Tennis elbow special test

1. TENNIS ELBOW / LATERAL EPICONDYLITIS
• Is a painful condition of the elbow caused by
overuse.
• Causes pain around the outside of the elbow.
• Overuse injury caused by eccentric overload at
the origin of the common extensor tendon,
leading to tendinosis and inflammation of the
ECRB.

2. Symptoms:
• Tenderness outside of the elbow
• Pain in forearm and in back of the hand
• Pain when bending the arm, gripping small objects
• Pain and stiffness when fully extending arm
• Uncomfortable feeling when twisting forearm
Treatment
• NSAIDS or steroid injection
• Activity modification
• Bracing
Special Test
1. Mill’s Test
2. Cozen’s Test
MILLS TEST
- Fully extends the elbow
- Wrist pronated and perform wrist flexion
- If negative: Examiner place modest pressure with
thumb on the extensor origin
COZEN’S TEST
- Examiner palpate the lateral epicondyle using
thumb.
- Forearm in pronated, and full fist.
- Radially deviate and extend the wrist.
- Examiner will gives resistance on the fist.