Steemit Learning Challenge-S27W6; Physiofit; Case Study 2 Challenge

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Case Study:

A 38-year-old carpenter presented to us with pain on the outside of his right elbow for the past three months. He reported that the pain is aggravated by lifting objects, rotating his arm, or holding a tool. He also reported that the pain is worse at the end of the day when he finishes work and sometimes interferes with his sleep. On further examination, he noted tenderness over the lateral epicondyle and pain on resisted wrist extension.

Diagnosis:

Lateral epicondylitis, also known as tennis elbow, is a common condition that affects the outside of the elbow. It occurs when the muscles that straighten our arms are overused, and it is more common in tennis players. This does not mean that it does not affect other people. It also affects people who perform repetitive hand or wrist movements, such as typing or using tools. Common symptoms of this condition include pain when you try to extend your arm and tenderness on the outside of your elbow.

Causes:

There are some common causes of lateral epicondylitis, some of which are more common, including:

• Gripping refers to repeatedly extending your wrist and performing gripping activities such as carpentry, typing, and playing reactive games.
• Excessive stress or overuse of your forearm extensor muscles.
• Lifting something with incorrect technique or using incorrect techniques during play.
• Repeatedly adopting poor posture while working. Maintaining poor posture while doing any task repeatedly.
• Increased stress on the elbow due to weak wrist or shoulder muscles.

Patient History:

The patient's history is as follows: He is 38 years old and works as a carpenter. For the past three months, he has been experiencing pain in the outer part of his right elbow. During his daily work, when he lifts his tools or objects and repeatedly twists his arm, the pain increases. He feels this pain repeatedly, and sometimes it also disturbs his sleep. There is no history of trauma or systemic disease.

Symptoms:

• Pain on the outside of the elbow. This is usually caused by inflammation in the tendon that connects to the outer elbow bone. The area becomes sensitive to touch or movement.
• Pain increases when gripping or lifting something. There are some activities in which we experience sharp, aching pain, such as lifting objects, turning a handle, or using a tool. This can usually be the worst.
• Pain causes weakness in grip strength. Due to inflammation in the tendons, our grip muscles become weak and painful, making it difficult to open something with force, such as a jar.
• The elbow joint becomes stiff in the morning. After resting overnight, blood flow decreases, which causes inflammation and makes the elbow stiff in the morning.
• This pain sometimes seems to spread to the lower arm and causes pain in the outer part of the surrounding muscles.

Disease Confirmation:

After studying the patient, it was found that the pain near the elbow and the repetitive use of the tool specifically pointed us to lateral epicondylitis, which we also call Tennis Elbow.

Before doing all these exercises, we will use an ice pack and apply it to the area where we have pain. The way to use this ice pack is that we will not apply it directly to the area, but wrap it in a cloth or towel and then apply it to our arm. We can use this pack at the beginning and after exercising to reduce the risk of inflammation, etc.

To do this exercise, first we have to close our fingers and bend them downwards. We have to apply pressure downwards with the help of the other hand, and later we have to straighten our arms, thus stretching our upper forearms.

After doing all these exercises, I have seen a strengthening in my grip because the muscles of my forearm have improved, and my grip has become stronger. Earlier, I was not strong enough to hold things. Similarly, pain has also decreased, and flexibility has increased. The range of motion has increased. The stiffness that was there has decreased, and now what is there is more movement in the arm. After doing all these exercises, the patient can perform his daily routine tasks, such as lifting tools and typing, and he can easily release all the things he holds.

I want to invite my friends @suboohi, @jyoti-thlight, and @mohammadfaisal to join this challenge.

Cc:
@ashkhan

Thank You!