Pt.Notes

Resisted supination may be painful in

Cruched of PIN by supinator ms can Cause Carpal tunnel syndrome

Steriod injection is effective because the area is largely inflammed

Histological picture tennis elbow

Epicondylitis is degenerative process

One third of Cases with tennis elbow involve Extensor carpi radialis brevis

40: 50 of recreational tennis players suffer from glofer's elbow

Supination of forearm ROM

Passive Rom when the patient supine is greater than the Active ROM when patient sitting

L Hermitte signs

Nodding occur in the upper cervical while flexion occur in the lower cervical spine

Normal side flexion

If the full rotation is limited even with the substituation of neck side bending the problem is in the upper cervical spine

Buckwheat pillow is better than foam pillow

Include thump, indix, lateral forearm

Numbness, paresthsia, stumpling, lack of balance may indicate cervical disc lesion

Cut of the annulus and extension of nuclear material outside the annulus