Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with localized pain over the left medial epicondyle, exacerbated by repetitive wrist flexion and forearm pronation. Symptoms are chronic/subacute, associated with occupational or athletic activities. No history of trauma, numbness, or paresthesia in the ulnar nerve distribution.
Clinical Examination Findings
Examination of the left elbow reveals point tenderness directly over the medial epicondyle. Pain is reproduced with resisted wrist flexion and forearm pronation. Valgus stress test is stable. No evidence of ulnar nerve instability or cubital tunnel syndrome. Range of motion is full but painful at end-range flexion.
Treatment Protocol
Initiate conservative management including activity modification, rest, and ice application. Prescribe NSAIDs for inflammation control. Recommend physical therapy focusing on eccentric strengthening exercises for the wrist flexors. Consider counterforce bracing for daily activities.