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In this podcast episode, Dr. Leanne Bisset, a musculoskeletal physiotherapist and associate professor at Griffith University, shares valuable insights on lateral epicondylalgia, also known as lateral elbow tendinopathy. She discusses the anatomy and function of the affected muscles, highlighting the importance of stability in wrist movements and the role of the extensor carpi radialis brevis. Dr. Bisset emphasizes the shift in terminology from epicondylitis to tendinopathy, debunking misconceptions around inflammation in the condition and providing a comprehensive overview of diagnostic considerations, risk factors, and red flags to look for during assessment.
Furthermore, Dr. Bisset delves into the management of lateral elbow tendinopathy, emphasizing the significance of tailored exercise programs focusing on isometric loading initially, progressing to incorporate global upper limb strengthening for comprehensive rehabilitation. She also addresses the limited efficacy of modalities like shockwave therapy and the potential benefits of orthoses in pain management. Dr. Bisset's evidence-based approach underscores the importance of patient education, individualized treatment plans, and monitoring pain responses to optimize outcomes in the management of lateral epicondylalgia.
Content:
00:00 Intro
00:44 Definition of lateral elbow tendinopathy
05:39 Why Inflammation is inaccurate
11:49 Risk factors
13:46 The typical patient
17:34 Red Flags
27:30 Diagnostic tests
29:49 Leanne's Diagnostic Approach
32:27 Treatment
38:15 Details on Isometric Loading
49:29 Other treatments
54:02 Treatment Progressions
58:45 How much pain to allow
01:01:28 Shockwave and Dry Needling
01:03:56 Elbow Braces
01:05:50 Contact Info
01:06:58 Outro
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This is not medical advice! The content is intended to be educational only for health professionals and students. If you are a patient, seek care of a health care professional.