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lateral epicondylitis
What is your initial management for lateral epicondylitis?
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my intial mangement of lateral epicondyitis is prove the diagnosis is it really lateral epicondylitis or any thing else from c6 radiculopathy to radial tunnel syndrome after prove of diagnosis i proceed for mangemnet if it is really lateral epcondylities i proceed for modification of elbow movement analgesia elbow brace and short wave physitherapy i give this at least for 6 weeks if failled i proced for local corticosteriod inections for 3 times with using of elbow brace if failled i poroceed finally to surgery
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activity modification analgesics and local soothening physio modalities
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rest with use of tennis elbow belt. Local physiotherapy, analgesics.
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any experience with autologous blood patch?? a recent study in our institute showed it to be better in long term compared to steroid..
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Agree
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Local physiotherapy and analgesics
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You have to expect sometimes resistance to initial NSAID's even after the local infiltration of steroids up to three times .
I usually insist on avoidance of any kind of wrist activity with or without using muscular force.
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It is caused by traction on common ext origin so rest is mandory to release such traction beside NSIADs , i prefer to make use of initial rest period and add Local coriticotsroids injection , it really makes dramtic improve in begining, plus modificaiton of activities and patient educaiton.
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rest,activity modification ,ice then physical therapy for 6month
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