lateral epicondylitis vs radial tunnel

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lateral epicondylitis vs radial tunnel

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lateral epicondylitis vs radial tunnel - March 23, 2008 3:29:55 PM

yellosnow06

Posts: 2
Joined: March 23, 2008
Status: offline

hi, does anyone know how to easily diferentiate between lat. epiciondylitis and radial tunnel? also does any one have any treatment ideas for radial tunnel, i think i have a patient with it now (his pain is just distal to the lat epi) and at times has shooting sensations.
thank you for your help

Post #: 1

RE: lateral epicondylitis vs radial tunnel - March 23, 2008 6:11:19 PM

PTupdate.com

Posts: 1474
Joined: October 8, 2001
From: Pittsburgh, PA USA
Status: offline

There was a good article in JOSPT back in the 90's about this, written by a local PT named Lutz. I have found that over the years, the typical signs and symptoms don't always fit the nice and easy tests. Third finger extension is not supposed to hurt with the condition, but I have found it often does. Resisted supination may or may not cause pain. For me, the definitive test is neural tension testing for the radial nerve, and compare to other side. Also, a very definitive neuro and ortho screen for the neck, as the pain may be simply radicular, not due to entrapment or hypomobility issues.

_____________________________

John M. Duffy, PT
Board Certified Orthopaedic Clinical Specialist
www.PTupdate.com

(in reply to yellosnow06)

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RE: lateral epicondylitis vs radial tunnel - March 23, 2008 7:44:00 PM

yellosnow06

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Joined: March 23, 2008
Status: offline

does anyone have any good tx's or protocol's for rad tunnel syndrome?

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RE: lateral epicondylitis vs radial tunnel - March 26, 2008 8:35:20 AM

eam

Posts: 291
Joined: February 5, 2004
From: New York, NY 10028
Status: offline

I don't believe any protocols exist for this, but you can try some radial nerve mobs (from Butler); I would also check the neck and provide some education to the patient on some of the offending postures he or she may be doing over time.
Erica

(in reply to yellosnow06)

Post #: 4