Integration of Cervical and Scapular Mobilization and Stabilization for a Patient with Medial Epicondylitis: A Case Report
Type of Presentation
Poster Session
Start Date
4-12-2019 4:00 PM
End Date
4-12-2019 6:00 PM
Abstract
Background and Purpose: Lee et al. discovered a correlation between cervical radiculopathy and medial epicondylitis. 1 There have been no follow up studies indicating whether one pathology leads to the others or whether treating cervical radiculopathy affects the concomitant medial epicondylitis. The purpose of this case report is to outline a treatment program for individuals with cervical radiculopathy and concomitant medial epicondylitis . Case Description: The patient was a 54 - year - old, Hispanic female who presented with complaints of right - sided, m edial elbow pain as well as grip, wrist, and elbow weakness. Upon further evaluation, the patient also presented with cervical radiculopathy. The patient did not receive any steroid injections for medial epicondylitis. Patient had significant past medical history including right shoulder adhesive capsulitis and bilateral lateral epicondylitis. Outcome Measures: The patient was assessed using the QuickDASH, pain rating via Numeric Pain Rating Scale (NPRS), strength via Manual Muscle Testing (MMT), grip stren gth via dynamometer, as well as a cervical radiculopathy cluster exam. The patient was seen for a total of 7 visits over the course of 4 weeks. Discussion: Treating concomitant cervical radiculopathy in a patient with medial epicondylitis appeared to be a safe and effective intervention program for decreasing elbow pain and improving grip strength. The presenting case report may be useful in helping clinicians determine optimal plan of care for patients with “golfers elbow”. Future randomized control trials should evaluate the relationship between cervical radiculopathy and medial epicondylitis as well as whether treating cervical radiculopathy improves patient outcomes in those with “golfers elbow”.
Integration of Cervical and Scapular Mobilization and Stabilization for a Patient with Medial Epicondylitis: A Case Report
Background and Purpose: Lee et al. discovered a correlation between cervical radiculopathy and medial epicondylitis. 1 There have been no follow up studies indicating whether one pathology leads to the others or whether treating cervical radiculopathy affects the concomitant medial epicondylitis. The purpose of this case report is to outline a treatment program for individuals with cervical radiculopathy and concomitant medial epicondylitis . Case Description: The patient was a 54 - year - old, Hispanic female who presented with complaints of right - sided, m edial elbow pain as well as grip, wrist, and elbow weakness. Upon further evaluation, the patient also presented with cervical radiculopathy. The patient did not receive any steroid injections for medial epicondylitis. Patient had significant past medical history including right shoulder adhesive capsulitis and bilateral lateral epicondylitis. Outcome Measures: The patient was assessed using the QuickDASH, pain rating via Numeric Pain Rating Scale (NPRS), strength via Manual Muscle Testing (MMT), grip stren gth via dynamometer, as well as a cervical radiculopathy cluster exam. The patient was seen for a total of 7 visits over the course of 4 weeks. Discussion: Treating concomitant cervical radiculopathy in a patient with medial epicondylitis appeared to be a safe and effective intervention program for decreasing elbow pain and improving grip strength. The presenting case report may be useful in helping clinicians determine optimal plan of care for patients with “golfers elbow”. Future randomized control trials should evaluate the relationship between cervical radiculopathy and medial epicondylitis as well as whether treating cervical radiculopathy improves patient outcomes in those with “golfers elbow”.