Case study ( 3863 views as of April 21, 2018 )
Dan is a 38-year-old man who presents to his physician with a six-month history of pain to the lateral aspect (outer side) of his dominant elbow. His problem started gradually after beginning a new exercise program at the gym. His symptoms have become worse, to the point that he has great difficulty lifting a dumbbell or at times even using a salt shaker. He has had to give up his exercise program as this has not improved his symptoms.
On examination there are no visible changes to his elbow. He has tenderness over the right lateral epicondyle (tennis elbow). Any stress applied on the radial wrist extensors exacerbates his symptoms.
Dan could potentially benefit from seeing a physiotherapist for mobilization of the joint, an orthopedic surgeon to assess if surgery is necessary and his local pharmacist for pain control medications. A bracing specialist may also be able to help with joint stabilization which may help him in his daily activities. Lastly, seeing a nutritionist may help him choose foods that help reduce inflammation caused by arthritis.Author: Dr. Bertrand Perey