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Epicondylosis is a common problem that can affect a broad range of individuals, from industrial workers to athletes. It is an overuse injury of elbow tendons that frequently causes chronic elbow pain that can interfere with work, recreation, and daily activities. Although many healthcare professionals assume these tendon pathologies are related to an inflammatory condition, the most current research has demonstrated that this tendon pathology is most commonly due to a degenerative process. As a result, inappropriate therapeutic interventions are being prescribed for patients with epicondylosis, resulting in inconsistent patient responses and high rates of recurrent symptoms. It is important for physical and occupational therapists to be able to recognize and manage epicondylosis as a primarily degenerative condition. By doing so, therapists can more effectively reduce the duration of this condition.
This intermediate-level course provides a review of relevant elbow anatomy, examines other possible causes of elbow pain, describes treatment techniques commonly used in management of the disorder, and discusses areas where further research is needed. Various approaches to restoring pain-free elbow function are examined including conservative measures, post-surgical treatment options, and medical interventions. Recommendations are made regarding the most effective treatment interventions to promote successful outcomes based on current evidence. This course is appropriate for physical therapists and physical therapist assistants, occupational therapists and occupational therapy assistants, and rehabilitation professionals who, in the course of their clinical practice, are likely to diagnosis and manage lateral and medial epicondylosis, and attempt to prevent its recurrence.
AOTA Content Focus: Domain of OT (Areas of Occupation); Occupational Therapy Process (Evaluation, Intervention)
- Describe the incidence, prevalence, and impact of epicondylosis.
- Identify the anatomical structures typically involved in epicondylosis.
- List common risk factors and etiologies for epicondylosis.
- Recognize the components of a comprehensive physical examination for individuals with epicondylosis.
- Describe the treatment interventions for the nonsurgical management of epicondylosis.
- Describe the common types of surgical interventions and the postsurgical management of epicondylosis.
- Describe the prognosis of individuals with epicondylosis.
Ann Lucado, PT, PhD, CHT, is a physical therapist and certified hand therapist who has specialized in upper extremity and orthopedic rehabilitation for the past 22 years. She has conducted numerous instructional seminars specific to upper extremity rehabilitation across the country. She received a bachelor of science degree in psychology from James Madison University, a master of science degree in community health education and physical therapy from Old Dominion University, and a doctor of philosophy degree with an emphasis in research methodology and design in physical therapy from Nova Southeastern University. She is a member of both the American Society of Hand Therapists and American Physical Therapy Association and is active in clinical research. She is the author of several research articles related to elbow tendinopathies and rehabilitation following distal radius fractures. Dr. Lucado is currently an assistant professor in the doctor of physical therapy program at Mercer University in Atlanta, GA.
Henry Heard, PA-C, MPAS, MA, received a physician’s assistant bachelor’s degree from the Medical College of Georgia in 1976, an associate degree in nursing from Kennesaw College (now Kennesaw State University) in 1982, a master of physician assistant studies from Nebraska University, Omaha, in 1997, and a master of arts with a specialty in air warfare from American Military University in 2004. He is enrolled in Nova Southeastern University’s doctor of health science program. Mr. Heard is currently an associate clinical professor at Mercer University with clinical responsibilities in the emergency department at Emory Johns Creek Hospital, Johns Creek, GA. He is currently serving as Commander of the Kentucky Air National Guard’s 123rd Medical Group, 123rd Airlift Wing. He has been deployed twice to Southwest Asia, the second time as Commander of the 447th EMEDS (Air Force hospital), Baghdad, Iraq. Mr. Heard has practiced medicine as a physician assistant for 37 years in Georgia, with extensive clinical experience in emergency medicine, orthopedic surgery/sports medicine, family practice, and internal medicine. For 15 years, Mr. Heard worked with an upper-extremity subspecialist orthopedic surgeon in a large orthopedic practice in Atlanta, where he treated patients with “tennis elbow” both surgically and conservatively on a regular basis.
- Courses must be completed within one (1) year of the date of purchase.
- You must score 75% or higher on the final exam and complete the course evaluation to pass this course and receive a certificate of completion.
- Through our review processes, Western Schools ensures that the course content is presented in a balanced, unbiased manner and is free from commercial influence. It is Western Schools’ policy not to accept commercial support.
- All persons involved in the planning and development of this course have disclosed no relevant financial relationships or other conflicts of interest related to the course content.
- There are no prerequisites for this course.