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SHOCKATION: use of radial shock waves in the diagnosis of tennis elbow by Bent Brask

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Presentation on theme: "SHOCKATION: use of radial shock waves in the diagnosis of tennis elbow by Bent Brask"— Presentation transcript:

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2 SHOCKATION: use of radial shock waves in the diagnosis of tennis elbow by Bent Brask Bent@manuellterapiklinikken.no

3 Problem: Tennis elbow may be everything from a very simple extensor carpi radialis brevis problem to a complicated multifactorial problem. In most cases of tennis elbow there is more than one tissue site involved, even though one might be dominant. They all need to be identified and treated for the best result.

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5 Inclusion criteria Palpation tenderness epicondyl Palpation tendernes- -common exstensor tendon Pain wrist ekstention/ Thomsen test Pain 3 finger extenstion Pain laterally ved handgripp OtherChair testPain v/ ekstensjon pronasjon, fleksjon MRI, ultra Other areas conside red Chung 2004X X XXXNo Crowter 2002XXXYes, Haake 2002XXX Mill testNo Lewitt 2002 X investi- gatorrates over 5 Selv rapport over 5 ved aktivitet No Mehra 2003No Melikyan 2003X, supracond ridge XXXYes Pettrone 2005X X No Rompe 1996XXXYes Rompe 2004 tennis X 4+ xNo Speed 2002XXXNo

6 Problem: Tennis elbow may be everything from a very simple extensor carpi radialis brevis problem to a complicated multifactorial problem. In most cases of tennis elbow there is more than one tissue site involved, even though one might be dominant. They all need to be identified and treated for the best result.

7 Solution: „Shockation“ (Shock-wave palpation) Olivia’s definition, on the social pages of The Huffington News is: “Obama and Dick Cheney were friends? Shockation.”

8 Shockation: the use of shock waves to assess tissue tenderness and thereby its health i.e., use of shock waves as a diagnostic instrument in an insertion tendinopathy

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10 Bent@manuellterapiklinikken.no


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