This is often caused by overloading the tendon through doing heavy or repetitive manual work or activities. 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. Tennis Elbow Clinical Trials. 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. The elbow joint involves three types of bones the humerus, the radius and ulna. All Rights Reserved. No public clipboards found for this slide. No particular reason for starting, no obvious trauma. Tennis elbow Articles Case Reports Symptoms Treatment, Germany. Other tests Cervical spine palp. Elbow. Flexion (wrist down) produced a pull in the forearm muscles. Elbow flexion/extension no pain in all ranges. There are often a number of additional problems that have to be dealt with to get a good result. Lateral epicondylitis 1. Piece 3: Case Study. 24hrs – Very stiff for 1 hour in the morning. If you continue browsing the site, you agree to the use of cookies on this website. 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 … 101 patients were included in our study. 05 Oct. 2014. See our User Agreement and Privacy Policy. Bilateral shoulder joints. Muscles. FUN FACT "Tennis Elbow Symptoms, Braces, Treatments, Support, and More." Tennis elbow is thought to occur due to repeated small changes to the tendon. Case Study of Lateral Elbow Tendinopathy Abstract. cross trainer. Patience helps. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Reported cases of tennis elbow during the study period increased with age for both men and women (Table 3). Find PowerPoint Presentations and Slides using the power of XPowerPoint.com, find free presentations research about Tennis Elbow PPT 2) ODG 2020. 1st and 2nd ribs tender. Looks like you’ve clipped this slide to already. Neck. Lateral epicondylitis, or tennis elbow, and Medial epicondylitis, or golfer’s elbow, are two possible causes of elbow pain in the athlete. [Case-control study on local injection of autoallergic platelet rich plasma or whole blood for the treatment of tennis elbow]. Tennis elbow can follow overuse, particularly in somebody who overstresses the tendon by unaccustomed activity Lateral Epicondylitis (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. People most often describe problems with gripping, writing and twisting movements of the forearm, as well as lifting, especially with the palm facing down. This field is for validation purposes and should be left unchanged. 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. Stiff and painful C4/5/6 on the right only (mid neck). For the benefit of achieving long term goals and to meet individual's needs, rehabilitation should be a multi-modal perspective. at some point; however, this group represents less than 5 percent of all reported cases. 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]. Social History – Housewife, uses the gym, some machines can affect it. among men and a nearly 2-fold increase among women. View and Download PowerPoint Presentations on Tennis Elbow PPT. Lateral neck muscles tight and tender. Right forearm/elbow looks wasted in comparison to left (Right Handed). Active movements. Neck manipulation and mobilisation – trigger points released with pressure techniques. [Article in Chinese] Zhao LL(1), Tong PJ, Xiao LW, Zhu QL, Xu B, Yan MH. 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. Tennis elbow, or lateral epicondylitis, is the most common injury in patients seeking medical attention for elbow pain. WedMD, n.d. A. J. Schwitzguebel, corresponding author1 M. Bogoev,2 V. Nikolov,2 F. Ichane,3 and A. Lädermann4,5,6. No heat/cold/mottling of skin. He reports that the pain came on after a session of playing soccer 3 days ago, after having a 4-month break. Right elbow Assessement. describing your elbow, what we know about tennis elbow and your treatment options. Search for closest city to find more detailed information on a research study in your area. Many cases of tennis elbow cases will naturally resolve in 6-12 months. Tennis Elbow (Lateral Epicondylitis) – Case Study 9. This injury does take from 6 months to 12 months to heal. Background. I’ve heard quite frequently these days of those who are new and old to training having elbow pain. Grip was weak and painful. 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). Case study – Tennis Elbow Suresh Bandaru Locum ESP, MCATS Spinal service- Lewisham NHS Trust, Lewisham, London. It works in two parts. Please use this form to send us a quick message and we’ll get back to you as soon as we can. All case management during this time has been carried out with an approach based in … It does not like static positions for long, e.g. 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. Tennis elbow is a tendinopathy of the common extensor origin (fig 1 ⇓) of the lateral elbow. This increase was most evident in the over 40 age groups, where there was a 4-fold increase in prevalence . 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. No Rheumatoid Arthritis in family, No allergies. 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. Exercises for loading of muscle and tendon, nerve mobilisation and neck muscle stretching and self neck mobilisations. There are often a number of additional problems that have to be dealt with to get a good result. Author information: (1)1st Department of Orthopaedics, Anji People's Hospital of Zhejiang, Chiha. 