INTERESTING TIMES

LATERAL EPICONDYLITIS
--most common overuse injury of elbow (90% of elbow tendonitis)
--inflam, microscopic tears, fibrosis of the extensor carpi radialis brevis tendon
--"tennis elbow" -- from backhand, mind you
--S/Sx: PAIN: lateral elbow, w/ gripping, resisted wrist ext, forearm supination, ext of mid finger
--pain: gradual onset, intermittent
--pt may report weakness, tenderness
--dt degeneration, tendonosis, periostitis
--at jct of common extensor and lateral epicondyle of humerus
--usu no visible swelling or inflam
--AROM and PROM usu normal
--trigger points in extensors of wrist
--PROGnosis: good with conservative care (3 months or less to good as new)
--Tx: pain control, anti-inflam, rest, avoid aggrav, exercise as tolerated, ice, ultrasound, laser, splint, manip, forearm soft tissue tx, ergonomic changes
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