Physical Therapy Diagnosis and Treatment for Tennis Elbow [Case Study] Lateral Epicondylalgia, Epicondylitis, Tendinitis, Tendinopathy: FPF Show Episode 34

By dpope2020

May 16, 2022

dan pope, elbow pain, fitness pain free, how to treat tennis elbow, lateral epicondylalgia, lateral epicondylalgia exercises, lateral epicondylalgia test, lateral epicondylitis, lateral epicondylitis test, physical therapy, physiotherapy, tennis elbow, tennis elbow (disease or medical condition), tennis elbow exercises, tennis elbow pain, tennis elbow special test, tennis elbow test, tennis elbow treatment, test for tennis elbow, treatment for tennis elbow

Physical Therapy Diagnosis and Treatment for Tennis Elbow [Case Study] Lateral Epicondylalgia, Epicondylitis, Tendinitis, Tendinopathy: FPF Show Episode 34

In today's episode we go over Physical Therapy Diagnosis and Treatment for Tennis Elbow [Case Study] Lateral Epicondylalgia, Epicondylitis, Tendinitis, Tendinopathy.

  • 0:00 Intro
  • 1:34 Subjective Evaluation - population, occupation, activities, mechanism of injury
  • 2:53 Subjective Evaluation - Psychosocial considerations
  • 6:29 Subjective Evaluation - Patient goals
  • 6:45 Objective Evaluation - Strength testing, range of motion testing
  • 9:15 Objective Evaluation - Regional interdependence
  • 11:36 Objective Evaluation - Imaging, palpation, special tests
  • 13:53 Clinical reasoning and decision making for care moving forward
  • 15:35 Treatment plan of care
  • 19:48 Exercise plan of care
  • 22:05 Home exercise plan
  • 24:05 Treatments within a clinic session
  • 28:03 Exercise progression over time
  • 31:36 Return to sport / activity considerations and time lines
  • 34:02 Discharge planning and the end of physical therapy

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Thank you!

Dan Pope DPT, OCS, CSCS

References: 

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  2. Peterson M, Butler S, Eriksson M, Svärdsudd K. A randomized controlled trial of exercise versus wait-list in chronic tennis elbow (lateral epicondylosis). Ups J Med Sci. 2011 Nov;116(4):269-79. doi: 10.3109/03009734.2011.600476. PMID: 22066975; PMCID: PMC3207303.

  3. Stasinopoulos D, Stasinopoulos I. Comparison of effects of eccentric training, eccentric-concentric training, and eccentric-concentric training combined with isometric contraction in the treatment of lateral elbow tendinopathy. J Hand Ther. 2017 Jan-Mar;30(1):13-19. doi: 10.1016/j.jht.2016.09.001. Epub 2016 Nov 4. PMID: 27823901.

  4. Stasinopoulos D, Stasinopoulos I. Comparison of effects of eccentric training, eccentric-concentric training, and eccentric-concentric training combined with isometric contraction in the treatment of lateral elbow tendinopathy. J Hand Ther. 2017 Jan-Mar;30(1):13-19. doi: 10.1016/j.jht.2016.09.001. Epub 2016 Nov 4. PMID: 27823901.

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  6. Day JM, Bush H, Nitz AJ, Uhl TL. Scapular muscle performance in individuals with lateral epicondylalgia. J Orthop Sports Phys Ther. 2015 May;45(5):414-24. doi: 10.2519/jospt.2015.5290. Epub 2015 Jan 10. PMID: 25579691.

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  10. Keijsers R, de Vos RJ, Kuijer PPF, van den Bekerom MP, van der Woude HJ, Eygendaal D. Tennis elbow. Shoulder Elbow. 2019;11(5):384-392. doi:10.1177/1758573218797973

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  12. Aben A, De Wilde L, Hollevoet N, Henriquez C, Vandeweerdt M, Ponnet K, Van Tongel A. Tennis elbow: associated psychological factors. J Shoulder Elbow Surg. 2018 Mar;27(3):387-392. doi: 10.1016/j.jse.2017.11.033. PMID: 29433642.

  13. Karanasios S, Korakakis V, Moutzouri M, Drakonaki E, Koci K, Pantazopoulou V, Tsepis E, Gioftsos G. Diagnostic accuracy of examination tests for lateral elbow tendinopathy (LET) - A systematic review. J Hand Ther. 2021 Feb 27:S0894-1130(21)00039-9. doi: 10.1016/j.jht.2021.02.002. Epub ahead of print. PMID: 33814224.

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