Lateral Epicondylitis

Question 1

AKA

Answer 1

Tennis Elbow
Carpenters/dentist/yachtsman elbow
Picker’s plight
Politician’s paw

Question 2

age

Answer 2

40-60

>40 M = 2x increase; 4x increase in F

Question 3

D/t

Answer 3

Repetitive hand use.
MC ELBOW CONDITION
Tennis players = epicondylosis/epicondylalgia (MC)

Question 4

What is it!?

Answer 4

Lateral elbow pain d/t degen, tendinopahty, periostitis, adhesions at lateral epicondyle and lateral joint capsule

Question 5

What muscles are involved?

Answer 5

ECRB
ECU
ED
Supinator

Question 6

What happened, man?

Answer 6

Repetitive overuse

Question 7

What are some signs, yo?

Answer 7

Local tenderness,
Not usually swelling or bruising
And you move alright bro - normal ROM, but you got some joint restrictions. Painful AROM, m. Test and ER stretch tho
Cozens/Mills/Long finger test/Book test/Dynamometer
You prob got some muscular imbalance too: bi/post forearm flexibility; RTC, pronator, supinator

Question 8

What are my symptoms, doc?

Answer 8

Lateral elbow pain
Probs got a job with lots of gripping n resisted extension
Stiffness after rest, especially in flexion

Question 9

WHAT’S MY DDX?!

Answer 9

OA

Question 10

What my prognosis bra?

Answer 10

Self-limiting, but chronic

If you gots dem neuro sx’s and use a compooper a lot, you’ll prob do worse

Question 11

Early treatment

Answer 11

POLICE
Ice massage
Sleeves>tension braces
Mob/manip with PT > injection
Massage to tolerance
US, LLLT, ESWT
Restore varus stress
Posterior radial glide not well tolerated

Question 12

Early treatment

Answer 12

Mob/manip
Transverse friction massage
Myofascial release
US, cold laser
Mvt, modification
Splint