Scott D Howitt1. 1. Canadian Memorial Chiropractic College, Toronto, Canada. showitt@cmcc.ca
Abstract
OBJECTIVE: To present the diagnostic features of lateral epicondylosis and response to treatment by Active Release Technique (ART), a promising treatment for lateral epicondylosis. CLINICAL FEATURES: The most important feature is pain at the lateral epicondyle of the humerus, most notably in actively extending or passively flexing the wrist. INTERVENTION AND OUTCOME: Treatment involves eliminating any inflammation, reducing muscular pain and hypertonicity, correcting biomechanical dysfunction, and restricting/modifying the offending activity. ART was successfully utilized in an attempt to remove adhesions and promote restoration of normal tissue texture. A sports specific rehabilitation protocol was employed to re-establish wrist extensor strength and interferential current and ice were used to control pain and residual inflammation. CONCLUSION: A combination of soft tissue therapy, rehabilitation, and therapeutic modalities is a protocol that may be used by both allopathic and chiropractic practitioners alike, and allow for the athletic patient to return to play as quickly as possible.
OBJECTIVE: To present the diagnostic features of lateral epicondylosis and response to treatment by Active Release Technique (ART), a promising treatment for lateral epicondylosis. CLINICAL FEATURES: The most important feature is pain at the lateral epicondyle of the humerus, most notably in actively extending or passively flexing the wrist. INTERVENTION AND OUTCOME: Treatment involves eliminating any inflammation, reducing muscular pain and hypertonicity, correcting biomechanical dysfunction, and restricting/modifying the offending activity. ART was successfully utilized in an attempt to remove adhesions and promote restoration of normal tissue texture. A sports specific rehabilitation protocol was employed to re-establish wrist extensor strength and interferential current and ice were used to control pain and residual inflammation. CONCLUSION: A combination of soft tissue therapy, rehabilitation, and therapeutic modalities is a protocol that may be used by both allopathic and chiropractic practitioners alike, and allow for the athletic patient to return to play as quickly as possible.
Authors: Daniel Trudel; Jennifer Duley; Ingrid Zastrow; Erin W Kerr; Robyn Davidson; Joy C MacDermid Journal: J Hand Ther Date: 2004 Apr-Jun Impact factor: 1.950