Medical Rehabilitation in Patient with Right Lateral Epicondilytis - A Case Report

Natalia Nanlohy, Joudy Gessal, Christina Adelle Damopolii

Abstract


Epidondylitis is a general term used to describe inflammation, pain, or tenderness in the region of medial or lateral epicondyle of the humerus. Lateral epicondylitis implies an inflammatory lesion with degeneration at the tendinous origin of the extensor muscles. The condition was most prevalent in the age group of 45-54 years. Repetitive movements and forceful activities were correlated with lateral epicondylitis. Patient usually report pain in the area just distal to the lateral epicondyle. They may complain of pain radiating proximally or distally. Patients may also complain of pain with wrist or hand movement. The hallmark of epicondylitis is tenderness over the extensor muscle origin. Initial treatment consist of relative test, avoidance of repetitive motion involving the wrist, activity modification to avoid stress on the epicondyle, anti-inflammatory medications, and thermal modalities such as heat and ice for acute pain. the use of wrist immobilization splints may be helpful. Injection may be useful if therapy and exercise have not provide relief. Surgery may be indicated to those patients with continued severe symptom who do not respond to conservative management. The prognosis of the lateral epicondylitis is excellent if treated appropriately. In our clinic, a 54 years-old female, a housewife, complain pain on the lateral side of the right elbow especially while carrying heavy things. On physical examination we found that there is weakness in hand function and also weakness in action of elbow extension.. The Cozen’s and Mill’s test was performed to this patient and supported the diagnosis. Patient was treated first with Pulsed Ultrasound Diathermy 1 MHz, 1 W/cm2, for ten minutes, two to three times weekly. Because of the pain didn’t decrease in ten times of therapy, we changed the modality therapy with Low Level Laser 3J/cm2, 100W/cm2, 3 minutes during therapy for 5 weeks. Patient also given ice massage at lateral side of the right elbow and therapeutic exercise.

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References


Weiss LD, Weiss JM. Lateral Epicondylitis, Frontera WR, Essential of Physical Medicine and Rehabilitation 3rd Edition. Philadelphia: Elsevier Saunders: 2014

De Smedt Thomas, de Jong Andy, Leemput Van Wim, Lateral Epicondylitis in tennis: Update on aetiology, biomechanics and treatment, Br J Sport Med: 2007

Lippert LS. Clinical Kinesiology and Anatomy 5th ed. Philadelphia: F.A.Davis Company; 2011.

Putz VR, Pabst R. Atlas Anatomi Manusia Sobotta. Edisi 21. Penerbit Buku Kedokteran: 2000

Brotzman B.S., Wilk E.K. Clinical Orthopaedic Rehabilitation, Second Edition, Pennysilvania, Mosby, 2003

Christer R., The Sport Injuries Handbook Diagnosis and Management. London. 2007

OrthoInfo, Therapeutic Exercise Program for Epicondylitis (Tennis Elbow/Golfer’s Elbow).

Johnson GW, Cadwallader K, Treatment of Lateral Epicondylitis, Idaho: 2007

Floyd R.T. Manual of Structural Kinesiology, Nineteenth Edition. 2015

Buchanan K. B., Matthew V., Tennis Elbow ( Lateral Epicondylitis), NCBI Bookshelf. A Service of the National Library Medicine, National Institute of Health, 2019

Morrey B. F., Sanchez-Sotelo J., Morrey M.E. The Elbow and Its Disorders, Fifth Edition. Elsevier, 2018

Shanheen H, Alarab A, Ahmad M,. Effectiveness of Therapeutic Ultrasound and Kinesio Tape in Treatment of Tennis Elbow. Heighten Science. 2019

Da Silva P, Tamaoki MJS, Blummeti FC,. Electrotherapy Modalities for Lateral Elbow Pain (Protocol), Cochrane Library. 2018

Lenoir H, Olivier M, Carlier Y,. Management of Lateral Epicondylitis in Orthopedic&Traumatology : Surgery&Research. Elsevier. 2019

Dutton M. Orthopedics For The Physical Therapis Assistant. Pennysilvania, 2019

Nilson P, Baigi A, Marklund B, Cross-cultural adaptation and determination of the reliability and validity of PRTEE-S (Patientskattad Utvardering av Tennisarmbage), a questionnaire for patient with lateral epicondylalgia, in a Swedish population. In: BMC Musculoskeletal Disorders: 2018

Haker E, Lundeberg T, Pulsed Ultrasound Treatment in Lateral Epicondylalgia. In: Scandunavian Journal of Rehabilitation Medicine

Cameron MH. Physical Agents in Rehabilitation Fourthe Edition. Pennysilvania. 2013

Yeon K.C, Seon-Jeong K, Noh Hyuck Park,, Magnetic Resonance Imaging of Patients with Lateral Epicondylitis : Relationship between Pain and Severity of Imaging Features in Elbow Joints. Korea. 2019


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