Flashcards in Elbow Treatments Deck (20):
How can LE be assessed during subjective exam?
Patient rated tennis elbow evaluation (PRTEE) score
How is LE treated?
How effective are corticosteroid injections?
Help most in short term but no evidence for long term bnefis
How does corticosteroid injections compare wit wait and see policy and MWM/Exercise
wait and see & MWM/exercise much lower rate of reccurence.
Not per protocol - MWM lower than wait&see and injections
Which medical treatments have short term and long term effects in LE?
sclerosing agent vs local anaesthetic
nitric oxide patches vs. placebo
autologous platelet rich plasma vs Cl
What manual therapy is effective in the short term and long term for LE?
acupuncture vs placebo
MSM vs placebo/control
wrist manipulation vs US
brace vs control
When approaching LE treatment, what should be considered?
Target pan,motor, muscle.
Target specific deficits
No on treatment for everyone
What is a self treatment for LE?
Self MWM against wall
What are the guidelines for exercise in LE?
Pain free graduated progressive programme
What must an exercise programme for LE addres?
PFG strength defict
Any ROM restrictions
Altered wrist posture
What should be done in grip posture retraining
Thumb up/palm down/extended elbow
Extended wrist posture is very important
How is eccentric loading effective in LE?
positive effect on clinical outcomes such as pain, function, patient satisfaction/return to work
compared with stretching or concentric exercises
How quickly should rehab be progressed after tenon/ligament/bone injurty?
accelerated rehab accepted to avoid adverse effects of immobilisation
Where can median nerve become entrapped at elbow?
Above elbow remnant of ligament of struthers
Below elbow between pronator teres
Symptoms of median nerve entrapment
Like carpal tunnel
What does entrapment of superficial radial do?
pain/sensation over radial aspect wrist or thumb
What can cause entrapment of deep radial neve?
may follow direct or indirect trauma to forearm or synovitis of elbow joint
What can cause ulnar nerve entrapment?
commonly after prolonged elbow flexn
Where can the ulnr neve becm entrapped?
arcade of struthers
rarely between two heads of flexor carpi ulnari