scholarly journals Radial Nerve Mobilization Reduces Lateral Elbow Pain and Provides Short-Term Relief in Computer Users§

2014 ◽  
Vol 8 (1) ◽  
pp. 368-371 ◽  
Author(s):  
Vanitha Arumugam ◽  
Senthil Selvam ◽  
Joy C MacDermid
Keyword(s):  
Radial Nerve ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Computer Users ◽  
Elbow Pain ◽  
Lateral Elbow Pain ◽  
Extensor Muscles ◽  
Computer Professionals ◽  
Lateral Elbow ◽  
Reduction Of Pain

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.

Ultrasound-Guided Percutaneous Electrical Nerve Stimulation of the Radial Nerve for a Patient With Lateral Elbow Pain: A Case Report With a 2-Year Follow-up

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
Keyword(s):  
Case Report ◽  
Nerve Stimulation ◽  
Radial Nerve ◽  
Ultrasound Guided ◽  
Elbow Pain ◽  
Electrical Nerve Stimulation ◽  
Lateral Elbow Pain ◽  
Lateral Elbow ◽  
Stimulation Of

scholarly journals Electrotherapy modalities for lateral elbow pain

2018 ◽  
Author(s):  
Milla Pompilio da Silva ◽  
Marcel JS Tamaoki ◽  
Francesco C Blumetti ◽  
João Carlos Belloti ◽  
Nynke Smidt ◽  
...  
Keyword(s):  
Elbow Pain ◽  
Lateral Elbow Pain ◽  
Lateral Elbow

Efficacy of fascial manipulation and eccentric exercise for lateral elbow pain

2018 ◽  
Vol 22 (4) ◽  
pp. 855
Author(s):  
Pietro Iogna Prat ◽  
Dariusz Cibrowski ◽  
Andrea Zuliani ◽  
Antonio Stecco
Keyword(s):  
Eccentric Exercise ◽  
Elbow Pain ◽  
Lateral Elbow Pain ◽  
Lateral Elbow

Unusual Cause of Lateral Elbow Pain: A Case Report of Anconeus Muscle Contusion

2019 ◽  
Vol 34 (2) ◽  
pp. 102-104
Author(s):  
Muhsin E Uluc ◽  
Atilla H Cilengir ◽  
Cemal Kazimoglu ◽  
Özgür Tosun
Keyword(s):  
Case Report ◽  
Elbow Joint ◽  
Rare Case ◽  
Ulnar Collateral Ligament ◽  
Joint Capsule ◽  
Coronoid Process ◽  
Collateral Ligament ◽  
Elbow Pain ◽  
Lateral Elbow Pain ◽  
Lateral Elbow

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.

CYP2D6 Basic Genotyping of Patients with Chronic Pain Receiving Tramadol or Codeine. A Study in a Greek Cohort

Pain Medicine ◽  
2020 ◽  
Vol 21 (11) ◽  
pp. 3199-3204 ◽  
Author(s):  
Chrysanthi Batistaki ◽  
Eleni Chrona ◽  
Andreas Kostroglou ◽  
Georgia Kostopanagiotou ◽  
Maria Gazouli
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Adverse Effects ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Cyp2d6 Genotype ◽  
Chronic Pain Patients ◽  
Reduction Of Pain ◽  
Pain Patients ◽  
Numeric Rating

Abstract Objective To assess CYP2D6 genotype prevalence in chronic pain patients treated with tramadol or codeine. Design Prospective cohort study. Setting General hospital, pain management unit. Subjects Patients with chronic pain, treated with codeine or tramadol. Methods Patients’ pain was assessed at baseline (numeric rating scale [NRS]; 0–10). Prescription of codeine or tramadol was selected randomly. The assessment of patients’ response to the drug in terms of pain relief and adverse effects was performed after 24 hours. Reduction of pain intensity of &gt;50% or an NRS &lt;4 was considered a positive response. Patients’ blood samples were collected during the first visit. Genotyping for the common variants CYP2D6 *2, *3, *4, *5, *6, *9, *10, *14, and *17 was performed, and alleles not carrying any polymorphic allele were classified as CYP2D6*1 (wild-type [wt]). Results Seventy-six consecutive patients were studied (20 males, 56 females), aged 21–85 years. Thirty-four received tramadol and 42 codeine. The main genotypes of CYP2D6 identified were the wt/wt (35.5%), the *4/wt (17.1%), and the *6/wt (10.5%). Adverse effects were common, especially in carriers of *9/*9, *5/*5, *5/*4, and *10/*10, as well as in variants including the 4 allele (*4/*1 [38.4%] and *4/*4 [42.8%]). Conclusions Genotyping can facilitate personalized pain management with opioids, as specific alleles are related to decreased efficacy and adverse effects.

scholarly journals TCM Pattern Questionnaire for Lateral Elbow Pain: Development of an Instrument via a Delphi Process

2016 ◽  
Vol 2016 ◽  
pp. 1-12 ◽  
Author(s):  
Marcus Gadau ◽  
Shi-Ping Zhang ◽  
Wing-Fai Yeung ◽  
Zhao-Xiang Bian ◽  
Ai-Ping Lu
Keyword(s):  
English Language ◽  
Acupuncture Treatment ◽  
Blood Stasis ◽  
Signs And Symptoms ◽  
Treatment Modalities ◽  
Delphi Panel ◽  
Validity And Reliability ◽  
Elbow Pain ◽  
Lateral Elbow Pain ◽  
Lateral Elbow

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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