can you provide to someone with LE tendinopathy?
Avoid aggravating factors at home, work, and sports
Take lessons for proper form (tennis players)
Proper grip/handle size (tennis players)
Stretch/warm up prior to activity
Ice post activity
Medial epicondylalgia is also known as
Golfers elbow
