Medial Epicondylitis Test | "Golfer's Elbow"
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- Опубліковано 11 гру 2015
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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. Watch this quick test on golfer's elbow assessment also called medial epicondylitis
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the patient looks genuinely concerned for his life
I made it out alive
- Andreas
Yeah, He needs to see a psychiatrist rather than orthopedici first.
dude i cant help laughing...
Glad I wasn't the only one who thought that! xD
Cheers for the Video! Excuse me for butting in, I would love your thoughts. Have you researched - Parlandealey Flexible Elbow Process (do a search on google)? It is a smashing one of a kind product for learning how to cure tennis elbow minus the headache. Ive heard some pretty good things about it and my BF at very last got astronomical success with it.
Is the patient being held at gun point?
Nice. Had me crackin up for a good while.
😂😂😂
Hilarious, but only if he isn't emotionally upset
THANK YOU SO MUCH! YOU ARE THE BEST! GOD BLESS YOU ALWAYS! 👏😁👏
Hey........the first thing i did is to subscribe this channal.....you guys are really awesome....really made things easier for me...thanks🙂
Really helpful for my clinical posting, thanks!
+E M happy to hear!
شكراآ لك دائمآ تساعدني في الدراسة
really nice and helpful for my OSCE preparation... thanks a lot ;)
+Ganesh Jayakumar good luck with your OSCE!
Thnk you.. U make us easy way to learn🙏😊
from Qubec board comming exam quick refresh simple and clear thanks
Easy to understand and time saving 😇
That's the goal - happy to hear!
Could you link to a video of golfer's elbow exercises?
Easily explained 👍
Very useful thank u so much
Thanks so much for the videos i am a med student and taking a subject in rehabilitation medicine thanks so much
Good to see medical students on our channel too! Good luck!
Good demo
Best physiotutor 😇
Thanks divya! And thx for following us!
Kai, I'm your biggest fan =)
Hahah, thanks Alex! Don´t be a fan, be an ambassador and help us to reach more students!;) Thanks for following!
great video
always helpful 😊
+nisha shoamya that's our goal!
+nisha shoamya glad to hear! Thx for following!
Is this not to be done with the patient in Resisted wrist flexion and ulnar deviation? As it often effects FCR and pronator teres and Frequent co-existence with ulnar nerve symptoms.
There can be an active and passive part of the test. We only cover the passive component like it was described in Magee's Orthopedic assessment.
However, it makes sense to test the active component as well with wrist flexion and ulnar deviation. If you suspect the pronator teres, it makes also sense to test for resisted pronation (and at the same time see if the pronation is eliciting neurological symptoms to evaluate if the ulnar nerve is getting entrapped by a hypertonous pronator teres).
Flexor or extensor?
Thnku sir 😊🥰
Uh guys r really helpful for physio students
Thanks and welcome
million special thanks
+Hh Yas you're welcome! Glad u like our videos!
What is this test name?
name of the test?
When I do this test on myself, I feel pain in the middle of my arm, between the lateral and medial epicondyle, why that?
Million special thanks
Right back at you 💜
thanks guys
+safwan-s you're very welcome 😊
but why extend when its flexor compartment
is this also called reverse cozen's test?
No idea, but we could imagine it that it is called like this somewhere...
Physiotutors ok,gotit,thank you much!
Hey -- i love your series and i've been binging on them now, as a med student with a great interest in this stuff.
question: I started playing loads of tennis a couple months ago. I developed a sensitivity around my medial epicondyle + pain + grip weakness. I went to a tennis physio who seemed to be more interested in my dorsiflexors' tightness, and they were indeed very painful. No symptoms laterally though.
I took a two-week break and now I've been training the volar flexors eccentrically and warming up very thoroughly, hoping to allow myself to play for longer without golfer's elbow symptoms.
Any thoughts on a possible connection btwn golfer's symptoms and a constricted dorsiflexor compartment?
