The forgotten radial nerve: A conceptual framework for treatment of lateral elbow pain

Author(s):  
Alison Taylor ◽  
Aviva L Wolff
2019 ◽  
Vol 49 (5) ◽  
pp. 347-354 ◽  
Author(s):  
José L. Arias-Buría ◽  
Joshua A. Cleland ◽  
Youssef R. El Bachiri ◽  
Gustavo Plaza-Manzano ◽  
César Fernández-de-las-Peñas

2014 ◽  
Vol 8 (1) ◽  
pp. 368-371 ◽  
Author(s):  
Vanitha Arumugam ◽  
Senthil Selvam ◽  
Joy C MacDermid

Study Design :Prospective Experimental Study.Background :Computer users may be at risk of lateral elbow pain. It is theorized that adverse mechanical tension can arise in the radial nerve with sustained keyboarding due to sustained static work of the elbow extensor muscles. Neural mobilization has been suggested as a potential treatment.Purpose :The purpose of this study was to evaluate the effect of neural mobilization of the radial nerve on a single occasion in terms of its ability to reduce lateral elbow pain.Methods and Analysis :Forty-one computer professionals (Mean age 46.7; S.D. 12.77), who had experienced lateral elbow pain for a mean of 2.87 months were recruited. The participants rated the pain using a verbal, numeric rating scale (NRS). Radial nerve tension was tested using the Upper limb Tension Test (ULTT) for radial nerve in both upper extremities. The radial nerve was mobilized using a series of 8 oscillations and repeated 3 times with a one minute rest in between. The NRS and ULLT were repeated after treatment and the scores compared using a paired t-test by the first author.Results :The mean NRS scores decreased significantly from 5.7 (1.1) to 3.8 (1.4) (p<0.000; t value=8.07).Conclusion :A single session of 3 neural mobilization resulted in a reduction of pain in computer users with lateral elbow pain. A long-term randomized trial is needed to determine the effects sustained over-time.


Author(s):  
Milla Pompilio da Silva ◽  
Marcel JS Tamaoki ◽  
Francesco C Blumetti ◽  
João Carlos Belloti ◽  
Nynke Smidt ◽  
...  

2018 ◽  
Vol 22 (4) ◽  
pp. 855
Author(s):  
Pietro Iogna Prat ◽  
Dariusz Cibrowski ◽  
Andrea Zuliani ◽  
Antonio Stecco

2019 ◽  
Vol 34 (2) ◽  
pp. 102-104
Author(s):  
Muhsin E Uluc ◽  
Atilla H Cilengir ◽  
Cemal Kazimoglu ◽  
Özgür Tosun

The anconeus muscle is a small and minor functioning muscle located at the posterolateral elbow region. It helps forearm extension and tightening of the joint capsule. Despite its limited functions, pathologies of the anconeus muscle can mimic other abnormalities of the elbow joint. Here, we report a rare case of a traumatic anconeus muscle contusion in a 15-year-old boy due to falling during dance. MRI showed contusion in the anconeus muscle, as well as strain in the ulnar collateral ligament and edema in the coronoid process of the ulna. To our knowledge, this is the first described case of traumatic anconeus muscle contusion in the literature. The presence of long-lasting lateral elbow pain in trauma cases without fracture should alert clinicians to consider anconeus muscle abnormalities. MRI is the best modality for diagnosis in these cases.


2016 ◽  
Vol 2016 ◽  
pp. 1-12 ◽  
Author(s):  
Marcus Gadau ◽  
Shi-Ping Zhang ◽  
Wing-Fai Yeung ◽  
Zhao-Xiang Bian ◽  
Ai-Ping Lu

Individualized acupuncture treatment has been practiced for pain therapy. This study used acupuncture treatment for lateral elbow pain (LEP) as an example to study the diagnostic practice of individualized acupuncture treatment. A provisional version of LEP pattern questionnaire was developed based on a recent systematic review on TCM pattern diagnosis for LEP. A Delphi panel of 33 clinical experts from seven different countries was formed, and the Delphi survey was conducted in Chinese and English language for two rounds. Consensus was achieved from all 26 panelists who responded to the second round on 243 items of the instrument, which included a 72-question-long questionnaire. The mean level of expert consensus on the items of the final questionnaire was 85%. Consensus was found on four TCM patterns that could underlie LEP, namely, thewind-cold-dampness pattern, theqi stagnation and blood stasis pattern, thedual deficiency of qi and blood pattern,and theretained dampness-heat pattern.A list of signs and symptoms indicating one of the four TCM patterns and a list of preferred treatment modalities for each pattern were also generated. Our instrument shows considerable content validity. Further validity and reliability studies are under way.


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