The definition of tendon degeneration and degree of tear, as depicted on MR images, correlate well with surgical and histologic findings. The choice of treatment for an individual case remains controversial because it is empirical and based on the personal experience of the physician treating the patient. This is also the stage where specific inciting factors are identified and modified. Patient education, protection of the painful elbow, avoidance or modification of aggravating actions. Active wrist exercises are performed with increasing repetitions.
Specific attention is directed to the wrist and finger extensors and supinator.
The use of a wrist roll and a weighted rod. Transverse friction massage Steroid phonophoresis Ultrasound Cold therapy High Voltage Galvanic Stimulation TENS Corticosteroid injection. The injection should be spaced at least 1 month apart, with no more than three injections administered to the same region within a 1-year period. The force may be partially transferred to the brace itself. Nirschl reported that 1000 patients experienced relief or decrease of symptoms through use of the armband.