Tennis Elbow.
30 yrs old M, is diagnosed with Tennis Elbow. He is having on & on pain since 6 months. Not a K/C/O HTN,T2DM & CAD. The pain is relieved when he is taking muscle relaxants like Zerodol-TH,Tinazidine. But when stopped,the pain again continues.. He took Physiotherapy also.But when stopped again the pain continues. S.uric acid-WNL. RA Factor- WNL. Anti- CCP levels- Not raised. S. Vit B12 levels- WNL. S. Vit D3 levels- WNL What is the permament treatment as the patient can't depend upon NSAIDs & Muscle Relaxants for long.
Tennis elbow is caused by chronic strain of ligaments In tennis players Back hand strike is a cause Same thing can happen with day today living activities Most people has pain on activity Rest pain is rare and respond well to medication Activity modification live avoiding pain full activities and using a Tennis elbow wrap helps. Physiotherapy modalities like local Ultrasound helps. It is usually a self limiting condition Pain may go away in few months
SUGGESTIVE. OF RECURRING TENNIS. ELBOW ADVISABLE 1. ICE. PACK. FOMENTATION 2. INJ. TRIAMCINOLONE + INJ. XYLOCAINE... ( INTRA LESIONAL) AT. LEAST THREE. INJECTIONS.... WEEKLY.. 3. CHYMOTRYPSIN. + ACECLOFENAC.. 4. SACHET. LIGAREX... ....FOR. ONE. MONTH. AT. LEAST 5. ACTIVITY. MODIFICATIONS
Tennis elbow is caused by chronic strain of ligaments In tennis players Back hand strike is a cause Same thing can happen with day today living activities Most people has pain on activity Rest pain is rare and respond well to medication Activity modification live avoiding pain full activities and using a Tennis elbow wrap helps. Physiotherapy modalities like local Ultrasound helps. It is usually a self limiting condition Pain may go away in few months
Can try inntalesional steroids if intractable after rest, physiotherapy And splints can help Avoid twisting moments for a while
Check what is the action that is causing repetitive injury to wrist extensor muscles at their origin at the lateral epicondly. Modify work positions. Some times splints will help. Also check for neck stiffness, on occasion a pain like tennis elbow is usually a referred pain from neck.. hope this helps
Physiotherapy to be continued and analgesics for local application. Avoid oral NSAIDs
Rx. Galo ghan tan 1bd Ashwgandha tab 2bd Rasnadi guggul 2bd SH tab 1bd Mahanrayan oil 5min malish and 10min valuka sved bonny oil for oain4 relief.
Muscle relaxation exercises. Physiotherapy. Avoid further injury
Mill's manipulation MFR Dry needling Kinesiology tapping.. it may take time to reduce but continue with PHYSIOTHERAPY and avoid repeated activities which aggregates pain Use tennis elbow splint for support
He has to take physiotherapy & regular exercise Zerodoll P tds
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