Subject: Case Reports – Elbow Pain

Title: A Novel Method For Assessing Elbow Pain Resulting From Epicondylitis

Reference: Bradley S. Polkinghorn, DC. A Novel Method For Assessing Elbow Pain Resulting From Epicondylitis. J Chiropr Med 2002; 1: 117-121

ABSTRACT
Objective: To describe a novel orthopedic test (Polk's test) which can assist the clinician in differentiating between medial and lateral epicondylitis, 2 of the most common causes of elbow pain. This test has not been previously described in the literature.

Clinical Features: The testing procedure described in this paper is easy to learn, simple to perform and may provide the clinician with a quick and effective method of differentiating between lateral and medial epicondylitis. The test also helps to elucidate normal activities of daily living that the patient may unknowingly be performing on a repetitive basis that are hindering recovery. The results of this simple test allow the clinician to make immediate lifestyle recommendations to the patient that should improve and hasten the response to subsequent treatment. It may be used in conjunction with other orthopedic testing procedures, as it correlates well with other clinical tests for assessing epicondylitis.

Conclusion: 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 t() follow as part of their treatment program. Further research, performed in an academic setting, should prove helpful in more thoroughly evaluating the merits of this test. In the meantime, clinical experience over the years suggests that the practicing physician should find a great deal of clinical utility in utilizing this simple, yet effective, diagnostic procedure. (J Chiropr Med 2002;1:117-121)

KEY INDEXING TERMS: Orthopedic Tests; Elbow; Lateral Epicondylitis; Medial Epicondylitis