Lateral Epicondylitis (DTF)

Course Description : Lateral Epicondylitis is a condition that accounts for between 1-3 % of all musculoskeletal complaints in an MDs office. To date limited research exists to explain the efficacy of a clear approach in its assessment and management. This course will expose the participant to current concepts in the literature surrounding the etiology of the condition, the limited evidence surrounding the special tests for lateral epicondylitis and the role of proximal structures in these tests. Further discussion will focus on the importance of ruling out proximal conditions and the roles that each plays in elbow pain. The instructors will then shift focus to current

The project began with the formulation of a PICO question in an area of interest to guide the literature search. The PICO (population, intervention, control, and outcomes) format was used as a strategy for framing a foreground evidenced-based question. Dissecting the question into its component parts and restructuring was an essential first step in the evidence-based practice project. After careful consideration of the clinical manifestations and practitioner professional experience, the PIO question emerged was, Does Kinesio taping decrease pain and improve engagement in functional tasks in patients with shoulder pathology? Fortunately, there was sufficient evidence within the literature to support the PIO question.

CA MTUS supports facet injections for non-radicular facet mediated pain. In addition, ODG criteria for facet injections include documentation of low-back pain that is non-radicular, failure of conservative treatment (including home exercise, PT, and NSAIDs) prior to the procedure for at least 4-6 weeks, no more than 2 joint levels to be injected in one session, and evidence of a formal plan of additional evidence-based activity and exercise in addition to facet joint therapy. This is an appeal to a previously denied request on 02/09/16. The latest note and the appeal letter stated that the reviewing doctor denied the joint injections because there was no documentation of ruling out radiculopathy. The bottom line is that this patient has MRI scan evidence of both disc pathology and facet arthropathy. It was noted that the patient has been symptomatic since 2005. He has continued back pain with a recent 10/12/15 date of

Sedentary tendinopathy pts did not respond as well to eccentric loading for tendon rehab as did athletes in prior studies.

A post hoc-pair-wise comparison test was done to obtain the mean change among the three treatment groups with p values. P values that was greater than 0.5 were considered to be significant for the study. The author found that there were some changes in the participants physical activities where the TENS unit had caused the Fibromyalgia pain to subside where patients were able to have an improved quality of life. The effectiveness of this study does remain controversial due to TENS unit being self-administered by the

Lateral epicondylitis, better known as “Tennis elbow” is a form of tendonitis. It causes the tendons within the bony structure to swell; it can also cause pain in the elbow which radiates to the arm. The article from WebMD states “These tendons are tough tissues that connect the muscles of your lower arm to the bone”1. Commonly referred to tennis elbow, someone can get this form of tendonitis without playing tennis a day in their lives. It is usually a result of overworking or repetitive motion of those tendons.

Repetitious micro trauma or overuse to muscles, bones, joints and ligaments are known injuries seen in athletics. Repetitious stress at the elbow joint is a frequent seen chronic injury occurring in the tennis athletes. Numerous researchers specified that the wrist extensors, extensor carpi radialis brevis and longus and extensor digitorum, showed marked activity during portions of the serve, forehand and backhand strokes (Morris et all., 1989; Giangarra et all., 1993). Therefore, with a marked increase in activation of the wrist extensors, lateral epicondylitis is a widespread type of overuse injury seen in the tennis athletes. Lateral epicondylalgia is often attributed to work related repetitive strain injuries but is also a common sports

Patellofemoral Pain Syndrome (PFPS) is a common disorder of the knee. Most patients present with complaints of stiffness or pain behind the patella. Physical Therapists and Physical Therapist Assistants use a variety of interventions to treat PFPS. Conservative interventions and treatments may include: muscle strengthening exercises, flexibility exercises, thermotherapy, cryotherapy, splinting, bracing, and Electrical Muscle Stimulation (Estem). Two additional PFPS interventions, mainly reserved for athletes, include Kinesio taping and McConnell taping. At first glance Kinesio taping and McConnell taping might appear to be the same thing. However, this is not the case, as they are two different types of tape applied using different techniques. In the article, “Effects of Kinesio

Do you experience the ill effects of long haul tendon, muscle, or joint agony? Do you have incessant back issues? There are more than 28 million Americans who add to some sort of musculoskeletal issue every year. These issues incorporate, yet are not restricted to, sprains, strains, and abuse wounds, and also knee, shoulder, and back torment.

Plantar fasciitis and Achilles tendinopathy are two common overuse injuries that physical therapists treat in the clinic. On one hand, plantar fasciitis also known as subcalcaneal pain syndrome is an inflammation of the plantar fascia as well as the perifascial structures1. In its chronic stage, degenerative changes are noted in the fascia without active signs of inflammation, hence, classified as fasciosis instead of fasciitis2. This distinction is important as it often dictates the appropriate treatment approach and management. On the other hand, Achilles tendinopathy occurs when the Achilles tendon repetitively rubs over the bony protuberance resulting in inflammation

the cartilage within a joint. Cartilage is the tissue between the joints to ensure that they

The patient should stay active but avoid heavy lifting or physical work. Doctors will prescribe regular pain relievers to manage the disorder. Referral would be crucial to help in physical treatments, multidisciplinary and manipulation approaches, which should take place after every two weeks. The suitable multidisciplinary approaches include cognitive behavioral therapy, McKenzie exercises as well as chiropractic manipulative therapy and standard GP to decrease the pain and boost physical

Have you ever had a continuous chest pain, that hurts when you ate or did any physical activity? Well, perhaps you have costochondritis! Because not a lot of people have heard of costochondritis, they should learn its symptoms, causes, treatments, and how to learn to live a lifestyle with it.

The graph in (Figure 1) show that; the significant reduction in joint pain was reported after two weeks while the lowest pain level was achieved after 4th week. The maximal mouth opening was recorded as the

The last group of rats received no TENS at all. “Thermal and mechanical pain thresholds were assessed in right hind paw before and 12 days after the CCI surgery.”(Somers & Clemente) 2 The results concluded several things about TENS managing neuropathic pain. “Applying the high rate frequency daily reduced the development of mechanical allodynia in CCI rats and low rate frequency reduced the development of thermal allodynia, but only when the TENS was delivered on the left side.”(Somers & Clemente) 2 “Indications showed that TENS delivered contralateral to a nerve injury best reduces allodynia development.”(Somers & Clemente) 2 “Comprehensive reduction of allodynia development would need to be a combination of high and low frequency TENS intervention.”(Somers & Clemente) 2