-IBIS-1.5.0-
tx
musculoskeletal system
epicondylitis
physical medicine
exercise
stretching exercises: - palms together, raise elbows up and out, hold for 6-10 sec - backs of hands together, raise elbows up and out, hold for 6-10 sec. - sit, rest arm on table fully extended - pull back on wrist with other hand, hold 6-10 sec, repeat with wrist in flexion
strengthening: - grasp dumbbell with arm supported on chair, arm and wrist hanging overuse dumbbell for wrist flexion hold in that position then wrist extension and hold in that position then radial and ulnar deviation and hold in each position for several seconds
water exercises for elbows and wrists
hydrotherapy
ice pack
paraffin bath
manipulation
spine: check for anterior cervical
fixation ipsilaterally.
also first rib ipsilaterally.
transverse friction massage:
to tenoperiosteal junction
(5 mins), follow with ice
massage: repeat 1-2x/wk for
3-4 weeks.
home care:
alternate hot/cold packs twice daily.
electrical and oscillating
diathermy
TENS: for analgesia
footnotes