Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with localized pain over the right medial epicondyle, exacerbated by repetitive wrist flexion and forearm pronation. Symptoms are chronic/subacute, associated with occupational or athletic activities. No history of acute trauma, neurological deficits, or distal paresthesia.
Clinical Examination Findings
Physical examination of the right upper extremity reveals focal tenderness at the medial epicondyle. Pain is reproduced with resisted wrist flexion and forearm pronation. Valgus stress test is stable. No evidence of ulnar nerve entrapment (Tinelโs sign negative at cubital tunnel). Range of motion is preserved but painful at end-range flexion.
Treatment Protocol
Conservative management initiated: activity modification, avoidance of aggravating movements, and application of ice packs for 15 minutes TID. Prescription of NSAIDs for inflammation control. Referral to physical therapy for eccentric strengthening and stretching protocols. Consider counterforce bracing for symptom relief during activity.