Page 28 - 2021 IDMT Digital

EPICONDYLITIS
Introduction:
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NQRZQ DV ³*ROIHU¶V (OERZ´
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• 8QGHUO\LQJ PHFKDQLVP RI LQMXU\ LV FKURQLF UHSHWLWLYH XVH FDXVLQJ PLFURWUDXPD DW WKH
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Subjective:
• 6LJQV DQG 6\PSWRPV
o /DWHUDO HSLFRQG\OLWLV
ƒ 3DLQ ZLWK DUP DQG ZULVW H[WHQGHG
ƒ 3DLQ ZKLOH VKDNLQJ KDQGV WXUQLQJ MDU OLGV GRRU NQREV
o 0HGLDO HSLFRQG\OLWLV
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• )RFXVHG +LVWRU\
o +DQG GRPLQDQFH
o 5HFHQW WUDXPD
o 5HSHWLWLYH DFWLRQV
Objective:
• 3K\VLFDO ([DP
o 7HQGHUQHVV WR SDOSDWLRQ RYHU WKH DIIHFWHG HSLFRQG\OH
o 5HVLVWHG ZULVW H[WHQVLRQ ZLOO HOLFLW SDLQ ODWHUDO HSLFRQG\OLWLV
o 5HVLVWHG ZULVW IOH[LRQ DQG ZULVW SURQDWLRQ ZLOO HOLFLW SDLQ PHGLDO HSLFRQG\OLWLV
o 3DLQ ZLWK SDVVLYH 520 FDQ DOVR HOLFLW SDLQ LQ HLWKHU
Assessment:
• 'LIIHUHQWLDO
o &XELWDO WXQQHO V\QGURPH FRPSUHVVLRQ RI WKH XOQDU QHUYH SDUHVWKHVLD LQ ULQJ DQG
OLWWOH ILQJHUV
o 5DGLDO KHDG IUDFWXUH KLVWRU\ RI WUDXPD WHQGHUQHVV WR SDOSDWLRQ RYHU WKH UDGLDO
KHDG H[DFHUEDWHG E\ SURQDWLRQ VXSLQDWLRQ
o 6\QRYLWLV RI WKH HOERZ VZHOOLQJ SDOSDEOH IOXLG
o 7ULFHSV WHQGRQLWLV WHQGHU WR SDOSDWLRQ DERYH WKH ROHFUDQRQ
Plan:
• $YRLG DJJUDYDWLQJ DFWLYLWLHV
• 5HVW
• ,FH +HDW ZKLFKHYHU UHOLHYHV SDLQ
• 16$,'V
• If certified in Battlefield Acupuncture (BFA) and with preceptor concurrence, consider
administering up to 10 treatment sessions as an alternative to NSAIDs as long as there is
clinical benefit and no worsening of the patient’s condition
• *HQWOH VWUHWFKLQJ WKURXJKRXW 520 HFFHQWULF VWUHQJWKHQLQJ H[HUFLVHV
• 27& WHQQLV HOERZ EDQGV DUH HIIHFWLYH IRU SDLQ UHOLHI EXW QRW UHFRYHU\

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