Lateral Epicondylitis Case Study

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Pain and tenderness in the upper lateral aspect of the right forearm, following the 17-year-old male’s practice, can be diagnosed as Lateral Epicondylitis, otherwise known as Tennis elbow.
Specific actions causing lateral epicondylitis in this patient include the repetitive actions of a backhand stroke in tennis as well as the bending back of the wrist against the resistance of the tennis racket and ball in which causes a repetitive strain (Jariwala A. et al 2012). Pain and discomfort is felt in the area located over the lateral epicondyle, the origin for all of the extensors in the forearm (Jariwala A. et al 2012). Lateral epicondylitis affects the tendinous tissue of the lateral epicondyle of the humerus as well as the extensor muscles;
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2010). The extensor carpi radialis brevis muscle is originates at the lateral epicondyle of the humerus. This muscle is located deep to the extensor carpis radialis longus and inserts at the base of the second and third metacarpals. The main action of the extensor carpi radialis brevis is to extend and abduct the hand at the wrist, which is why is a patient has lateral epicondylitis, pain will be felt when wrist is bent back due to the resistance of the tennis racquet hitting the tennis ball. Extensor carpi radialis longus is positioned parallel to the brachialis on the lateral side of the forearm. Its action also includes extending and abducting the hand at the wrist. The most medial of the superficial posterior extensor muscles is the extensor carpi ulnaris, in which, along with the other two previous extensors, also extends and abducts the hand at the wrist. The extensor digitorum does not extend and abduct the wrist but rather extends the fingers; it lies medial to the extensor carpi radialis brevis. Although the extensor digitorum has a different action than the other extensors, it …show more content…
Surgical options are usually done in most severe cases if no other treatments have worked six to twelve months after treatment (Sakr D.O. 2010). The most common surgery performed is open surgery but can also be done arthroscopically; small instruments are inserted through small incisions to fix tennis elbow and after surgery the patient's arm will be immobilized and placed in a splint temporarily (Orthoinfo). Non surgical therapies are also an option including physical therapy and shock wave therapy to reduce pain, inflammation and increase muscular conditioning and tissue healing (Waseem et al). Physical therapy allows for stretching and strengthening the extensor muscles in the forearm specifically for clients with lateral epicondylitis. Treatment may also include ice massages, ultrasounds and muscle stimulation techniques for help improve the healing in the affected area. Other than physical therapy, shockwave therapy may be used. Shock wave therapy uses a technique that send sound waves into the affected area on the elbow; shock waves sent into the elbow create microtrauma in the specific area, to help speed up the body’s natural healing process

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