Clinical Tip of the Week

Clinical Tip of the Week 14: Lateral Elbow Pain – Not getting the change you expect!!!

Here are some clinical tips that may help

  1. Ensure you are treating in accordance with the correct stage of tendinopathy that your patient is presenting with eg prescribing Friction and or eccentric exercise in the Acute Reactive stage would be totally inappropriate however this protocol may be perfect for someone in the Degenerative Tendinopathy stage See Tip of the Week in the Free Members Archive Area Weeks 2 – 4 for an explanation of Jill Cook and Craig Purdams excellent, world leading, work in this area
  2. Ensure that adequate movement (Flexion, Extenion, Ulna & Radial Deviation) is occurring at the true wrist joint (the first row of carpals and the Ulna and Radius and not in the mid carpal region
  3. Assess for the presence of excessive fascial thickening between the Lateral epicondyle / Supracondylar ridge and the Deltoid tuberosity
  4. Add eccentric exercise if appropriate ie. Position: Forearm supported on the bench palmar side down with 0.5 kg, approx weight. Action: Support concentric Extension and allow the extensors to lower the wrist into flexion eccentrically ensure that the object is not too wide such that it forces the grip to be in a stressed position.
  5. Think and assess for altered Neurodynamics of the radial nerve from spinal exit to the forearm
  6. Think and assess for Nerve Root Dysfunction: Dermatomal and Myotomal
  7. Still Stumped – Refer REFER Refer

Please tell us what you think!!! Are these tips helping? Do you want more information? What information are you seeking?

email us on info@softtissuetherapyonline.com

To view all the previous tutorials, login to the members section – Free Resources “Clinical Tip of the Week”.

Register now and become a member

You will also find a host of other free resources including “Practitioner of The Month” “Wonders of the Web” “Free Articles” & “Practitioner & Athlete Interviews”