Hi,

The MWM principle is usually applicable to most joints. The idea is to push the joint in such a way that it produces movement with >50% pain reduction. It can be used successfully with medial epicondylitis as well.

PPT (pressure point threshold) is where researchers developed a machine that applies a measurable force on to an area. The point at which pain is produced is noted. IN other words, is the area more sensitive to touch than to movement or gripping? These patients walk around protecting their elbows from people bumping it and don't readily allow you to touch it. They say the pain is unchanged when gripping or moving or it gets worse in a way that deosn't seem consistent with a movement based pattern.

For these people, central sensitisation is probably a big thing which is why Elvey's lateral glides are part of the treatment. A lot more C/S treatment in these people.

It is all about getting the right diagnosis then classification in order to provide the correct treatment and rehab.

THanks - i hope it helps!