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A patient comes into our office presenting all the signs and indications of classic lateral epicondylitis (tennis Elbow). This patient is a prime candidate for therapy. If the patient is in the acute stage of the condition, the duration of therapy can be very brief. Patients in the acute stage respond better with early intervention. On the other hand, if the condition is considered to be chronic, the time in therapy may be prolonged. Early intervention is important in dealing with most overuse and repetitive type injuries.
Our first goal for patients with lateral epicondylitis is to get pain, inflammation, and swelling under control as soon as possible. Most practices are using iontophoresis or Phonophoresis.
We have had very good success with iontophoresis on either right or left epicondylitis.
Iontophoresis is a method by which ionized medication is driven through the skin by means of an electric current. Iontophoresis is very effective in treating conditions characterized by local pain and inflammation, such as medial and lateral epicondylitis, plantar fasciatis, and tendonitis.
Phonopherisis is also a technique we have used whereby whole molecules of medication are driven through the skin by means of ultrasound. We use hydrocortisone (1%). Ultrasound is contraindicated for patients under the age of 16 years old.
Our next goal in rehab of the elbow is to increase strength and flexibility of the muscles surrounding the joint. We work within pain free range of motions. Cross friction massage is also used to break up any adhesions that may have formed in the muscles. All patients are also given a home exercise program that is to be performed on days that they are not receiving treatment. A final program is also given upon completion of therapy.
The average course of therapy for this diagnosis is six weeks, with the sooner the patient starting the shorter the duration in most cases.
Always consult with a Doctor before attempting treatment on your own for any condition. Dr. Jeffrey E. Poplarski is a certified sports chiropractic practitioner with an extensive sports medicine background with a practice in Massapequa Park.
217 Merrick Rd.
Amityville, NY 11701
Phone: (631) 598-7034
Fax: (631) 598-7479