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Case Study 8

“M.G.” is a 44 year old female.

History:

“M.G.” presents with an approximate 11 month history of persistent pain in the region of the right elbow (specifically, the right lateral epicondyle). These symptoms began following heavy use of the right arm while working. She denies any numbness or tingling in the right arm, but notices that the right hand gets fatigued quite quickly.

Physical Examination:

There was muscle tenderness in the upper and lower regions of the right arm, but the major findings were on palpation of the lateral and medial epicondyles. Both of these were tender (lateral more than medial) and the insertion of the extensor tendon to the lateral epicondyle was also tender to palpation. Resisted wrist extension on the right caused pain over the lateral epicondyle. Similar tests in the left arm were normal.

Previous Therapies:

• Physiotherapy, massage therapy, and exercise treatments were temporarily helpful in managing the pain.

Diagnosis:

The history and physical findings are consistent with right lateral epicondylitis (extensor tendonitis).

Pulsed Signal Therapy (PST):

Pain Scale:

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