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Nate Friedman, MD
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Epicondylitis

‍‍The patient complains of pain on ‍right﻿ elbow over the last ‍ ﻿ ‍days﻿.
‍‍It started ‍progressively﻿ and was ‍triggered by overuse﻿. Patient denies recent trauma.
‍‍Localisation is ‍lateral﻿ and radiates to ‍forearm﻿. 
‍‍It is ‍occurring only with activities﻿.
‍‍Alleviating factors are: ‍﻿. 
‍‍Denies having functional impairment 
‍‍Job: ‍﻿. ‍Right-handed﻿.
‍‍﻿
‍‍﻿‍P/E:﻿ ‍right﻿ elbow
‍‍Inspection: ‍normal﻿ 
‍‍Palpation: ‍mild TTP on﻿ ‍lateral epicondyle﻿ 
‍‍Active ROM: Flexion ‍full﻿. Extension ‍full﻿. Pronation ‍full﻿. Supination ‍full﻿. 
‍‍Resisted ROM: ‍pain on resisted wrist extension, pain on resisted supination﻿. 
‍‍﻿
‍‍A/P: Lateral Epicondylitis
‍‍﻿
‍‍﻿‍Avoid offending activity﻿ 
‍‍﻿‍Brace﻿ 
‍‍﻿‍Ice﻿﻿
‍‍﻿‍Acetaminophen﻿ 
‍‍﻿‍NSAIDs﻿ 
‍‍﻿‍Physical therapy﻿ 
‍‍﻿‍Lateral epicondyle injection﻿ 
‍‍﻿‍Leave of absence﻿  ‍Light duty﻿ 
‍‍Follow up in ‍﻿ 
‍‍﻿
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