G. Noel Squires
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Background: Lateral epicondylalgia describes a condition where pain and tenderness are present in the wrist extensors, most commonly from repetitive motion activities. Current research suggests the cause is attributed to tissue degeneration due to repetitive stress to the wrist extensors. A concept known as regional interdependence may also influence lateral epicondylalgia. Regional interdependence describes a condition where impairments are present in proximal or distal joint segments and contribute or cause pain to the primary region reported by the patient. Iontophoresis, a common intervention utilized for treating lateral epicondylalgia, is intervention that uses electrical current to drive ionic drugs into the skin near the area of pain or inflammation. Iontophoresis can provide benefits including increased range of motion, decreased pain, and increased functional benefits. Research suggests 6 treatments are adequate for improvement. Purpose: To describe the physical therapy management of a patient with lateral epicondylalgia using a regional interdependence model, utilize iontophoresis to help decrease pain, and examine the relationship of regional interdependence with lateral epicondylalgia.
Starkey, Matthew, "Describing Regional Interdependence For A Patient With Lateral Epicondylalgia Managed With Postural Training And Iontophoresis: A Case Report" (2014). Case Report Posters. Poster 13.