Hi Paucceri,
great to hear that other health professionals are also following our channel!
Completely agree with your own approach - load management (maybe short-term ibuprofen to decrease cell proliferation) plus exercise will do the tick for you as it sounds like reactive tendinopathy.
Don't think the dorsiflexor tightness will do anything for your medial epicondylalgia. Would have been good to ask your physio why what his rationale was behind focussing on the dorsiflexors in your case.
We both very much focus on advice, load management, exercise and possibly mobilization with movement in those cases.
Thanks for the reply. I didn't really get an answer from him re: golfer's elbow. I suppose having a painless and fully mobile forearm, in general, would help prevent issues in any specific place...
Follow-up Q: From what i've read, medial epicondylitis isn't actually an inflammatory, but more a degenerative process (should probably be called epicondylosis, not -itis). I suppose NSAIDs would help but mainly from an analgesic perspective, to allow for more prompt mobilisation and rehab?
Also - in your experience - is it true that "Concentric movements work the muscle belly, eccentric movements work the tendons"? I've come across the statement a bunch of times, but it seems a bit too "convenient" to be true, then again, i have been basing my rehab around eccentrics.
Not sure what his reasoning was.
Golfer's elbow is a tendinopathy of the common flexor tendons of the forearm. We don't know of any literature that supports range of motion exercises for the dorsiflexors in the treatment of medial epicondylalgia.
Yes, tendinopathy is not an inflammation. Therefore, the new and better term is either tendinopathy or epicondilalgia. Ibuprofen has been shown to inhibit expression of key ground substance proteins responsible for tendon swelling and downregulating the cellular response.
If you want to know more, have a look at Cook et al. (2008): www.ncbi.nlm.nih.gov/pubmed/18812414
There is literature suggesting that eccentric is better than concentric in tendons, but no evidence that concentric+eccentric is worse than eccentric alone. Just do normal exercises with weighted wrist flexion with load that can be moved in a pain-free manner.
Alright, thanks for the thought-out reply! Keep making great videos and I'll keep watching them!
Watching again after a year :)
See you next year then 😉
Hey all, I hope I can add something to this as well! I'm a PT who's passionate about trying to uncover the root cause of common issues and I've been finding that Golfer's Elbow may have everything to do with hidden neck dysfunction. I've put together a short video showing how to figure this out for yourself and what to do about it. Hope it helps! ua-cam.com/video/tLE5ZqeZNQw/v-deo.html
Is there only one test for medial epicondylitis?
Palpation is something that is used a lot for tendinopathy as well but its value is questionable
Which muscle are involved exactly ?!
The extensor cari radialis brevis is the most commonly involved muscle/tendon together with the ext. carpi radialis longus. Other muscles/tendons that orginate from the common tendon origin at the lateral epicondyle and that cross the joint can be affected as well.
In this videos it said that this test provocks the muscles that are originated from the medial epycondil so we talk about flexors. Help please ^^
Oh, didn't see it was the Golfer's elbow video - thought it was Tennis elbow!
Hard to say which muscles, basically all 5 that have their origin at the medial epicondyle where they have a common tendinous insertion.
No problem, merci :)
what if the pain is more proximal, and the test is negative? Pain is definitely the medial epicondyle bilaterally.
Other diagnoses should be considered, p.e. medial elbow instability.
@@Physiotutors Thank you! Researching... no tingling/ nerve impingement. I have had the pain for over a year, since pregnancy, and I work full time and have to put tubis (compression) on patients all day and then I have my one year old. I can't pick him up without pain. Feels bruised. Please let me know if you have any videos about this. TIA
@@crystalburnham9757 how is it now?
Man, I didn't know Hazard is doing physiotherapy practice after his retirement
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great videos, studying for my board exam. Also, sexy presenter. come visit canada!
What is the name of this test??
Doesn't really have a name according to our knowledge.
Reverse Mills Test?@@Physiotutors
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