Lateral Epicondylitis (Tennis Elbow)
- causes and risk factors
- signs, symptoms and diagnosis
- pathophysiology
- treatments
- consequences and course
- the patient
- health care team
- community involvement
- resources and references
Causes and Risk Factors
Overuse syndrome due to microtrauma to common extensor origin (Primarily ECRB tendon) as a result of repetitive eccentric overload
string musicians, drummers, poor computer ergonomics
Signs, Symptoms, and Diagnosis
Pain is worse with resisted wrist extension and passive wrist flexion (ie during backhand)
repetitive wrist extension, supination, or heavy lifting
pain improves with cessation of activity
possible trauma for radiculopathy
coffee cup sign
point tenderness just distal to lateral
Cozen's test - pronate, radially deviate, and extend wrist
Middle finger extension test
pinch and extend test (waiter's tip)
neurological exam (C6 radiculopathy can mimic)
Pathophysiology
Treatments
Alter/remove factors that lead to injury
stretch
ice massage
forearm compression sleeve/band
NSAIDs
local steroid injection
surgery
extracorporeal shock wave therapy (ECSWT) ?
acupuncture?
deep tissue friction massage?
orthoses?
Consequences and Course
The Patient
Health Care Team
Community Involvement
References