The Elbow

Tenniselbow / Type II

Mills' Manipulations / DTF

The purpose of the treatment is to maximally stretch the extensor carpi radialis
brevis tendon in order to try to pull apart the two surfaces of the painful scar.
This imitates and speeds up the mechanism of spontaneous recovery.
The preparative deep transverse friction is used for its desensitizing and softening
effect which makes the actual manipulation easier and less painful.
However, manipulations can not always be performed.

The contra-indications are:

Too much pain ( strong inflammatory component with pain at rest and / or at night)
Limitation of the passive extension of the elbow.

The procedure

Results

The treatment leads to good and excellent results in about 50%.
If there is no clear improvement after 12 sessions, manipulation is abandoned and another treatment form is choosen.