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Elbow Pain Protocol Laser Therapy

Elbow Pain Protocol and Diagnosis  
So what do you do with a common complaint of elbow pain, lateral or medial? (Maybe tendinitis or bursitis type complaints). Make sure you follow a proper kinetic chain protocol for optimum results. By the time they reach your office, most patients have probably tried everything conservative already, so do something different and look in new places. Remember, diagnosis and outside of the box clinical application is CRITICAL to success.

Here is what I use with great success.

1. Laser the cervical spine nerve root at C5-T1 with 750 Joules to help any myofascial adhesions surrounding the nerve root area.

2. Assess and laser the Supraspinatus muscle with 450 Joules paying attention to the lateral portion under the AC Joint (Common trigger Point)

3. Laser the Medial or lateral Epicondyle with 250 Joules using the Edema Setting and lower wattage.

4. Paint/strobe the forearm muscles, and tricep muscle insertion on CW Wave for 500 Joules at 6Watts.

5. Muscle strip with MFR/ART/PNF or trigger point work all muscles of the forearm and rotator cuff (supra.infra spinatus)

Typical visit sessions required is 6 for Kinetic Chain resolution. Make sure patient does self applied trigger point work at home with a tennis ball against the wall 5 times per day.

Dr. Perry Nickelston, Dc

1-866-595-7749 Ext. #102

www.k-laserusa.com

Tags: Integrative Treatment Strategies, Class 4 Laser Therapy, General by Dr. Perry
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Knee Pain Trigger Points

Ok here is a quick post before I leave for the NAALT (North American Association of Laser Therapy) Convention in West Palm Beach, Florida. Talking about and playing with therapy lasers all week. Now that is the definition of fun. I will be representing K-LaserUSA at the show. If you are going, make sure you stop by to say hello and I will even give you a laser treatment.

Knee pain can be complex to treat, especially with undetected trigger points causing unrelenting symptoms. The next time you have a patient with knee pain, make sure you evaluate the following muscles for trigger points. Some will be the actual culprits referring pain to the knee and others will be Kinetic Chain Dysfunction trigger points altering mechanical function of the joint. CHECK THEM ALL!

1. Vastus Medialis Obliques2. Vastus Lateralis

3. Popliteus

4. Sartorius

5, Posterior Tibialis

6. Soleus

7. Anterior Tibialis

8. Flexor hallucis

9. ITB and TFL

10. Gluteus Medius and minimus

11. All Adductors

12 Iliopsoas

Is this a lot to check? Yes! Will it make the difference? Yes! So take the time to check them all. Once detected work out the knots either via laser, manual therapy, or ultrasound. Of course you probably know my favorites. Laser each TP with 150-200 Joules and then do manual trigger point therapy. Great combination.  Have fun.

Oh yeah and don’t forget to check the femur head for anterior rotation, the knee joint and fibular head as well as the L3 vertebrae and Si joint. But of course you already knew that, right?

Dr. Perry NickelstonVP Practice Development K-LaserUSA

www.k-laserusa.com

1-866-595-7749 Ext. 102

Tags: Integrative Treatment Strategies, Practice Tips of the Day, General by Dr. Perry
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