Golfer's Elbow Medial Epicondyli

Iontophoresis Protocol: Golfer's Elbow Medial Epicondylitis

ETIOLOGY

Medial epicondylitis occurs at the common flexor tendon at the tenoperiosteal site or musculotendinous origin from overuse or direct trauma. Muscles arising from the medial epicondyle are the pronator teres, flexor carpi radialis. palmaris longus and the flexor carpi ulnaris. Aim sports such as baseball pitching, golf, javelin throwing or tennis serving often give rise to medial epicondylitis, in which the elbow is extended with a sudden vagus force, while the wrist is in flexion. Pain is felt at the medial aspect of the forearm and usually does not radiate.

Medial epicondylitis may be tested for and confirmed by:

•    passively extending the wrist with over-pressure while maintaining the forearm in an extended, supinated position. or.

•    resisting active wrist flexion while maintaining the forearm in a pronated. extended position.

  • Typical Dispersive Pad Site (on biceps)
  • Typical Drug Electrode Site (over medial epicondyle

  • Pronator teres

    Flexor carpi radialis

    Palmaris longus Flexor 

    carpi ulnaris

     


     

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PATIENT EVALUATION


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PATIENT EVALUATION

A.    Subjective: •    Patient complaint •    Location •    Onset and...
WHY IONTOPHORESIS IS APPROPRIATE THERAPY


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WHY IONTOPHORESIS IS APPROPRIATE THERAPY

Iontophoretic drug delivery for the condition of medial epicondylitis provides an alternative to hypodermic injection of corticosteroids, with...
RE-EVALUATION


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RE-EVALUATION

In addition to patient's subjective reports, check for: decreased pain, decreased tenderness to palpation at the medial epicondyle and muscles,...
IONTOPHORESIS PROCEDURE


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IONTOPHORESIS PROCEDURE

IMPORTANT: See Phoresor Systematic! electrode instruction guides for indications, contraindications, warnings, precau­tions and directions for...


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