Sharing one case u might already how to deal with. Last week, at prolo-Tpe workshop in Doc-tx-doc session, i encountered an attendee having the problem of R't medial elbow pain. Physical examination showed his shoulder and neck were good, but laxity over R't lateral elbow and DRUJ, and a tender point over R elbow medial epicondyle. I found no CFT tendinopathy or UCL lesion over his R medial elbow, but swollen of the post. branch of the medial antebrachial cutaneous nerve was noticed by tracing the nerve with the ultrasound from the axilla downwards. So i prolo his lateral elbow and wrist and hydrodissection his post. branch of the medial antebrachial cutaneous nerve with pure D5W. His R medial elbow pain pain was gone immediately after the treatment, but he will need more prolo for his forearm biotensegrity.
白話文：內側前臂皮神經的後分枝發炎會很像高爾夫球肘的症狀!不一定是肌腱或韌帶的問題，要好好診斷喔!
上個禮拜在疼痛醫學會的workshop治療一位來自印尼的醫師，主訴為手肘內側疼痛，除了增生欲重建他上肢的biotensegrity(生物張力完整性)外，手肘內側的肌腱及韌帶並沒有發現問題，但超音波他的medial antebrachial cutaneous nerve(內側前臂皮神經)發現posterior branch(後側分枝)在肱骨近端有腫脹，於是神經解套他的這條神經，痛當下解除，但因為他的上肢只做過一次治療，應該需要在當地繼續處理。
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