Lateral Epicondylitis

Decent Essays
Reason for Visit: s/p ESI X 18 Visits; Left Lateral epicondylitis
S: TM reports pain and tenderness at the origins of the wrist flexors/extensors at the humeral epicondyles. According to TM the pain typically localized to lateral elbow, pain with gripping, and sensation of mild forearm. Current pain 2/10 (at rest) but with an acute pain it can go up to 10/10. He was hoping his condition would improve during the break, Shutdown, but it hasn’t and he is concerned.
O: Localized pain just distal to the affected epicondyle
Increased pain with wrist extension/supination
Tenderness at origin of wrist extensors
Increased pain with resisted wrist extension/supination
Normal elbow range of motion
Increased pain with gripping A: Lateral epicondylitis

Related Documents

  • Decent Essays

    Branch PMR examined the shoulder. When Mr. Simonson keeps his arm below chest level he reports his pain is low. When Dr. Branch went through range of motion to anything over head Mr. Simonson reported pain to the top of the shoulder radiating inwards. Dr. Branch said that he will request the x-ray report from Covenant hospital. Dr. Branch said that dislocating the shoulder can tear the labrum.…

    • 829 Words
    • 4 Pages
    Decent Essays
  • Improved Essays

    CHIEF COMPLAINT: Left elbow pain. HISTORY OF PRESENT ILLNESS: Makayla is a very pleasant 4-year-old right-hand dominant female who presented to the emergency department yesterday after sustaining a fall while playing with another young family member. She fell onto an outstretched left arm and had pain in and around the left elbow. She was seen in the emergency department, where clinical and radiographic evaluations demonstrated the presences of a fracture through the left proximal ulna. The nurse practitioner who saw the patient asked that I evaluate the x-rays at that time.…

    • 598 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Mr. Durland's Case Summary

    • 1343 Words
    • 6 Pages

    On 10-7-14, PT Wilcox documented that Mr. Durland reported he hadn’t taken any pain medication since he was last in. Pt Wilcox documented improved tissue mobility in the UGT (upper gluteal tendon) today. On 10-13-14, Chiropractor, D.C. Bogan documented Mr. Durland had recurring low back pain that was better in AM but worse in the PM. Mr. Durland’s pain was 2-3 in the AM and 5-6 in the PM.…

    • 1343 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Mr Jetke Case Summary

    • 620 Words
    • 3 Pages

    Dr. Scott thought the pain was from the C5. Dr. Giancarlo indicated that his testing revealed mild carpal tunnel not related to the neck…

    • 620 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    She stated that she was being treated with a chiropractor for 4 years and responded favorably to chiropractic treatment but it seemed slower than expected. Electrical stimulation therapy was applied over the low back and neck as well as manual therapy over the right shoulder. Treatment plan included spinal adjustment 3-4 regions at the level of C2, C4, T3, T7, L5, and sacrum and chiropractic manipulation to both wrists and shoulders. She was diagnosed with low back pain, pain in thoracic spine, cervicalgia, myalgia, and pain in the right shoulder. She was advised to continue PT modalities and procedures, pain/anti-inflammatory medicine, and was referred to family doctor for pain management.…

    • 296 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Dr. Guerrero also, wanted to request physical therapy for the applicant to work on deep tissue release, scapular mobilization, stabilization, and muscular balance. After discussing the treatment plan with the applicant, the applicant was given a steroid injection in the right shoulder. The applicant was set for a re-evaluation in six weeks. The applicant was evaluated by Dr. Robson on March 21, 2017.…

    • 467 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    The extensor carpi radialis brevis s is the primary wrist extensor and stabilizer. The focus of this literature review is to observe the condition lateral epicondylitis and review the different treatments. Specifically taking a look at the outcomes of the solo use of physical therapy exercises opposed to the use of electrophysical modalities other…

    • 1849 Words
    • 8 Pages
    Superior Essays
  • Improved Essays

    • Pain and tenderness in the front of the shoulder. • Pain that increases with shoulder and elbow motion, such as bending the elbow and turning your palm upward against resistance. DIAGNOSIS This injury can be difficult to diagnose because the symptoms are similar to those of many other upper arm and shoulder problems. The diagnosis may be made based on: • Your symptoms and medical history.…

    • 624 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    analysis A doctor will ask about signs and perform a bodily examination. when over-the-counter medical doctor attempts to move over-the-counter tendon, a creaky sound can be heard. This happens over-the-counter over the counter tendon sheath has come to be thicker and infected. If over-the-counterre may beover the counter tenderness at one particular point over-the-counterover the counter tendon, this may suggest tendinitis. If over-the-counter problem does now not leave with relaxation, ice, and 2f2874cf80c036e5b52269eaf5ddfe83 (OTC) medicines, over-the-counter physician can also propose a few…

    • 607 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Rotator cuff impingement is what happens when the tendons and bursa in the sub-acromial/suprahumeral area are compacted together. Compression can initiate painful friction, stress and mechanical wear on the shoulder. Classic signs and symptoms include pain when flexing or abducting the shoulder above 80 degrees and weakness in the shoulder muscles, which are often detected when the patient is given the Hawkins-Kennedy and Neer impingement tests. This impingement disorder mostly stems from athletes and individuals whose jobs require constant overhead lifting, but can also be the result of an unstable glenohumeral joint caused by aging or tendon pathologies. Because there are multiple causes of rotator cuff impingement, it is classified into two categories; primary and secondary.…

    • 518 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Dr. Black Observation

    • 480 Words
    • 2 Pages

    On 3/26/18 I met Ms. Black at the office of Dr. Sardelli. She reports that her shoulder is still painful; she cannot fully extend her elbow or rotate from side to side. She reports pain to the inner aspect of the elbow. Her 4th and 5th fingers cannot open fully or close fully. There continues to be a pain in the inner elbow.…

    • 480 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    Occupational Injury Paper

    • 315 Words
    • 2 Pages

    DOI: 12/1/2014.Patient is a 52 year-old female sales advisor who sustained injury when she slipped on a wet floor landing on her right side. Per OMNI, patient was diagnosed with closed fracture of the right radius, back contusion, right hip contusion, right elbow contusion, right shoulder sprain, right elbow sprain, cervical strain, and right shoulder contusion. The patient was subsequently diagnosed with unspecified injury of muscles and tendon of the rotator cuff of right shoulder-sequela. Per Doctor’s First Report of Occupational Injury dated 4/9/2016, patient has been experiencing pain in the right wrist, arm, lower back and neck. She states she fractured her right wrist and was given a wrist splint.…

    • 315 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Carpal Tunnel Syndrome(CTS) happens when your median nerve, which runs from your forearm into the palm of your hand, becomes pressed or squeezed at your wrist. Your median nerve provides feeling to your palm side of your thumb & to your index, middle, & part of your ring fingers. Meaning you won’t feel those fingers move or crack. It’s also not a disease which means you can’t catch it from someone else. Carpal Tunnel Syndrome is often the result of a combination of factors that reduce the available space for the median nerve within the carpal tunnel, rather than a problem with the nerve itself.…

    • 448 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    Health History Questions: Subjective Data A good clinical history is important when making an assessment for new patients. A data needs to be collected that relates to the diagnosis or illness for which the patient is being seen. When gathering data for patients diagnosed with or are at risk for osteoporosis, following five areas of the body that need to be examined for further detailed findings. 1.…

    • 1134 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    Tendonitis Essay

    • 629 Words
    • 3 Pages

    When those tendons are misused or overused, they have a tendency to become inflamed and painful. Of course, since most people don't usually stop using their elbows, shoulders or…

    • 629 Words
    • 3 Pages
    Improved Essays