epicondylitis

[lottiss]

Heard somebody talking about a massage with ice on the affected area as a treatment on patients with epicondylitis. Anobody that knows if this is a method that is usable?

[drgovindh]

i don't think this would work and where did u get this message. it is beleived and proved that ultrasound works good for epicondilitis i expect u r comment on this issue. govindh- india

[pmarshal]

While a lot has been written on the subject of epicondylitis, there existe little sound emperical evidence on the most appropriate treatment. However what can be said from clinical experience is that the use of modalities has very little effect. I would suggest that a regime of stretching/strengthening exercises on a graduated scale over a period of six weeks combined with Soft tissue, Manual and/or Manipulative therapy is perhaps the best direction. I refer you to the following article that may shed some light on the subject.

Vicenzino, B., Paungmali, A., Buratowski, S. and Wright, A. 2001, Specific manipulative therapy treatment for chronic lateral epicondylalgia produces uniquely characteristic hypoalgesia. Manual Therapy. 6(4), pp. 205-212.

[ninnil]

A swedish study from Linköping (Birgitta Svärnlöv) showed very good results from excentric training with low weights during a 3 months period.

[rsunden]

I have started using cyriax´deep friction method on several different types of tendinitis combined with ultrasound/corticosteriodgel with 15 minutes of coldpack following the deep friction. Especially on shoulders (supra- and infraspinatustendonitis) this has worked fine. Its important to do a thorough exam to be sure what/which muscle(or tendon of..) is irritated. Refering to doctors using diagnoses as periarthritis humeroscapularis in describing shoulder pain....