The Elbow

Technique

• The patient sits.
  The elbow is flexed to 90° and in full supination.
• The therapist sits next to the patient and grasps the elbow with the contralateral hand.
• Tenderness is sought with the thumb at the lateral and anterior edge of the epicondyle.
• The thumb is well flexed and the thumb tip placed on the tender spot.
• The fingers give counter pressure at the medial aspect of the elbow. Friction is imparted by moving the thumb over a few mm in a medial direction. Pressure is exerted vertically downward towards the bone.
• The thumb is then moved backwards to the starting position without loosing contact with the skin (skin and thumb move as a whole).