Tennis Elbow

Question 0

definition:

Answer 0

caused by laceration, bleeding, adhesion, aseptic inflammatory change in tendon of extensor muscle at the origin of the lateral epicondyle of the humerus due to chronic strain.

Question 1

What is the western medical term

Answer 1

lateral humeral epicondylitis

Question 2

Clinical features

Answer 2

1) pain all over the lateral aspect of the elbow

2) limited ROM of forearm (extension/flexion)

Question 3

Etiology

Answer 3

overuse} obstruction of Qi and EARLY
strain }–>damage —> blood in local area—>pain—>acute/SHI
sprain } bone and |
injury } tendon long term illness—>Qi/blood xu—>LATE
chronic/mixed

Question 4

common for people who:

Answer 4

1) play tennis
2) heavy labour
3) computer workers
4) factory workers

• common in middle aged who are Qi and blood xu but still need to work
• usually dominant arm

Question 5

Dx tools?

Answer 5

1) type of work
2) clinical features
3) palpate tenderness (LU/LI meridians)
4) x-ray (rule out broken bones)

Question 6

differentiation

Answer 6

golfers/student elbow= medial humeral epicondylitis, site of origin pf wrist flexor

Question 7

patterns:

Answer 7

1) Qi/blood stg

2) Qi/blood xu

Question 8

Acu Points

Answer 8

*LI meridian= Li-4/5/10/11/12
ashi
LU-5/7

Question 9

Alternative remedies

Answer 9

1) herbs (herbal plaster= Die da feng tong Gao)
2) electro 10Hz-30Hz (tonify), 50Hz-100Hz (pain)
3) warming needle
4) bleeding cupping
5) auricular ( shenmen, subcortex,

Question 10

Education

Answer 10

prevention:

1) use heat pack (keep warm)
2) avoid overuse

Question 11

Tx duration

Answer 11

acute= 3-5x
chronic= 5-10x

2x-every/week