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/acute in nature, with no history of acute trauma or neurological deficits. Pain is rated at [X]/10, interfering with activities of daily living and occupational tasks.
Clinical Examination Findings
Right elbow inspection reveals no erythema or swelling. Palpation demonstrates point tenderness at the right medial epicondyle. Range of motion is full and painless. Resisted wrist flexion and forearm pronation reproduce the patient's familiar pain. Neurovascular status is intact distally with no signs of ulnar nerve entrapment.
Treatment Protocol
Conservative management initiated: activity modification, avoidance of aggravating repetitive motions, 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.