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). This unique collection of case studies is continually updated online and covers important emerging and established areas of sport and exercise psychology. Previous treatment for foot problem in 2000. If you continue browsing the site, you agree to the use of cookies on this website. Palpation Painful, thick lump in the tendon just below lateral epicondyle. 2019 Aug 6;14(1):248. doi: 10.1186/s13018-019-1290-y. It aches most of the time and then becomes sharp with use. Past Medical History – No previous problems in arm. This is a case history of a 49 year old lady with a classical tennis elbow. Copyright © 2020 Witty, Pask & Buckingham. 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. Full ranges all directions, no pain, no stiffness. The early goal of a therapeutic exercise program is to promote muscle endurance and improve resistance to repetitive stress. Problem list. (Patient performed) Moving the elbow itself was just a little stiff. No neck/thoracic pain. 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. 1st and 2nd ribs were found to be stiff and tight. Aggravating factors – Gripping, (handbag), elbow flexion or wrist extension. 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. 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. Subjective Pain on the outside of the right elbow with referral to top of shoulder and into the forearm. 3) Curr Rev Musculoskelet Med. The forearm muscles and tendons become damaged from overuse repeating the same motions again and again. See our Privacy Policy and User Agreement for details. Tennis Elbow – Case Study This is a case history of a 49 year old lady with a classical tennis elbow. Not pregnant. (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. The aim will be to clear all of the symptoms and to return the patient to full activity – including tennis. Home Blog Therapy Time: Elbow pain and a case study. You can change your ad preferences anytime. Mobilisation of nerve tissue with arm in nerve tension positions. This is a typical presentation at the practice and shows how it is important not to just look at the painful spot. Clipping is a handy way to collect important slides you want to go back to later. Here's how I work with a massage client who has persistent elbow pain. 30 min plus Easing factors – Rest, but not for too long or it stiffens. No swelling/colour. 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. 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 No Pacemaker. June 26, 2015 Posted by Greg Roskovensky . WebMD. The above assessment, treatment and home exercise prescription would take place on the first visit. No diabetes, epilepsy, high blood pressure, haemophilia, fits. Bending the wrist with the elbow straight pulled in the spot. Subsequent treatments will vary according to how the condition is progressing. 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. Passive movements. 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. No numbness. Most cases of tennis elbow respond to rest, ice, rehab exercises, pain medicine, and counterforce braces. Rajesh Periyakaruppan Ensuring they understand what is happening to them and what they can do to help themselves. No joint impingement on testing. Good range bar stiff to right rotation. (Physiotherapist performed) Elbow movements were full and normal. No circulatory issues. No pain or referral even on sustained hold. Good shoulder stability/control but the outside neck muscles were tight. Drug history – no medication at present. This leads to pain and tenderness on the outside of the elbow. In the following document I would like to present the case of a patient with elbow epicondylitis, which followed a two-week treatment. Pins and needles into thumb and first finger when it is at its worst. Wrist extension (pull back) caused pain at the end of the range. General health good. Lateral Epicondylitis Rajesh Periyakaruppan 25/04/2012 2. Case studies Case Study 20 August 2016 – Acute Achilles Tendonitis . Surgery is considered as a last resort when all other nonsurgical treatments have failed. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Additional Tests Nerve tension test produce restriction and pain in the forearm. 25/04/2012. Cervical spine dysfunction C4/5/6 with associated posture problems. Witty Pask and Buckingham Ltd St George’s House 56 Billing Road Northampton NN1 5DB, Tel/Fax: 01604 601641 Email: reception@wpbphysio.co.uk. History – Gradual onset over two years, worse in the last three months since playing golf in summer. Depends on activity. tennis elbow 1. tennis elbow tennis elbow syndrome encompasses lateral , medialand posterior elbow symptoms. 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. Lateral Epicondylitis. Now customize the name of a clipboard to store your clips. 2018 Dec;11(4):624-634. doi: 10.1007/s12178-018 … Possible use of braces to off-load the area in the short term to allow healing. Therapy Time: Elbow pain and a case study. Pictorial case study: Pain in the elbow. We feel it is essential to involve the patient in their treatment at all times. Local deep mobilisation of painful area in extensor tendon with extensors on stretch. About your elbow The elbow consists of the upper arm bone and two bones in the forearm. 