Tennis Elbow – Case Study This is a case history of a 49 year old lady with a classical tennis elbow. Cervical spine dysfunction C4/5/6 with associated posture problems. 05 Oct. 2014. No Pacemaker. Stiff and painful C4/5/6 on the right only (mid neck). Neck. [Case-control study on local injection of autoallergic platelet rich plasma or whole blood for the treatment of tennis elbow]. Find PowerPoint Presentations and Slides using the power of XPowerPoint.com, find free presentations research about Tennis Elbow PPT 30 min plus Easing factors – Rest, but not for too long or it stiffens. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. This is a typical presentation at the practice and shows how it is important not to just look at the painful spot. Lateral epicondylitis 1. See our User Agreement and Privacy Policy. Web. Bilateral shoulder joints. Tennis elbow can follow overuse, particularly in somebody who overstresses the tendon by unaccustomed activity No heat/cold/mottling of skin. (Patient performed) Moving the elbow itself was just a little stiff. Social History – Housewife, uses the gym, some machines can affect it. Acupuncture and electrotherapy. General health good. The most common overuse syndrome is related to excessive wrist extension and commonly referred to as “tennis elbow,” but it is actually more common in non-tennis players. Lateral neck muscles tight and tender. Subsequent treatments will vary according to how the condition is progressing. Wrist extension (pull back) caused pain at the end of the range. Tennis Elbow Clinical Trials. WedMD, n.d. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 1st and 2nd ribs were found to be stiff and tight. Possible use of braces to off-load the area in the short term to allow healing. Although the pathology is in the elbow region, patients present with gradual onset of pain on extension movements of the wrist and fingers and supination of the forearm. All Rights Reserved. Tennis elbow is thought to occur due to repeated small changes to the tendon. Tennis Elbow (Lateral Epicondylitis) – Case Study 9. Piece 3: Case Study. Exercises for loading of muscle and tendon, nerve mobilisation and neck muscle stretching and self neck mobilisations. Bending the wrist with the elbow straight pulled in the spot. 1st and 2nd ribs stiff with associated outside neck muscle tightness. No particular reason for starting, no obvious trauma. 2019 Aug 6;14(1):248. doi: 10.1186/s13018-019-1290-y. 3) Curr Rev Musculoskelet Med. We feel it is essential to involve the patient in their treatment at all times. WebMD. 101 patients were included in our study. The management approach of tennis elbow (TE), also known as Lateral Epicondyle Tendinopathy, is adapted from the general principals of tendinopathy rehabilitation. among men and a nearly 2-fold increase among women. This increase was most evident in the over 40 age groups, where there was a 4-fold increase in prevalence . No public clipboards found for this slide. For the benefit of achieving long term goals and to meet individual's needs, rehabilitation should be a multi-modal perspective. Lateral Epicondylitis One part acts as a hinge enabling you to bend and straighten the elbow. 1st and 2nd ribs tender. No pain or referral even on sustained hold. One study (n = 60) did show superior pain relief and functional improvement after 4 weeks of a Cyriax program (friction massage plus Mill's manipulation) compared with phonophoresis plus supervised exercise. Treatment of tennis elbow can be a frustration for people with this condition, but understand why this occurs and what you can do about it will help to r… Passive movements. Pins and needles into thumb and first finger when it is at its worst. Copyright © 2020 Witty, Pask & Buckingham. It does not like static positions for long, e.g. No numbness. This field is for validation purposes and should be left unchanged. History – Gradual onset over two years, worse in the last three months since playing golf in summer. No neck/thoracic pain. at some point; however, this group represents less than 5 percent of all reported cases. A comparative study of the efficacy of ultrasonics and extracorporeal shock wave in the treatment of tennis elbow: a meta-analysis of randomized controlled trials J Orthop Surg Res. There was no acute injury to the elbow and the patient was a typist by profession. Full ranges all directions, no pain, no stiffness. This is a typical presentation at the practice and shows how it is important not to just look at the painful spot. It works in two parts. This leads to pain and tenderness on the outside of the elbow. Good shoulder stability/control but the outside neck muscles were tight. tennis elbow 1. tennis elbow tennis elbow syndrome encompasses lateral , medialand posterior elbow symptoms. You can change your ad preferences anytime. (Physiotherapist performed) Elbow movements were full and normal. No diabetes, epilepsy, high blood pressure, haemophilia, fits. (Tennis Elbow / Golfer’s Elbow) Purpose of Program _____ Specific exercises to stretch and strengthen the muscles attached to the injured tendon will help with the healing process. 