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Ortho > Upper Extremity Condition/Treatment Elbow > Flashcards

Upper Extremity Condition/Treatment Elbow Flashcards

1
Q

Source & Lou Point combo for Pain bw/scapula & elbow

A

TW issue: TW4 & PC6

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2
Q

Source & Lou Point combo for Palm contracture, arm pain w/inability to extend

A

PC issue: PC7 & TW5

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3
Q

Lateral Epicondylitis may be secondary to failure of -

A

Musculotendinous attachment with fibroplasia

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4
Q

Chronicity of Lateral Epicondylitis may be d/t

A

a poor repair process

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5
Q

Lateral Epicondylitis is commonly seen in

A

PT bw/ 30-50 YO

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6
Q

Lateral Epicondylitis happens 4-5x more in

A

males

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7
Q

What arm of Lateral Epicondylitis is mostly affected?

A

dominant

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8
Q

What is the cause of Lateral Epicondylitis?

A

Not clear, maybe repetitive motion

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9
Q

Where is the pain of Lateral Epicondylitis?

A

where the common extensor attaches

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10
Q

What makes Lateral Epicondylitis pain worse?

A

lifting even light objects, opening doors

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11
Q

Type of Pain w/Lateral Epicondylitis

A

sharp, stabbing, burning, and/or dull achy, radiating proximally or distally (up & down arm)

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12
Q

What is the typical Western remedy

A

Cortisone inj.

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13
Q

If tennis elbow is bilateral, check

A

lower cervical segments w/foraminal

test C6, C7

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14
Q

What is important in the treatment of Lateral Epicondylitis?

A

Treat the extensor group attachment not just Ah Shi

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15
Q

What tendons of what muscles are a problem

A

Extensor carpi radialis brevis

Extensor Digitorum

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16
Q

What tests for Lateral Epicondylitis

A

Cozen’s
Mill’s
Ext Dig

17
Q

TCM Dx of Lateral Epicondylitis

A
  • LV Qi Stag
  • LV Bl Def.
  • Stag. Q/B @ epicondyle
18
Q

Tx idea according to Dx of Lateral Epicondylitis

A
  • smooth LV Qi
  • Build LV Bl to smooth
  • Move Q/B @ epicondyle
  • Relax sinews
19
Q

Local treatment of Lateral Epicondylitis

A

LI 10, TW5 Zone

20
Q

Distal treatment of Lateral Epicondylitis at HAND

A

Ling Ku: 0.5 cun proximal to Hegu, same side as pain, perpendicular 0.5 - 0.9 cun

21
Q

Moxa Lateral Epicondylitis if

A

chronic

22
Q

EA setting for Lateral Epicondylitis

A

4 Hz continuous

23
Q

What ST Ch points are used w/ Lateral Epicondylitis in acute cases where needling close to Lateral Epicondyle is too painful?

A

opposite knee:

ST36, ST37 check Ah Shi

24
Q

What needles are used for osteoacupuncture & where exactly are they used?

A

38G to #1 Serin, along lateral epicondyle and along the anterior border of the radius

25
Q

What IZ for Lateral Epicondylitis?

A

Extensor Digitorum: pronated hand, proximal 1/3 from on line from epicondyle to wrist crease. Move middle finger to find and

26
Q

Golfer’s elbow aka

A

Medial Epicondylitis

27
Q

Medial Epicondylitis check what trigger points?

A

biceps, medial head triceps, pronator teres

28
Q

Which epicondyle is easier to treat medial or lateral?

A

lateral

29
Q

Why is Medial Epicondylitis more difficult to treat?

A

Muscles that attach to Medial Epicondyle have tendinous sheaths and are more tubular as compared to the extensor groups fan like attachment.

30
Q

Flexor tendons are

A

rounded w/synovial sheaths

31
Q

Extensor tendons are

A

flat

32
Q

Medial Epicondylitis most common muscles affected

A

pronator teres, flexor carpi radialis

33
Q

Test for Medial Epicondylitis

A

Medial Epicondylar Stretching

34
Q

General Dx for Medial Epicondylitis

A
  • LV BL def.
  • LV Qi Stag.
  • Local Stag. Q/B @ medial epicondyle
35
Q

Tx idea according to Dx of Medial Epicondylitis

A
  • smooth LV Qi
  • Build LV Bl to smooth
  • Move Q/B @ epicondyle
  • Relax sinews
36
Q

Local pts. for Medial Epicondylitis

A

HT3, SI8

37
Q

IZ for Medial Epicondylitis

A

Pronator Terres, Wrist Flexors: Flexor Carpi Radialis

38
Q

Distal pts. Medial Epicondylitis

A

SI3, SI5

Ortho (30 decks)

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