Course Case Study - Tendinopathy 1
History of Presenting Condition[edit | edit source]
Bob is a 45 year old male who has recently started a new job as a manager at the local council offices 10 weeks ago. He has been experiencing a small amount of discomfort on the lateral aspect of his right elbow for some weeks but has noticeably got worse over the past 3 weeks. He has been to his doctor 2 weeks ago who prescribed him a short course of NSAIDs, of which have not helped significantly. He is now starting to develop pain down his forearm and into his hand.
Presenting Condition[edit | edit source]
He is experiencing pain on the lateral aspect of his right elbow which is now affecting his activities of daily living.
Aggravating factors – playing his guitar, typing on the keyboard at work, painting, using a screwdriver and rock climbing.
Easing factors – rest for less than 30 minutes, Ibuprofen occasionally, cold pack.
24 hour pattern pain –
- Morning - increased pain with stiffness 1st thing lasts for about an hour 5/10 VAS
- Daytime – Pain eases with gentle movement in the morning but by mid-afternoon 8/10 VAS struggles to work in the afternoon
- Evening – Dull ache late evening with intermittent sharp pain related to activity
PMH[edit | edit source]
Mild OA knee bilaterally
Appendectomy age 17
ORIF left wrist fracture 5 years ago
Social History[edit | edit source]
He is right hand dominant, works full time as a manager and the majority of time onto the computer sending emails and answering phone calls.
In his spare time he goes indoor rock climbing, plays the guitar and has been doing lots of DIY around the home including sanding and painting woodwork and walls.
Lives with his wife and 2 children (8 and 13 years old)
Drug History[edit | edit source]
Ibuprofen - 200mg every 4-6 hours
