In my practice, medial and lateral epicondylitis are tough to deal with. 90+% of the time it is self limiting and resolves, but the average time for resolution is 18-24 months (this is adults). Stretching is the key treatment for either. Formal PT and cortisone injections have recently shown to have no benefit in the early phase (I disagree with this, but it is a brand new study that I haven't had a chance to scrutinize). I have had great luck with ultrasound guided percutaneous tenotomy. (See Tennex procedure). They feel like they get hit with a baseball bat for a couple of days, but I've had 80-85% success rate with it. It is a little more tricky on the ulnar side due to the nerve being in close proximity. The surgery sucks. Patients feel better, but it isn't as good as the other methods.
Golfer's Elbow - Medial Epicondylitis
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- Jun 12, 2015
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She went to lessons yesterday and did fine. I iced her arm afterwards though she said it didn't hurt. Her tricep hurt (probably because we haven't let her use her arm for 5 days and then she got to again) but not her elbow or forearm. They worked on her mechanics and hopefully that's going to help prevent this stuff going forward. Got checked by the chiro again, still looks good.
Thanks for the information Orthodoc. I am curious what your thoughts are concerning Ulnar Flossing?
My experience with nerve flossing and nerve glides are generally good, (even though it seems like torture) especially for post traumatic scar formers, post surgical scar, and generalized single nerve neuropathy with out compression. (History and exam seem like carpal or cubical tunnel, but nerve studies are normal. ). Patient selection is critical.
- Jun 12, 2015
- 3,848
- 83
We let her practice tonight, since she hasn't complained about pain in several days. It went well. Her pitching was a little rough after a week without practice but not awful. She says she feels fine, her arm doesn't hurt. I made her ice it after practice. Hopefully it'll still feel fine tomorrow after resting it all night. We're going to practice tomorrow (assuming no pain), then rest Friday. 5GG tournament this weekend.
The a underlying issue, root cause could be thyroid problems.
