Tennis Elbow

[alophysio]

My dear ginger,

you are almost sounding chiropractic

I believe that your methods work for a certain diganosis and classification. Patients who have spinal dysfunction can indeed have referred pain. In having their pain mediated at the spinal level may also benefit. In having the nerve supply improved to areas of dysfunction will improve healing processes etc.

But sometimes we are dealing with peripherally mediated pain. In other words dysfunction at the distal site. If this is the primary problem, then altering the pain from the spine will only succeed in altering the signal to the brain, not dealing with the problem.

Any dogmatic adherence to one theory is dangerous in there complex bodies of ours. I really do wish there were simple treatments like continuous facet joint mobilisation that solve all problems. And you know that i like that fact that it is manual therapy so i will go in to bat for it before so many other treatments. But we have to use our diagnostic skills and treat according to what we find (including checking the C/S and T/S in tennis elbow ).