The Elbow

Technique

• The patient sits.
• The elbow rests on the couch and is flexed at a right angle and fully supinated.
• The therapist sits next to the patient and palpates the epicondyle with the thumb.
  The boundaries of the lesion at the lateral epicondyle are meticulously palpated
• The needle is thrust in vertically until it pierces the tendinous insertion and hits bone.
• By withdrawing and reinserting the needle at slightly different angles, the entire lesion, which must be envisaged as a three-dimensional object, is infiltrated.
• The palpating thumb will stay on the defined spot during the whole procedure: -as the droplets are infiltrated, the appearances of the tiny bulges will confirm that the correct spot has been infiltrated.