The Elbow - Tenniselbow II

Objective:
Try to pull apart the two surfaces of the painful scar, by maximally and brutally
stretching the extensor carpi radialis brevis tendon.
This elongation is achieved by a maximal extension of the elbow during a simultaneous
palmar flexion and pronation of the wrist.

Technique

The patient sits on a chair, the arm abducted and in internal rotation.
The therapist stands behind the patient and grasps the wrist with his ipsilateral hand in the following way:
The thumb is placed on the patients palm between his thumb and index finger.
Consequently the fingers come to lie at the dorsum of the hand..
This position enables the therapist to maintain full pronation and palmar flexion throughout the whole procedure.
The contralateral hand is placed on top of the olecranon.
Manipulation is no more than a quick thrust towards full elbow extension, performed by moving both hands in opposite direction.
The therapist must take care to keep the patients wrist in the required position ( palmar flexion and pronation) during the whole procedure.

The manipulation is carried out once at each attendance.
The procedure is painless.
There is also seldom after pain.
The treatment is given three times a week, each manipulation being preceded by a deep transverse friction.
Result may be expected after 10 to 15 sessions.