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Tennis elbow, also known as lateral epicondylitis is an enthesopathy (attachment point disease) of the origin of the extensor carpi radialis brevis on the lateral epicondyle. [1] [5] It causes pain and tenderness over the bony part of the lateral epicondyle. Symptoms range from mild tenderness to severe, persistent pain.
A common diagnostic test utilized for lateral epicondylitis is to assess resisted wrist extension, along with resistance to the middle finger. If symptoms can be reproduced, it could indicate lateral epicondylitis. [5] For medial epicondylitis, resisted wrist flexion and pronation would be assessed by your provider.
A common injury associated with the lateral epicondyle of the humerus is lateral epicondylitis also known as tennis elbow. Repetitive overuse of the forearm, as seen in tennis or other sports, can result in inflammation of "the tendons that join the forearm muscles on the outside of the elbow.
Lateral elbow pain can be caused by various pathologies of the common extensor tendon. [3] Overuse injuries can lead to inflammation . [ 4 ] [ 5 ] Tennis elbow is a common issue with the common extensor tendon.
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Spurling's test is somewhat specific when used for individuals with an abnormal electromyogram study and is a relatively sensitive physical examination maneuver in diagnosing cervical spondylosis or acute cervical radiculopathy. It is not a very sensitive test when used for individuals without classic radicular signs suggestive of cervical ...
The theory is that the radial nerve becomes irritated and/or inflamed from friction caused by compression by muscles in the forearm. [1]Some speculate that radial tunnel syndrome is a type of repetitive strain injury (RSI), but there is no detectable pathophysiology and even the existence of this disorder is questioned.
A 2018 systematic review and meta-analysis of high quality studies found that PRP was beneficial for treatment of lateral epicondylitis. [ 19 ] Numerous reviews and meta-analyses have found that for elbow tendinopathy, PRP is superior to cortisone injections.