Iontophoresis Protocol: Golfer's Elbow Medial Epicondylitis
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.