Upper Extremity Condition/Treatment Elbow

Question 1

Source & Lou Point combo for Pain bw/scapula & elbow

Answer 1

TW issue: TW4 & PC6

Question 2

Source & Lou Point combo for Palm contracture, arm pain w/inability to extend

Answer 2

PC issue: PC7 & TW5

Question 3

Lateral Epicondylitis may be secondary to failure of -

Answer 3

Musculotendinous attachment with fibroplasia

Question 4

Chronicity of Lateral Epicondylitis may be d/t

Answer 4

a poor repair process

Question 5

Lateral Epicondylitis is commonly seen in

Answer 5

PT bw/ 30-50 YO

Question 6

Lateral Epicondylitis happens 4-5x more in

Answer 6

males

Question 7

What arm of Lateral Epicondylitis is mostly affected?

Answer 7

dominant

Question 8

What is the cause of Lateral Epicondylitis?

Answer 8

Not clear, maybe repetitive motion

Question 9

Where is the pain of Lateral Epicondylitis?

Answer 9

where the common extensor attaches

Question 10

What makes Lateral Epicondylitis pain worse?

Answer 10

lifting even light objects, opening doors

Question 11

Type of Pain w/Lateral Epicondylitis

Answer 11

sharp, stabbing, burning, and/or dull achy, radiating proximally or distally (up & down arm)

Question 12

What is the typical Western remedy

Answer 12

Cortisone inj.

Question 13

If tennis elbow is bilateral, check

Answer 13

lower cervical segments w/foraminal

test C6, C7

Question 14

What is important in the treatment of Lateral Epicondylitis?

Answer 14

Treat the extensor group attachment not just Ah Shi

Question 15

What tendons of what muscles are a problem

Answer 15

Extensor carpi radialis brevis

Extensor Digitorum

Question 16

What tests for Lateral Epicondylitis

Answer 16

Cozen’s
Mill’s
Ext Dig

Question 17

TCM Dx of Lateral Epicondylitis

Answer 17

• LV Qi Stag
• LV Bl Def.
• Stag. Q/B @ epicondyle

Question 18

Tx idea according to Dx of Lateral Epicondylitis

Answer 18

• smooth LV Qi
• Build LV Bl to smooth
• Move Q/B @ epicondyle
• Relax sinews

Question 19

Local treatment of Lateral Epicondylitis

Answer 19

LI 10, TW5 Zone

Question 20

Distal treatment of Lateral Epicondylitis at HAND

Answer 20

Ling Ku: 0.5 cun proximal to Hegu, same side as pain, perpendicular 0.5 - 0.9 cun

Question 21

Moxa Lateral Epicondylitis if

Answer 21

chronic

Question 22

EA setting for Lateral Epicondylitis

Answer 22

4 Hz continuous

Question 23

What ST Ch points are used w/ Lateral Epicondylitis in acute cases where needling close to Lateral Epicondyle is too painful?

Answer 23

opposite knee:

ST36, ST37 check Ah Shi

Question 24

What needles are used for osteoacupuncture & where exactly are they used?

Answer 24

38G to #1 Serin, along lateral epicondyle and along the anterior border of the radius

Question 25

What IZ for Lateral Epicondylitis?

Answer 25

Extensor Digitorum: pronated hand, proximal 1/3 from on line from epicondyle to wrist crease. Move middle finger to find and

Question 26

Golfer's elbow aka

Answer 26

Medial Epicondylitis

Question 27

Medial Epicondylitis check what trigger points?

Answer 27

biceps, medial head triceps, pronator teres

Question 28

Which epicondyle is easier to treat medial or lateral?

Answer 28

lateral

Question 29

Why is Medial Epicondylitis more difficult to treat?

Answer 29

Muscles that attach to Medial Epicondyle have tendinous sheaths and are more tubular as compared to the extensor groups fan like attachment.

Question 30

Flexor tendons are

Answer 30

rounded w/synovial sheaths

Question 31

Extensor tendons are

Answer 31

flat

Question 32

Medial Epicondylitis most common muscles affected

Answer 32

pronator teres, flexor carpi radialis

Question 33

Test for Medial Epicondylitis

Answer 33

Medial Epicondylar Stretching

Question 34

General Dx for Medial Epicondylitis

Answer 34

* LV BL def. * LV Qi Stag. * Local Stag. Q/B @ medial epicondyle

Question 35

Tx idea according to Dx of Medial Epicondylitis

Answer 35

* smooth LV Qi * Build LV Bl to smooth * Move Q/B @ epicondyle * Relax sinews

Question 36

Local pts. for Medial Epicondylitis

Answer 36

HT3, SI8

Question 37

IZ for Medial Epicondylitis

Answer 37

Pronator Terres, Wrist Flexors: Flexor Carpi Radialis

Question 38

Distal pts. Medial Epicondylitis

Answer 38

SI3, SI5