Lateral Epicondyle Tendinopathy Toolkit: Section E - Exercise Prescription

Concentric/Eccentric Home Exercise Program[edit | edit source]

Deep Transverse Friction Massage (DTFM)

  • Patient’s elbow is supported in a 90 degrees flexion, fully supinated position.
  • DTFM is applied with the thumb at the common extensor tendon just anterior to the epicondyle.
  • Frictions were applied for 10 minutes prior to the Mill’s manipulation.






Fig 1 of LET App B
    Figure 1

Mill’s Manipulation

  • Patient is in sitting with arm in abduction, internal rotation such that the olecranon faces upwards, forearm fully pronated and wrist in flexion. Therapist’s one hand supports the wrist flexion, the other hand placed over the olecranon.
  • Maintaining this position the therapist applies a high velocity, low amplitude thrust through the olecranon.





LET Appendix B Fig2.png
    Figuer 2


Mechanism of Injury / Pathological Process
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Clinical Presentation[edit | edit source]

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Diagnostic Procedures[edit | edit source]

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Management / Interventions
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Differential Diagnosis
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