Lateral Epicondylitis (“Tennis Elbow”) -...
Transcript of Lateral Epicondylitis (“Tennis Elbow”) -...
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Lateral Epicondylitis(Tennis Elbow)
Danielle Wolk
Image obtained from: http://www.bing.com/images/search?q=Tennis+Elbow+Diagram&FORM=RESTAB#view=detail&id=5B2BF3EB7DEA6F8A85A6DC704A482571189D8ADF&selectedIndex=20
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Anatomy
Humerus Ulna Radius
Image obtained from:http://www.bing.com/images/search?q=diagram+of+the+elbow+bones&id=3A562868FECDE9AE7678FD1565DB7DDABE1680D4&FORM=IQFRBA#view=detail&id=BC2D6633DBC0E3A2
6AD23C2367BDF2B6FA665968&selectedIndex=4
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Muscles that cross the elbow joint:
Biceps Brachii Brachialis Brachoradialis Triceps Brachii Pronator Teres, Supinator Wrist Flexors- Pronator Teres, Flexor Carpi Radialis, Flexor Carpi Ulnaris,
Palmaris Longus
Flexor Digitorum Superficialis, Extensor Digitorum Wrist Extensors- Extensor Carpi Radialis Longus/ Brevis, Extensor Capri
Ulnaris(Jarmey 108-30)
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Definition
A pathologic condition of the common extensor muscles at their origin on the lateral humeral epicondyle. Epicondylitis suggests an inflammation at one of the epicondyles of the elbow. (Dutton 419-22)
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Tennis Elbow generally occurs in adults between the ages of 35-50. It affects between 1%-3% of the population.(Dutton 419-22)
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Tennis elbow is typically an overuse injury. Occupations or sports that involve repetitive grasping, with the wrist in extension, place the elbow at risk because its the wrist extensors that must contract during grasping activities to stabilize the wrist.(Dutton 419-22)
Leads to tendonitis of the origin of the extensor carpi radialis brevis tendon. (Sliker)
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Common Complaints
Diffuse achiness Morning stiffness Occasional night pain Dropping of objects/ weak grip strength Pain w/ palpation of lat. epicondyle Pain w/active or resisted extension Pain w/ grasping objects with the effected hand
(Dutton 419-22), (Sliker)
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Cozens Test Resistive Tennis Elbow Test: The
patient sits with the examiner stabilizing the involved elbow while palpating the lateral epicondyle
With a closed fist, the patient pronates and radially deviates the forearm and extends the wrist against the examiners resistance (Sliker)
A positive result would be if there is pain along the lateral epicondyle or objective muscle weakness
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Intervention Techniques
Flexibility exercises ROM exercises Stretching Active assistive and resistive exercises Pain Reduction ("Physical Therapy Management Of Lateral Epicondylitis")
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Anticipated Goals
Decreased pain ROM improved Joint swelling, inflammation, or restriction
reduced
Muscle performance increased Ability to perform activities is improved ("Physical Therapy Management Of Lateral Epicondylitis")
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Initial Treatment
Rest Ice Anti-inflammatories (aspirin, ibuproufen)
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Treatment Intervention
Deep Friction Massage Acupuncture Bracing/ Splinting Cryotherapy Strengthening Exercises Stretches Surgery
Image obtained from: http://www.bing.com/shopping/mih-international-39me-epicondilitis-
brace-blue-size-extra/p/83D42C85828302FF5002?q=lateral+epicondylitis+brace&lpq=lateral
%20epicondylitis%20brace&FORM=HURE
Image obtained from: http://morphopedics.wikidot.com/physical-therapy-management-of-lateral-epicondylitis
