injuries poisoning
Medial Epicondylitis
Treatment of Medial Epicondylitis
Rest, ice, and muscle stretches Modification of activity Later, resistive exercises Treatment is symptomatic and similar to that of Treatment . Patients should avoid any activity that causes pain. Initially, rest, ice, nonsteroidal anti-inflammatory drugs (NSAIDs), and stretching are used, occasionally with a corticosteroid injection into the painful area around the tendon. When pain subsides, gentle resistive exercises of the extensor and flexor muscles of the forearm are done, followed by eccentric and concentric resistive exercises. In general, surgery is considered only after at least 9 to 12 months of failed conservative management. Surgical techniques to treat medial epicondylitis involve removing scar tissue and reattaching damaged tissues. 1. Flatten putty on table. 2. Flex (curl) fingers and place on putty. 3. Extend and abduct (spread) fingers. 4. Perform 3 sets of 10 repetitions, 1 time a day. 5. Special Instructions a. Start with least resistance putty (ie, yellow). b. Can also perform exercise using rubber band for resistance around fingers. Courtesy of Tomah Memorial Hospital, Department of Physical Therapy, Tomah, WI; Elizabeth C.K. Bender, MSPT, ATC, CSCS; and Whitney Gnewikow, DPT, ATC. 1. Grasp and gently squeeze towel roll with both hands. 2. Twist towel in alternating directions. 3. Perform 3 sets of 10 repetitions, 1 time a day. Courtesy of Tomah Memorial Hospital, Department of Physical Therapy, Tomah, WI; Elizabeth C.K. Bender, MSPT, ATC, CSCS; and Whitney Gnewikow, DPT, ATC. 1. Place forearm on table with the hand palm down, off the edge of the table. 2. Move wrist up into extension. 3. Slowly flex wrist down to starting position. 4. Perform 3 sets of 10 repetitions, 1 time a day. 5. Special Instructions a. Focus on lowering (eccentric) phase with a count of 4 to flex wrist down to starting position and a count of 2 up for wrist extension. b. Start with least resistance (ie, a soup can) or simply against gravity. c. Can also perform exercise with band resistance. Courtesy of Tomah Memorial Hospital, Department of Physical Therapy, Tomah, WI; Elizabeth C.K. Bender, MSPT, ATC, CSCS; and Whitney Gnewikow, DPT, ATC. 1. Place forearm on table with the hand palm up, off the edge of the table. 2. Curl wrist up into flexion. 3. Slowly lower and extend wrist to starting position. 4. Perform 3 sets of 10 repetitions, 1 time a day. 5. Special Instructions a. Focus on lowering (eccentric) phase with a count of 4 to extend wrist down to starting position and a count of 2 up for wrist flexion. b. Start with light resistance (ie, a soup can) or simply against gravity. c. Can also perform exercise with band resistance. Courtesy of Tomah Memorial Hospital, Department of Physical Therapy, Tomah, WI; Elizabeth C.K. Bender, MSPT, ATC, CSCS; and Whitney Gnewikow, DPT, ATC. 1. Position involved hand palm up. 2. Grasp fingers on involved hand with the other hand. 3. Keep elbow straight on involved arm. 4. Pull hand and fingers gently into extension. 5. Hold exercise for 30 seconds. 6. Perform 1 set of 4 repetitions, 3 times a day. Courtesy of Tomah Memorial Hospital, Department of Physical Therapy, Tomah, WI; Elizabeth C.K. Bender, MSPT, ATC, CSCS; and Whitney Gnewikow, DPT, ATC. 1. Begin with the elbow straight. 2. With the uninvolved hand, grasp thumb side of hand and bend wrist downward into wrist flexion. 3. To increase the stretch, bend wrist toward small finger and pull, curling fingers into more flexion. 4. Hold each exercise for 30 seconds. 5. Perform 1 set of 4 repetitions, 3 times a day. Courtesy of Tomah Memorial Hospital, Department of Physical Therapy, Tomah, WI; Elizabeth C.K. Bender, MSPT, ATC, CSCS; and Whitney Gnewikow, DPT, ATC. 