The Mills test for LE has a higher specificity and sensitivity score for diagnosing LE compared to other measures. Other causes of medial elbow pain to be considered are osteochondritis dissecans of the elbow and osteoarthritis. The use of Polk's Test may help the clinician to diagnostically differentiate between lateral and medial epicondylitis, as well as supply information relative to choosing proper instructions for the patient to follow as part of their treatment program. Test for medial epicondylitis. Clinical experience suggests that medial epicondylitis is far less common than lateral epicondylitis. The test for Medial Epicondylitis is a clinical test in which pain is exacerbated on resisted pronation of the forearm with wrist flexion. A positive sign is indicated by pain over the medial epicondyle of humerus. The patient should be seated or standing and should have his/her fingers flexed in a fist position. Conclusion. The examiner palpates the medial epicondyle with one hand and grasps the patient’s wrist with his/her other hand. Patients describe a history of activities contributing to overuse of the forearm muscles that originate at the elbow. Lateral epicondylitis reportedly affects 1.3% of the general population, while medial epicondylitis affects only 0.4%, making tennis elbow the most common source of elbow pain related symptoms. Both tennis elbow (lateral epicondylitis) and golfer’s elbow (medial epicondylitis) are painful conditions caused by overuse. In addition, in medial epicondylitis, ulnar nerve symptoms occur in 50% of cases. Despite the name, tennis players only make up approximately 10% of the patients diagnosed with lateral epicondylitis. There are a variety of factors that predispose its onset. Medial epicondylitis, or “golfer’s elbow,” is an inflammation of the tendons that attach your forearm muscles to the inside of … Special Tests 1) Medial Epicondylitis test- While the examiner palpates the patient's medial epicondyle, resisted wrist flexion and pronation is done. Over time, the forearm muscles and tendons become damaged from repeating the same motions again and again. The examiner then passively supinates the forearm and extends the elbow and wrist. The patient is then asked to actively make a fist, pronate his or her forearm as well as radially deviate and extend the wrist against a counterforce that is … Test for lateral epicondylitis The examiner stabilizes the patients elbow with his/her thumb while palpating the lateral epicondyle. Moreover, the medial side of the elbow has other structures that may be the source of pain, e.g. Epicondylitis typically occurs during the 4th and 5th decades of life. What is Lateral and Medial Epicondylitis? 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