P5140055

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Medial and Literał Epicondylitis Combination Taping

The practitioner may desire to use a combination of the Kinesio technique for medial or lateral epicondylitis and commercially availab!e strapś or braces. Some patients may desire additional assis* tance in the acute inflammation phase or feel a decrease in pain from the extemal pressure provided by bracing.

The use of the extemal strapping or bracing may assist the patient during practice or competition. Jt is recommcnded that the patient wear the Kinesio techniąue under any other treatment protocol and when participating in activity.

The practitioner should select one of the Kinesio medial or lateral epicondyltitis taping techniquesa$ described.

Photo on left: option 1 of medial epicondyltitis Kinesio Taping Technique.

Photo on right: option 1 of lateral epicondylitis Kinesio Taping Technique.

Photo on left: application of a cho-pat type strap interior to the medial or lateral epicondyle of the humerus. The use of this strap is believed to ad as a shock absorber and limit the stress placed upon the common muscle group.

Photo on right: this technique may be simulated by using Kinesio Tex. Apply a mechanical comedion directly over the area of pain, apply moderate to severe, 50-75 %of available tension over the area of pain with downward pressure. Lay down the tails with no tension. This will simulate the cho-pat strap tension of limiting stress on the common muscle group.

Application of a neoprene knee sleeve over the Kinesio techniąue for epicondyitis. The use of the neoprene sleeve is believed to inerease temperaturę in the region, and decreased pain by pressure applied to the region.

The length of time the Kinesio techniąue may remain in place is directly related to the care the patient uses in putting on and taking off the neoprene sleeve.

Lateral Epicondylitis of the Elbo w

Lateral epicondylitis results from repetitive extension of the forearm and wrist with excessive prona-tion. It isgenerally associated with overhead activities such as tennis, racąuetball, baseball, and javelin. It is associated with pain on wrist extension and may be the result of poor mechanics by the patient.

The Kinesio Taping Techniąue will assist in reducing edema, pain. The techniąues demonstrated are only basie examples of the possible choiccs available. The practitioner may also add space corrections during acute inflammation, fascia correction for chronic conditions, mechanical correction to apply pressure to an area, select a functional correction to limit a movement, or tape the supinator to assist or limitamotion.

An option which is not shown is a mechanical correction to "hołd down" the common flexors of the wrist. An example is shown in Osgood-Schlatter syndrome and medial & lateral epicondylitis combination taping.

Option 1: Kinesio I Strip with Space Correction

Application of the common extensor muscle taping from insertion to origin, for acute inflammation. If the condition is chronic, origin to insertion may be appropriate.

Bogiń by placing the base of the Kinesio I strip near the wrist in the region of the radial styloid process, with no tension. The elbow should be in slight flexion with wrist in neutral position.

This techniąue may also be applied using a Kinesio 1 strip in place of the Y strip. With this modification lay the Kinesio I strip directly over the muscle belly.

Have the patient move into elbow and wrist extension with wrist ulnar deviation.

Applyl5-25%of available tension, paper off, to the Kinesio I strip. The inferior strip should follow the inferior aspect of the common muscle group. The superior strip should follow the superior aspect the the common muslce group. Both tails should end directed towards the lateral epicondyle of the hu-merus.

Lay down the distal 1 to 2 inches with no tension.

Initiate glue activation prior to any further patient movement.

Application of a space correction techniąue, tension on base, for the area of pain. For review see space correction techniąue.

Begin by placing the base of the Kinesio Y strip below the area of pain, do not cross over the lateral border of the ulna - this may cause pain in this region, with the elbow in a neutral position.

Before applying the base of the Y strip, estimate the proper position, so that when tension is removed from the tape the Split in the Y will be placed inferior to the location of pain but bisecting with the inferior taił of the previous Kinesio Y strip.

A mechanical or fascia correction may also be selected based upon the practitioners evaluation.

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