P5140057

Medial Epicondylitis of the Elbow

Medial epicondylitis results from repetitive forceful f!exion of the wrist and valgus fotce on theeftS Ithan also becn called; golfcr's elbow, pitcher's elbow, and javelin elbow. It is associated with pain oj) wrist flexion and may be the result ofpoor mechanics by the patient.

The Kinesio Taping Tcchnique will assist iii reducing edema, pain. The techni<jues demonstrated 0 only basie examples ofthc possible choices available. The practitioner may also add space corrections during acute inflammation, fascia correction for chronic conditions, mechanical correction to apply pressure to an area, orselect a functional correction to limit a movement.

An option which is notshown is a mechanical correction to "hołd down" the common flexors oBifo wrist. An example is shown in Osgood-Schlatter syndrome and media] & la tera! epicondylitis combin*. tion taping.

Option 1: Kinesio l Strip with Functional don    ' '■■WBM

Application of the common flexor musde tapi*. from inserdon to origin, for acute inflammatioag the condition is chronic, origin to inserdon mayt appropńate.    I

Begin by placing the base of the Kinesiolsbjp near the wrist in the region of the ulnar styJoid ^V process, with no tension. The elbow should bein slight flexion with wrist in neutral posidon.

This technique may also be applied using a Kinesio I strip in place of the Y strip. With thislay the Kinesio strip directly over the area of pain. ■

Have the padent move into elbow and wrist extension with wrist radial deviation.

Apply paper off (20-25 %) tension to the Kinesku strip. Surround the muscle fibers with the tailsoff! Kinesio Y strip. The strips should be directed to wards the medial epicondyle of the humerus.

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

Inidate glue activation prior to any furtherpatiej movement.

Option 1: Kinesio Y Strip with Space Corrediną therapeutic goal acute pain reduction.

Application of the common flexor muscle taping from origin to inserdon. The praeddoner may also select the inserdon to origin technique for a weak muscle.

Begin by placing the split of the Kinesio Y strip inferior to the region of pain, with no tension, and the elbow in neutral position.

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

Apply 15-25 %of available tension to the Kinesio Y strip tails. The lateral strip should surround the area of pain, and continue to the lateral aspect of the ulnar styloid process. The medial strip should surround the area of pain, and continue to the medial aspect of the ulnar styloid process.

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

Initiate glue activation prior to any further patient movement.

This technique can be modified using, space or fascia correction technique.

Option 2; Use of three tails of Kinesio Strip with donut space correction.

Begin by applying a Kinesio strip cut into three equal widths. The tape should be measured from the ulnar styloid process to the medial epicondyle of the humerus.

Have the patient move into elbow and wrist extension with radial deviation. Place the superior strip along the superior edge of the common flexor muscle group. The middle strip along the mid-belly of the muslce, and the inferior strip along the inferior edge. Apply 15-25 % of available tension during application.

Application of the donut space correction tech-nique.

Begin by cutting a hole in the center of an ap-proximately 6-8 inch Kinesio I strip. Be careful to not cut morę than 2/3 of the available width of the Kinesio Tape. This may reduce its ability to adhere to the patients skin.

Cut the distal approximately 2 inches of each end into three strips. This is accomplished with two cuts into the tails.

71