24hrs – Very stiff for 1 hour in the morning. Tennis elbow, or lateral epicondylitis, is the most common injury in patients seeking medical attention for elbow pain. June 26, 2015 Posted by Greg Roskovensky . Keywords: Tennis elbow, Physiotherapy, Tape, Epicondylopathy, Tendinopathy Background Lateral epicondylitis (tennis elbow) is the most common cause of elbow pain [1], and is commonly seen in rac-quet sports players with a reported incidence of 9~35% and a prevalence of 14~41% among tennis players [2]. There are often a number of additional problems that have to be dealt with to get a good result. A joint contracture, defined as a chronic loss of passive range of movement of a joint because of structural changes in non-bony tissues (Lehmkuhl et al., 1990), can be treated with elbow orthoses as well. Flexion (wrist down) produced a pull in the forearm muscles. A 45-year old female presented to the clinic with ongoing severe pain in her dominant (right) elbow, that had become increasingly debilitating over the previous 18 months. Muscles. Pictorial case study: Pain in the elbow. Tennis elbow is a tendinopathy of the common extensor origin (fig 1 ⇓) of the lateral elbow. Both incidence and recurrence rates increased with age. An epidemiologic study of the incidence and recurrence of tennis elbow among over 500 tennis players (278 men, 254 women; age range, 20 to 50 years) indicated that age and amount of playing time per day were contributing factors to the injury. Problem list. Author information: (1)1st Department of Orthopaedics, Anji People's Hospital of Zhejiang, Chiha. cross trainer. the tennis elbow, with an annual incidence of 1- 3% in a general population (Verhaar, 1994). 1. Wrist grip, hand and thumb/finger extension all immediately painful in the outside forearm muscles and tendon and into the lateral epicondyle (bony lump on outside of elbow). Local deep mobilisation of painful area in extensor tendon with extensors on stretch. 2) ODG 2020. View and Download PowerPoint Presentations on Tennis Elbow PPT. [Article in Chinese] Zhao LL(1), Tong PJ, Xiao LW, Zhu QL, Xu B, Yan MH. Previous treatment for foot problem in 2000. (also read our dedicated page on hand, arm and shoulder pain) Mr. G was a 44 year old accountant who presented to the clinic with a 7 week history of right elbow pain radiating into his forearm. The early goal of a therapeutic exercise program is to promote muscle endurance and improve resistance to repetitive stress. Here's how I work with a massage client who has persistent elbow pain. Not pregnant. The forearm muscles and tendons become damaged from overuse repeating the same motions again and again. All case management during this time has been carried out with an approach based in … Witty Pask and Buckingham Ltd St George’s House 56 Billing Road Northampton NN1 5DB, Tel/Fax: 01604 601641 Email: reception@wpbphysio.co.uk. This unique collection of case studies is continually updated online and covers important emerging and established areas of sport and exercise psychology. Right forearm/elbow looks wasted in comparison to left (Right Handed). Depends on activity. Active movements. Surgery is considered as a last resort when all other nonsurgical treatments have failed. Patience helps. Heat. A listing of Tennis Elbow medical research trials actively recruiting patient volunteers. Drug history – no medication at present. commonly encountered is lateral tennis elbow-known as classical tennis elbow it isthe pain andtendernessonthe lateral side ofthe elbow someare well defined and somevague,that results from repetitive sress 114 A second study (n = 125) found equivocal results between a program of friction massage, US and exercise compared with an elbow orthosis f at a 6-week follow-up, with the … Lateral Epicondylitis Rajesh Periyakaruppan 25/04/2012 2. It aches most of the time and then becomes sharp with use. Objective Observation – Poor posture, slouched flexed thoracic (mid spine), extended cervical spine (neck). Subjective Pain on the outside of the right elbow with referral to top of shoulder and into the forearm. Tennis elbow, or lateral epicondylitis, is an overuse tendinopathy of the lateral wrist extensor muscles where they insert at the elbow. Ensuring they understand what is happening to them and what they can do to help themselves. About your elbow The elbow consists of the upper arm bone and two bones in the forearm. describing your elbow, what we know about tennis elbow and your treatment options. Case study – Tennis Elbow @inproceedings{Bandaru2016CaseS, title={Case study – Tennis Elbow}, author={Suresh Bandaru}, year={2016} } Suresh Bandaru; Published 2016; Tennis elbow is also referred to as a lateral elbow tendinopathy (LET). Please use this form to send us a quick message and we’ll get back to you as soon as we can. Right-handed, he found it increasingly more difficult to do very basic day to day to activities, such as shaving, driving and use a computer mouse. For this condition with a two year history I would expect to have to see the patient about 6 to 8 times over a couple of months to clear all the problems. Elbow. 25/04/2012. Home Blog Therapy Time: Elbow pain and a case study. Exactly what causes tennis elbow is unknown, but it is thought to be due to small tears of the tendons that attach forearm muscles to the arm bone at the elbow joint. Additional Tests Nerve tension test produce restriction and pain in the forearm. Now customize the name of a clipboard to store your clips. The elbow joint involves three types of bones the humerus, the radius and ulna. See our Privacy Policy and User Agreement for details. