Tennis elbow or radial tunnel syndrome?

Tennis elbow or radial tunnel syndrome?

Everyday MSK
Tennis elbow or radial tunnel syndrome? How can you determine if someone has elbow pain due to lateral epicondylitis (tennis elbow) or radial tunnel syndrome? Individuals with either injury may experience lateral elbow pain and weakness in power grip strength. This overlap in symptoms creates the potential for diagnostic confusion between the two conditions, as they share certain clinical features. However, several distinct clinical exam features may help to distinguish the two conditions: With lateral epicondylitis: The bony epicondyle of the humerus is tender to palpation Resisted wrist extension yields weakness and the person's familiar pain and Use of a tendon counterforce strap or brace typically reduces pain. With radial tunnel syndrome: Tenderness to palpation is usually more distal, such as 5 cm down from the epicondyle Resisted wrist extension…
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Physical therapy treatment for radial tunnel syndrome

Physical therapy treatment for radial tunnel syndrome

Everyday MSK
Physical therapy treatment for radial tunnel syndrome Radial tunnel syndrome can be a debilitating cause of lateral/outer elbow pain. Physical therapy treatment may include several techniques to increase the tunnel "wall" flexibility so that the radial nerve is relieved of pressure and slides freely within the tunnel. These techniques may include any (or likely all) of the following:  1. Soft tissue mobilization of the extensor carpi radialis longus and extensor carpi radialis brevis muscles. This treatment is often performed with instrument assistance (e.g., tools such as SASTM, ASYTM, Graston, and IASTM) and followed by stretching exercises for these muscles. 2. Radial nerve flossing exercises to improve circulation and nerve function. 3. Dry needling, including trigger point technique, of the supinator muscle that surrounds the nerve. 4. Strength training of the supinator…
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