The aim of this paper is to research and review relevant literature with a view to establishing best practice in the treatment and rehabilitation of acute medial epicondylitis injury for a regional level tennis player.
Epicondylitis is one of the most common pathology of both athletes and non-athletes.(4) The prevalence of this condition varies from 1% - 3% in the general population and peaks at 23% among workers. The lateral epicondyle , a pyramidal bony prominence where the anconeus , extensor carpi radialis brevis (ECRB) ,extensor carpi radialis longus (ECRL) and extensor digitorum communis (EDC) meets.(5) There is evidence that epicondylitis and forceful work tasks of the upper extremity , a combination of either forceful or repetitive activities with an extreme nonneutral posture of hand and arm can be associated with lateral epicondylitis. (3)
Soft Tissues Injuries: Deep Tissue Massage therapy targets precise areas in the body experiencing trauma induced stress. Deep, firm pressure breaks down muscle tissue and adhesions facilitating natural healing. This treatment is especially helping for our Boca Rotan patients would have delayed seeking medical attention because rigid scar tissue often forms after an auto accident. These scars prevent normal circulation, impair flexibility and increase inflammation. Breaking down the adhesions reduces
Dry needling, although it has been around for over forty years, it has only recently had valuable research performed to validate the use and effects of it in the medical field. It is still in its infancy as a research topic, but the effects that have been seen are very appealing to the field. Many professionals have recently taken an interest in dry needling and have recognized the positive patient outcomes that can come from it.
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
Dry needling, although it has been around for over 40 years, it has only recently had valuable research performed to validate the use and effects of it in the medical field. It is still in its infancy as a research topic, but the effects that have been seen to this point are very appealing to the field as a whole. Many professionals have recently taken an interest in dry needling and have recognized the positive patient outcomes that can come from it.
Kinesio taping involves affixing tape to the skin folds to increase the space between the muscle and the fascia and to increase circulation. McConnell tape is applied in an effort to restrict abnormal patella tracking, believed to reduce joint friction. Researchers in this study hypothesize that the pain relief may actually be in accordance with the gate control theory of pain modulation. They say more study is needed, but it appears that both tapes stimulate cutaneous mechanoreceptors which may be the mechanism for pain reduction. This is noteworthy for physical therapy, because this could also reinforce the use of other physical therapy interventions, in treating patients with patellofemoral dysfunction. Specifically, the use of massage or patellar joint mobilizations since these modalities may work under the same principle of pressure overriding pain receptors. If reducing pain is a goal for a patient, then Physical Therapists and Physical Therapist Assistants can add Kinesio taping and McConnell taping to the list of successful interventions to treat patients with PFPS as revealed in this
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
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.
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
Treatment options range from non-invasive to invasive. While both are effective, we advise seeking non-invasive treatments first. Dependent upon the severity, some patients may be advised to rest their affected arm or wear a brace or splint. This will limit the hand’s mobility with the goal of helping the wrist and tendons to recover. Another treatment option is to receive chiropractic care, which will include a gentle manipulation of the wrist, elbow, and cervical spine by your Chiropractor. With regular visit, this form of treatment shows positive results in managing and curing the symptoms of Carpal Tunnel. More invasive treatments include surgery or steroid shots. Of all the treatment options, chiropractic care is highly effective and not as invasive as other options may
Furthermore, patients who had thenar atrophy, space-occupying lesions, pregnancy and history of previous carpal tunnel surgery, broken wrist, and tendon damage were excluded from the study (Aslani et al., 2012). 9 patients met the exclusion criteria, and were excluded. All three methods
There is a strong link between jobs that involve overuse or heavy activities involving the hand and aggravation of symptoms (Middleton & Anakwe, 2014). This is reflected in the high claims of worker’s compensation among certain workplaces relating to repetitive strain injury (Patijn et al., 2011). Latent stage of chronic compression leads to demyelination, fibrosis, and nerve fibre degeneration; particularly muscle deterioration of the thenar eminence (Gruber, Gruber, Djurdjevic, Schullian, & Loizides, 2016; Middleton & Anakwe, 2014). Abnormal sensations and paraesthesia may radiate into the forearm and axilla (Moore et al.,