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Search for closest city to find more detailed information on a research study in your area. The above assessment, treatment and home exercise prescription would take place on the first visit. No Rheumatoid Arthritis in family, No allergies. Neck manipulation and mobilisation – trigger points released with pressure techniques. Many cases of tennis elbow cases will naturally resolve in 6-12 months. This injury does take from 6 months to 12 months to heal. Looks like you’ve clipped this slide to already. People most often describe problems with gripping, writing and twisting movements of the forearm, as well as lifting, especially with the palm facing down. Each case study must demonstrate practical and academic rigor that goes beyond description of processes to interpretive qualities and relevance outside of a single context. Palpation Painful, thick lump in the tendon just below lateral epicondyle. Past Medical History – No previous problems in arm. Tennis elbow Articles Case Reports Symptoms Treatment, Germany. Ache in evening. Lateral Epicondylitis. This is often caused by overloading the tendon through doing heavy or repetitive manual work or activities. Mobilisation of nerve tissue with arm in nerve tension positions. Case studies Case Study 20 August 2016 – Acute Achilles Tendonitis . No circulatory issues. Case Study of Lateral Elbow Tendinopathy Abstract. In the following document I would like to present the case of a patient with elbow epicondylitis, which followed a two-week treatment. Case study – Tennis Elbow Suresh Bandaru Locum ESP, MCATS Spinal service- Lewisham NHS Trust, Lewisham, London. ... Tennis elbow is an inflammation of the tendons that join the forearm muscles on the outside of the elbow. This condition occurs most commonly in adults between 30 and 50 years, with risk factors including repetitive use of the elbow, tobacco use, and other hand issues such as carpal tunnel syndrome and deQuervain’s tenosynovitis. Good range bar stiff to right rotation. I’ve heard quite frequently these days of those who are new and old to training having elbow pain. No swelling/colour. sbandarupt@yahoo.com or sbandaru@hotmail.co.uk Introduction Traditional Chinese acupuncture has been shown to be an effective therapy for reducing pain and improving function in an arm afflicted with common conditions such as tennis elbow (Ellis 2004). Nerve tension signs associated with neck and rib problems, Old tear in tendon on outside of elbow with extensive scarred/degenerative/inflamed tissue, Mobilise neck and ribs and address muscular imbalances in shoulder girdle – manual and exercise based techniques, Nerve tension signs – will ease with treatment of above but some mobilising of the nerve tissue is also indicated, Deep tissue mobilisation of the scarred musculo-tendinous junction, Graded exercise regime for the restoration of normal tissue structures. Aggravating factors – Gripping, (handbag), elbow flexion or wrist extension. Right elbow Assessement. If you continue browsing the site, you agree to the use of cookies on this website. Background. E.g. FUN FACT "Tennis Elbow Symptoms, Braces, Treatments, Support, and More." No joint impingement on testing. Elbow flexion/extension no pain in all ranges. Lateral epicondylitis, or tennis elbow, and Medial epicondylitis, or golfer’s elbow, are two possible causes of elbow pain in the athlete. A 28-year-old male presents to the clinic complaining of excruciating pain at the back of his right leg – near the Achilles tendon area. The elbow is a ball-and-socket joint, which is the conjunction point for your upper and lower arm. PMCID: PMC7542691 PMID: 33028383 Tennis elbow, study protocol for a randomized clinical trial: needling with and without platelet-rich plasma after failure of up-to-date rehabilitation. Grip was weak and painful. Clipping is a handy way to collect important slides you want to go back to later. The aim will be to clear all of the symptoms and to return the patient to full activity – including tennis. There are often a number of additional problems that have to be dealt with to get a good result. If you continue browsing the site, you agree to the use of cookies on this website. Title: Tennis Elbow: Causes and Treatment 1 Tennis Elbow Causes and Treatment 2 Elbow pain is a condition of the elbow joint that leads to restricted movement of the elbow hindering normal daily movements. Rajesh Periyakaruppan Other tests Cervical spine palp. Most cases of tennis elbow respond to rest, ice, rehab exercises, pain medicine, and counterforce braces. This is a case history of a 49 year old lady with a classical tennis elbow. 2018 Dec;11(4):624-634. doi: 10.1007/s12178-018 … Therapy Time: Elbow pain and a case study. Reported cases of tennis elbow during the study period increased with age for both men and women (Table 3). He reports that the pain came on after a session of playing soccer 3 days ago, after having a 4-month break. A. J. Schwitzguebel, corresponding author1 M. Bogoev,2 V. 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