Differential diagnosis

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a. Medial epicondylitis (golfer's elbow) is an inflammatory condition that leads to pathology within the origin of the flexor pronator muscle group and pain at the medial epicondyle.

b. Intraarticular pathology. A patient with elbow pathology (loose bodies, RA, osteoarthritis) may present with lateral elbow pain. Limitation of elbow motion and radiographic changes can clarify the diagnosis.

c. Gout. Differentiation is not difficult because the acute, inflammatory signs of gout (erythema, swelling) are not usually present in tennis elbow. Crystals found on joint aspiration will confirm the diagnosis of gout.

d. Cervical spinal disease may cause referred pain to the elbow. MRI of the cervical spine can be useful.

e. Posterior interosseous nerve (branch of radial nerve) entrapment may mimic lateral epicondylitis. Tenderness is more volar over the entrance of the nerve into the supinator muscle.

6. Treatment is initially conservative. Activities that accentuate the pain are avoided for 8 to 12 weeks. Oral NSAIDs should be given acutely for pain relief. Should symptoms persist, injection of 40 mg of methylprednisolone acetate (Depo-Medrol) with 1 mL of 1% lidocaine into the point of maximum tenderness usually provides some relief. When the acute pain has subsided, exercises directed at strengthening the extensor muscles are started. A flexibility program is also started, and ice is used judiciously. A forearm band may reduce tension on the extensor muscle origin and provide relief in some patients. A volar wrist splint may also be helpful. Surgical excision of the degenerative tissue at the origin of the extensor carpi radialis brevis may be necessary in patients who fail conservative treatment.

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Cure Tennis Elbow Without Surgery

Cure Tennis Elbow Without Surgery

Everything you wanted to know about. How To Cure Tennis Elbow. Are you an athlete who suffers from tennis elbow? Contrary to popular opinion, most people who suffer from tennis elbow do not even play tennis. They get this condition, which is a torn tendon in the elbow, from the strain of using the same motions with the arm, repeatedly. If you have tennis elbow, you understand how the pain can disrupt your day.

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