The FFD for lateral elbow:
a- 100cm.
b- 180cm.
c- 40inches.
d- d, A & C.
the answer is D
---------------------------------
Lateral epicondylitis, generally known as tennis elbow, is a painful condition of the tendons that attach to the bone on the outside (lateral) side of the elbow. Tendons attach muscle to bone. The muscle involved in this condition, the short radial carpal extensor muscle, helps to extend and stabilize the wrist (see Figure 1). With lateral epicondylitis there is degeneration of the tendon junction, which weakens the restraint site and applies greater tension in the area. This can lead to pain associated with activities in which this muscle goes into action, such as lifting weights, grabbing or holding. Sports such as tennis are usually associated with this, but the problem can occur with many different types of activity, whether sports or not.
What the cause?
Excess use: the cause may or may not be related to work activity. An activity that applies tension in the tendon joints, through tension in the muscle unit and the extensor tendon, increases tension on the tendon. These tensions may be due to grabbing a racket that is too large or to “repetitive” gripping and holding activities, such as p. ex. cut meat, plumbing, painting, weaving, etc.
Trauma: a direct blow to the elbow could cause inflammation of the tendon, which could lead to degeneration. A sudden extreme action, force or activity can also injure the tendon.
Who suffers it?
The most common age group that suffers from this condition is that of people between 30 and 50 years old, but it can occur in younger and older age groups, and in both men and women.
SIGNS AND SYMPTOMS:
Pain is the main reason why patients go to a medical evaluation. The pain is found on the outer side of the elbow, on the bone region known as the lateral epicondyle. This area becomes touch sensitive. Pain is also caused by any activity that applies tension to the tendon, such as grabbing or lifting weights. With activity, the pain usually begins at the elbow and extends through the forearm to the hand. Occasionally, any movement of the elbow can be painful.
TREATMENT:
Conservative (non-surgical)
Activity modification: initially, the activity that caused the condition should be limited. It is recommended to limit aggravating activity, not a total rest. Modifying the grips or techniques, such as the use of a racket of another size or the use of ambidextrous setbacks in tennis, can alleviate the problem.
Medication: anti-inflammatory medications can help relieve pain.
Corrective girdle: a belt for tennis elbow, a band that is worn over the forearm muscle, just below the elbow, can reduce tension on the tendon and allow it to heal.
Physiotherapy can be useful, which offers stretching and strengthening exercises. Modalities such as ultrasound or heat treatments can be useful.
Steroid injections: A steroid is a strong anti-inflammatory medication that can be injected into the area. No more than 3 (three) injections should be administered.
Shockwave treatment: a new type of treatment, available in offices, has shown some success in 50 to 60% of patients. It is a shock wave applied to the affected area around the elbow, which can be used as a last resort before considering surgery.
Surgery:
Surgery is only considered when the pain is disabling and does not respond to conservative care, and the symptoms have lasted more than six months. Surgery involves the removal of diseased and degenerated tendon tissue. There are two possible surgical approaches: traditional open surgery (incision) and arthroscopy, a procedure that is performed with instruments that are inserted into the joint through small incisions. Both options are carried out in an outpatient setting.
Recovery:
Recovery from surgery includes physiotherapy to recover arm movement. A strengthening program may be necessary in order to resume previous activities. The recovery is expected to last 4 to 6 months.
a- 100cm.
b- 180cm.
c- 40inches.
d- d, A & C.
the answer is D
---------------------------------
Lateral epicondylitis, generally known as tennis elbow, is a painful condition of the tendons that attach to the bone on the outside (lateral) side of the elbow. Tendons attach muscle to bone. The muscle involved in this condition, the short radial carpal extensor muscle, helps to extend and stabilize the wrist (see Figure 1). With lateral epicondylitis there is degeneration of the tendon junction, which weakens the restraint site and applies greater tension in the area. This can lead to pain associated with activities in which this muscle goes into action, such as lifting weights, grabbing or holding. Sports such as tennis are usually associated with this, but the problem can occur with many different types of activity, whether sports or not.
What the cause?
Excess use: the cause may or may not be related to work activity. An activity that applies tension in the tendon joints, through tension in the muscle unit and the extensor tendon, increases tension on the tendon. These tensions may be due to grabbing a racket that is too large or to “repetitive” gripping and holding activities, such as p. ex. cut meat, plumbing, painting, weaving, etc.
Trauma: a direct blow to the elbow could cause inflammation of the tendon, which could lead to degeneration. A sudden extreme action, force or activity can also injure the tendon.
Who suffers it?
The most common age group that suffers from this condition is that of people between 30 and 50 years old, but it can occur in younger and older age groups, and in both men and women.
SIGNS AND SYMPTOMS:
Pain is the main reason why patients go to a medical evaluation. The pain is found on the outer side of the elbow, on the bone region known as the lateral epicondyle. This area becomes touch sensitive. Pain is also caused by any activity that applies tension to the tendon, such as grabbing or lifting weights. With activity, the pain usually begins at the elbow and extends through the forearm to the hand. Occasionally, any movement of the elbow can be painful.
TREATMENT:
Conservative (non-surgical)
Activity modification: initially, the activity that caused the condition should be limited. It is recommended to limit aggravating activity, not a total rest. Modifying the grips or techniques, such as the use of a racket of another size or the use of ambidextrous setbacks in tennis, can alleviate the problem.
Medication: anti-inflammatory medications can help relieve pain.
Corrective girdle: a belt for tennis elbow, a band that is worn over the forearm muscle, just below the elbow, can reduce tension on the tendon and allow it to heal.
Physiotherapy can be useful, which offers stretching and strengthening exercises. Modalities such as ultrasound or heat treatments can be useful.
Steroid injections: A steroid is a strong anti-inflammatory medication that can be injected into the area. No more than 3 (three) injections should be administered.
Shockwave treatment: a new type of treatment, available in offices, has shown some success in 50 to 60% of patients. It is a shock wave applied to the affected area around the elbow, which can be used as a last resort before considering surgery.
Surgery:
Surgery is only considered when the pain is disabling and does not respond to conservative care, and the symptoms have lasted more than six months. Surgery involves the removal of diseased and degenerated tendon tissue. There are two possible surgical approaches: traditional open surgery (incision) and arthroscopy, a procedure that is performed with instruments that are inserted into the joint through small incisions. Both options are carried out in an outpatient setting.
Recovery:
Recovery from surgery includes physiotherapy to recover arm movement. A strengthening program may be necessary in order to resume previous activities. The recovery is expected to last 4 to 6 months.
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