What is the best treatment for epicondylitis?
If symptoms persist, physical therapy, including ultrasonography, or NSAID iontophoresis may be appropriate. Short-term pain relief from corticosteroid injection may help the patient initiate physical therapy. Less contemporary strategies, including topical nitroglycerin and acupuncture, may also be considered.
What is the purpose of the Thompson’s test?
The Thompson test examines the integrity of the Achilles tendon by squeezing the calf. It is performed as a clinical test to identify the presence of a complete Achilles rupture.
What are special tests for lateral epicondylitis?
Cozen’s test: Cozen’s test is also known as the resisted wrist extension test. The elbow is stabilized in 90° flexion. The therapist palpates the lateral epicondyle and the other hand positions the patient’s hand into radial deviation and forarm pronation. Then the patient is asked to resist wrist extension.
What does a positive Thompson test mean?
A positive test has been reported to indicate a complete rupture of the tendon,4 and the cited mechanical reason for the positive test (complete rupture) is the loss of integrity of the soleal part of the tendon.
Is the Thompson test reliable?
The sensitivity of the Thompson’s test for the diagnosis of a complete Achilles tendon rupture is 96-100% and the specificity is 93-100%, but data is limited.
Should I do push ups with tennis elbow?
Pushups are a very popular body-weight exercise. However, this exercise is one that you should definitely avoid if you have tennis elbow. Pushups are designed to work your triceps, pectorals and shoulders, but you will have to bend your elbows repeatedly to do them.
Is there a therapeutic exercise program for epicondylitis?
Therapeutic Exercise Program for Epicondylitis (Tennis Elbow / Golfer’s Elbow) To ensure that this exercise program is safe and effective for you, it should be performed under your doctor’s supervision. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals.
What kind of tendon tear is epicondylitis?
Epicondylitis represents a degenerative process involving the origin of the extensor tendons at the lateral elbow and the flexor-pronator muscle group at the medial elbow. It is thought that repetitive stress and overuse lead to tendinosis with microtrauma and partial tearing that may progress to a full-thickness tendon tear.
What are the signs and symptoms of epicondylitis?
People with medial epicondylitis have tenderness along the medial elbow, approximately 5 mm distal and anterior to the medial epicondyle. Pain is exacerbated with resisted forearm pronation and resisted wrist flexion. Most patients will have complete resolution of symptoms with arm rest and nonsteroidal anti-inflammatory drug (NSAID) therapy.
When did lateral epicondylitis become known as tennis elbow?
Lateral epicondylitis, initially described by Morris as “lawn tennis elbow” in 1882 and now most commonly termed tennis elbow, may occur in patients performing any activity that involves repeated supination and pronation of the forearm with the elbow in extension.