http://www.bing.com/shopping/mih-international-39me-epicondilitis-brace-blue-size-extra/p/83D42C85828302FF5002?q=lateral+epicondylitis+brace&lpq=lateral%20epicondylitis%20brace&FORM=HUREhttp://www.bing.com/shopping/mih-international-39me-epicondilitis-brace-blue-size-extra/p/83D42C85828302FF5002?q=lateral+epicondylitis+brace&lpq=lateral%20epicondylitis%20brace&FORM=HUREhttp://www.bing.com/shopping/mih-international-39me-epicondilitis-brace-blue-size-extra/p/83D42C85828302FF5002?q=lateral+epicondylitis+brace&lpq=lateral%20epicondylitis%20brace&FORM=HUREhttp://www.bing.com/shopping/mih-international-39me-epicondilitis-brace-blue-size-extra/p/83D42C85828302FF5002?q=lateral+epicondylitis+brace&lpq=lateral%20epicondylitis%20brace&FORM=HUREhttp://www.bing.com/shopping/mih-international-39me-epicondilitis-brace-blue-size-extra/p/83D42C85828302FF5002?q=lateral+epicondylitis+brace&lpq=lateral%20epicondylitis%20brace&FORM=HUREhttp://www.bing.com/shopping/mih-international-39me-epicondilitis-brace-blue-size-extra/p/83D42C85828302FF5002?q=lateral+epicondylitis+brace&lpq=lateral%20epicondylitis%20brace&FORM=HUREhttp://www.bing.com/shopping/mih-international-39me-epicondilitis-brace-blue-size-extra/p/83D42C85828302FF5002?q=lateral+epicondylitis+brace&lpq=lateral%20epicondylitis%20brace&FORM=HUREhttp://www.bing.com/shopping/mih-international-39me-epicondilitis-brace-blue-size-extra/p/83D42C85828302FF5002?q=lateral+epicondylitis+brace&lpq=lateral%20epicondylitis%20brace&FORM=HUREhttp://www.bing.com/shopping/mih-international-39me-epicondilitis-brace-blue-size-extra/p/83D42C85828302FF5002?q=lateral+epicondylitis+brace&lpq=lateral%20epicondylitis%20brace&FORM=HUREhttp://www.bing.com/shopping/mih-international-39me-epicondilitis-brace-blue-size-extra/p/83D42C85828302FF5002?q=lateral+epicondylitis+brace&lpq=lateral%20epicondylitis%20brace&FORM=HUREhttp://www.bing.com/shopping/mih-international-39me-epicondilitis-brace-blue-size-extra/p/83D42C85828302FF5002?q=lateral+epicondylitis+brace&lpq=lateral%20epicondylitis%20brace&FORM=HUREhttp://www.bing.com/shopping/mih-international-39me-epicondilitis-brace-blue-size-extra/p/83D42C85828302FF5002?q=lateral+epicondylitis+brace&lpq=lateral%20epicondylitis%20brace&FORM=HUREhttp://morphopedics.wikidot.com/physical-therapy-management-of-lateral-epicondylitishttp://morphopedics.wikidot.com/physical-therapy-management-of-lateral-epicondylitishttp://morphopedics.wikidot.com/physical-therapy-management-of-lateral-epicondylitishttp://morphopedics.wikidot.com/physical-therapy-management-of-lateral-epicondylitis
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Strengthening Exercises
("Physical Therapy Management Of Lateral Epicondylitis")
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Stretches
Wrist Flexion Wrist Extension
Image obtained from: http://www.google.com/imgres?imgurl=http://www.moreofmetolove.com/images/uploads/cache/
Wrist_Stretches-460x300.jpg&imgrefurl=http://www.moreofmetolove.com/tips/entry/wrist-forearm-stretches/
&h=300&w=460&sz=23&tbnid=BoDr6GMu9hh5XM:&tbnh=91&tbnw=139&prev=/search%3Fq%3Dwrist%2Bstretches%26tbm
%3Disch%26tbo%3Du&zoom=1&q=wrist+stretches&usg=__MI0Whm9mCO5Ng5ej_4kQfqwlb04=&docid=7gom4IdwzJWCDM&hl=en&sa=X&ei=6tw3UZ3OHKLi0QGS
hoCIDA&ved=0CD0Q9QEwAw&dur=11245
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Video
http://www.physiotherapy-treatment.com/lateral-epicondylitis.html
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ReferencesDutton, M. Orthopaedics for the physical therapist assistant. Sudbury, MA: Jones & Bartlett Publishers, 2012. 419-22. Print.
Jarmey, Chris. The concise book of muscles. 2. Chichester, England: Lotus Publishing, 2003. 108-30. Print.
"Physical Therapy Management Of Lateral Epicondylitis." Morphopedics. N.p.. Web. 6 Mar 2013. .
Sliker, Jessica. The elbow. Powerpoint, Fall 2012
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