Conservative management of a case of medial epicondylosis in a recreational squash player.

OBJECTIVE This case study was conducted to evaluate the treatment and management of a patient presenting with medial elbow pain diagnosed as medial epicondylosis. CASE A 35 year old male presented with medial elbow pain of 4-6 weeks duration that worsened after playing squash. TREATMENT A COURSE OF FASCIAL STRIPPING TECHNIQUES WAS INITIATED, INCLUDING: cross friction massage, instrument assisted fascial stripping to the medial epicondyle area and over the belly of the pronator teres muscle, ischemic compression of a trigger point in the pronator teres, active assisted compressions to the trigger point noted in the pronator teres, and mobilizations of the carpals, specifically the scaphoid. Instructions were given to the patient regarding icing the elbow and daily eccentric exercises. At a one year follow up, the patient reported complete resolution of symptoms with no recurrence. CONCLUSION Conservative management, including eccentric exercises, mobilizations, and fascial stripping appear to be beneficial in the treatment of medial epicondylosis.