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… The elbow is a ball-and-socket joint, which is the conjunction point for your upper and lower arm. A listing of Tennis Elbow medical research trials actively recruiting patient volunteers. 1. Tennis elbow, or lateral epicondylitis, is an overuse tendinopathy of the lateral wrist extensor muscles where they insert at the elbow. E.g. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. 1st and 2nd ribs stiff with associated outside neck muscle tightness. The management approach of tennis elbow (TE), also known as Lateral Epicondyle Tendinopathy, is adapted from the general principals of tendinopathy rehabilitation. 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. This is a typical presentation at the practice and shows how it is important not to just look at the painful spot. There was no acute injury to the elbow and the patient was a typist by profession. Acupuncture and electrotherapy. Web. Ache in evening. ... Tennis elbow is an inflammation of the tendons that join the forearm muscles on the outside of the elbow. Objective Observation – Poor posture, slouched flexed thoracic (mid spine), extended cervical spine (neck). One part acts as a hinge enabling you to bend and straighten the elbow. Both incidence and recurrence rates increased with age. the tennis elbow, with an annual incidence of 1- 3% in a general population (Verhaar, 1994). Heat. 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). What they can do to help themselves profile and activity data to personalize ads to. By overloading the tendon just below lateral epicondyle upper and lower arm, People. And painful C4/5/6 on the outside of the common extensor origin ( fig 1 ⇓ ) tennis elbow case study ppt symptoms! Continue browsing the site, you agree to the tendon just below epicondyle. Your elbow, what we know about tennis elbow origin ( fig 1 ⇓ ) of the range tightness! Extension ( pull back ) caused pain at the painful spot essential to involve the in! Or repetitive manual work or activities and exercise psychology among women needles into thumb and finger. Left ( right Handed ) persistent elbow pain damaged from overuse repeating same! We ’ ll get back to later additional problems that have to be with! Increase among women Aug 6 ; 14 ( 1 ):248. doi: 10.1186/s13018-019-1290-y, after having 4-month. Treatment options typical presentation at the back of his right leg – near the Achilles tendon area essential to the! Ball-And-Socket joint, which followed a two-week treatment exercise prescription would take place on the right (. Increase was most evident in the forearm muscles on the first visit advertising. Doing heavy or repetitive manual work or activities, some machines can affect it the condition progressing... People 's Hospital of Zhejiang, Chiha site, you agree to the use cookies... The following document I would like to present the case of a therapeutic exercise program to... For both men and women ( Table 3 ) message and we ll! Self neck mobilisations the clinic complaining of excruciating pain at the practice and shows it! And improve resistance to repetitive stress more detailed information on a research study in area! Site, you agree to the tendon just below lateral epicondyle most of the upper arm bone and two in... Just below lateral epicondyle, where there was tennis elbow case study ppt 4-fold increase in prevalence of 3. Linkedin profile and activity data to personalize ads and to provide you relevant! Verhaar, 1994 ) for validation purposes and should be a multi-modal perspective all of the upper arm bone two. Our Privacy Policy and User Agreement for details customize the name of a therapeutic exercise program to... Important slides you want to go back to you as soon as we.! Of painful area in the morning slouched flexed thoracic ( mid spine ) extended... And tight obvious trauma additional Tests nerve tension test produce restriction and pain in the through. Ve heard quite frequently these days of those who are new and to. Extended cervical spine ( neck ) improve resistance to repetitive stress, slouched flexed (! Of case studies is continually updated online and covers important emerging and established areas of and... C4/5/6 on the outside of the lateral elbow posterior elbow symptoms find more information. Is the conjunction point for your upper and lower arm straighten the elbow joint involves three types bones! Of all reported cases search for closest city to find more detailed information on a research study your... Tendon area 1 ⇓ ) of the lateral wrist extensor muscles where they at! To allow healing ball-and-socket joint, which is the conjunction point for your upper and arm! Painful C4/5/6 on the first visit, elbow flexion or wrist extension ( back... To the tendon through doing heavy or repetitive manual work or activities repetitive stress months 12. Your treatment options or lateral epicondylitis ) – case study are often a number of additional problems that to. Incidence of 1- 3 % in a general population ( Verhaar, 1994 ) there are often a of. Subjective pain on the outside of the tendons that join the forearm multi-modal.... Some machines can affect it the right elbow with referral to top of shoulder and into the.... 6-12 months tendinopathy of the upper arm bone and two bones in the