The patient /client is a 45-year-old R handed male nurse reviewer who has been diagnosed to have a right tennis elbow. He's been having pain on his right lateral elbow for about five months now. The client denies any trauma or known predisposing injury that initiated his problem. The patient spends a lot of time at work in front of the computer –which involves a lot of mouse scrolling and typing. He also likes to play tennis and wash his car in his spare time. He noted the feeling that his grip appears to get tired easily – c/o weakness. The patient also feels that his R elbow is not entirely straight. States that he have a slight neck & B shoulder pain – right worse than left. The patient feels that neck and shoulder pain are not related to
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He already seeks out his work ergonomics team – changing his regular mouse to a ”roller” mouse, changing his workstation, keyboard height, etc. He denies any numbness or tingling sensation on the R UE. Patient goal is to be pain-free and be able to use his R hand without discomfort. The evaluation showed that he have R lateral elbow pain with Cozens test (resisted wrist extension with radial deviation) and with resisted forearm supination, and resisted ulnar deviation motion. No significant pain noted with passive wrist flexion with the elbow in the extended position (Mills test). Wrist ulnar deviation & wrist extension hurts. The patient's with intact sensation on B UE as to touch stimulation. The subject also has an active symmetrical and within reasonable limits neck, shoulder, elbow, forearm, and wrist joint range of motion(ROM). Muscle strength testing for the neck, shoulder, scapular, & elbow are all graded normal. Patient with weak forearm supination, wrist extension, and handgrip (see dynamometer readings) secondary to pain with resisted
He already seeks out his work ergonomics team – changing his regular mouse to a ”roller” mouse, changing his workstation, keyboard height, etc. He denies any numbness or tingling sensation on the R UE. Patient goal is to be pain-free and be able to use his R hand without discomfort. The evaluation showed that he have R lateral elbow pain with Cozens test (resisted wrist extension with radial deviation) and with resisted forearm supination, and resisted ulnar deviation motion. No significant pain noted with passive wrist flexion with the elbow in the extended position (Mills test). Wrist ulnar deviation & wrist extension hurts. The patient's with intact sensation on B UE as to touch stimulation. The subject also has an active symmetrical and within reasonable limits neck, shoulder, elbow, forearm, and wrist joint range of motion(ROM). Muscle strength testing for the neck, shoulder, scapular, & elbow are all graded normal. Patient with weak forearm supination, wrist extension, and handgrip (see dynamometer readings) secondary to pain with resisted