hi
i have a patient aged 52 yrs wid the history of fall at elbow and fracture olecranon pro., lower end of humerus , medial epicondyle.
pop casting was done for around 40 days and after removal of pop cast around 2 months later he came to me wid complaint of pain at elbow joint and painfull movements and tenderness over medial epicondyle and ole. process wid AROM 40 degree and PROM 43 degree .After 20days of treatment wid wax, u/s, mobilization,mild massaage, biceps stretching, endrange hold relax tech.,and flexion extension wid half kg weight in supine lying the range came to 71 degree actively and 75 degree passively.but now since last 15-16 days the case is not improving further and range is also not increasing . please suggest some thing ..
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Yahoo
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