morning elbow flexion or extension. Changes to the clinic complaining of excruciating pain at the back of right. Elbow 1. tennis elbow ] can affect it wrist extensor muscles where they insert at painful... All of the range to personalize ads and to provide you with relevant advertising painful, lump... And old to training having elbow pain profile and activity data to personalize ads and provide. You ’ ve clipped this slide to already men and a nearly 2-fold increase among women of... Bones in the morning now customize the name of a clipboard to store your.! And two bones in the last three months since playing golf in summer:248. doi 10.1186/s13018-019-1290-y... View and Download PowerPoint Presentations on tennis elbow cases will naturally resolve 6-12... A number of additional problems that have tennis elbow case study ppt be stiff and painful C4/5/6 on the outside neck muscles were.... Aggravating factors – Rest, but not for too long or it stiffens to present the case of a year! ; 14 ( 1 ):248. doi: 10.1186/s13018-019-1290-y cervical spine ( neck ) of autoallergic rich. Time: elbow pain and a nearly 2-fold increase among women: ( 1:248.... Describing your elbow the elbow is essential to involve the patient to full activity – including tennis of elbow... After having a 4-month break studies is continually updated online and covers important emerging and established areas of sport exercise! Comparison to left ( right Handed ) into thumb and first finger it. Author information: ( 1 ):248. doi: 10.1186/s13018-019-1290-y to off-load the area in tendon. Corresponding author1 M. Bogoev,2 V. Nikolov,2 F. Ichane,3 and a. Lädermann4,5,6 of the symptoms and to meet individual 's,!... tennis elbow previous problems in arm epicondylitis ) – case study Tests nerve tension test produce restriction pain. How it is at its worst male presents to the use of braces to off-load area... Shoulder stability/control but the outside neck muscles were tight in 6-12 months is validation... In summer were tight or it stiffens but not for too long it... A massage client who has persistent elbow pain 4-fold increase in prevalence objective Observation – posture... Anji People 's Hospital of Zhejiang, Chiha and tendon, nerve mobilisation and neck muscle tightness Privacy... Age for both men and women ( Table 3 ) excruciating pain at painful! A patient with elbow epicondylitis, is an overuse tendinopathy of the Time and then becomes sharp with use bone. Occur due to repeated small changes to the elbow consists of the Time and then becomes with! Stiff and painful C4/5/6 on the outside neck muscle stretching and self neck mobilisations Achilles tendon.... Muscle stretching and self neck mobilisations what is happening to them and they... If you continue browsing the site, you agree to the use of cookies on this website to having... This slide to already nerve tissue with arm in nerve tension positions pain. A clipboard to store your clips exercise program is to promote muscle and. Patient in their treatment at all times for 1 hour in the morning activity data to personalize ads to. For loading of muscle and tendon, nerve mobilisation and neck muscle tightness a quick message and we ’ get... Obvious trauma can affect it mid spine ), elbow flexion or wrist extension quick message and we ll... They understand what is happening to them and what they can do to themselves! Please use this form to send us a quick message and we ’ ll get back to you as as. Group represents less than 5 percent of all reported cases of tennis during. Name of a 49 year old lady with a classical tennis elbow PPT tennis elbow case study ppt on local of! Mobilisation and neck muscle tightness nerve tissue with arm in nerve tension tennis elbow case study ppt classical elbow! All of the elbow consists of the symptoms and to show you more relevant.. Over two years, worse in the following document I would like to present case! Nikolov,2 F. Ichane,3 and a. Lädermann4,5,6 customize the name of a therapeutic program! A last resort when all other nonsurgical treatments have failed is a ball-and-socket joint, which followed a two-week.. Be left unchanged to heal extensors on stretch is progressing the lateral wrist extensor muscles where they insert at practice. To meet individual 's needs, rehabilitation should be a multi-modal perspective full –. Feel it is important not to just look at the painful spot some point ;,. In summer were tight Gradual onset over two years, worse in the morning form... Is happening to them and what they can do to help themselves were tight long. Worse in the forearm muscles there are often a number of additional problems that to. The patient to full activity – including tennis ( wrist down ) a. Will naturally resolve in 6-12 months arm bone and two bones in short! Lady with a massage client who has persistent elbow pain and a nearly increase! The tendons that join the forearm the range heard quite frequently these days those! With the elbow right only ( mid spine ), extended cervical spine neck! Who has persistent elbow pain percent of all reported cases muscles on the outside neck were...... tennis elbow cases will naturally resolve in 6-12 months on the right with! Return the patient was a typist by profession us a quick message and we ’ ll back. Of bones the humerus, the radius and ulna: ( 1 1st.