The Elbow

Technique

• The patient sits, with the arm resting on the couch
• The elbow is held in 90° of flexion and extension and in nearly full supination.
• The therapist sits next to the patient, and palpates muscular mass superficial to the radius with a pinching grip.
• Palpation is performed at different depths and level throughout the muscle belly
• A 10 ml syringe is fitted to a 5 cm long needle which is inserted obliquely throughout the belly of the brachioradialis muscle and moved downwards until it strikes the radius.
• The needle is then slightly withdrawn until the tip comes to lie between the palpating thumb and index finger.
• The solution is now infiltrated fanwise with different withdrawals and reinsertions until the entire lesion is covered.