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Epicondylitis

Julie Creech, DO, Brooke E. Organ, DO and Sabrina L. Silver, DO, CAQSM Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Tendinopathy of the elbow characterized by pain and tenderness at the origins of the wrist flexors/extensors at the humeral epicondyles

  • May be acute (traumatic) or chronic (overuse)

  • Tw...

DIAGNOSIS

HISTORY

  • Insidious onset

  • Pain localized to lateral or medial elbow

  • Aching pain, often radiates from epicondyle to forearm or wrist

  • Pain with gripping

  • Sensation of mild forearm weakness

PHYSICAL EXAM

TREATMENT

GENERAL MEASURES

Initial treatment consists of activity modification, counterforce bracing, oral or topical NSAIDs, ice, and physical therapy. 
  • If left untreated, symptoms typically last betwe...

ONGOING CARE

PROGNOSIS

Good: Majority resolve with conservative care. 

REFERENCES

1
Aydın A, Atiç R. Comparison of extracorporeal shock-wave therapy and wrist-extensor splint application in the treatment of lateral epicondylitis: a prospective randomized controlled study....

ADDITIONAL READING

  • Cullinane FL, Boocock MG, Trevelyan FC. Is eccentric exercise an effective treatment for lateral epicondylitis? A systematic review. Clin Rehabil.  2014;28(1):3–19. [View Abstr...

CODES

ICD10

  • M77.00 Medial epicondylitis, unspecified elbow

  • M77.10 Lateral epicondylitis, unspecified elbow

  • M77.01 Medial epicondylitis, right elbow

  • M77.02 Medial epicondylitis, left elbow

  • M77.12 Lateral ep...

CLINICAL PEARLS

  • ME (golfer’s elbow) is characterized by pain and tenderness at the tendinous origins of the wrist flexors at the medial epicondyle.

  • LE (tennis elbow) is characterized by pain and tender...

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