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Client case study: Persistent Elbow Pain

Patient Name: Mark S.
Age: 37
Occupation: Software Developer

Medical History: No significant prior medical history, occasional sports-related injuries.

Mark presented with complaints of persistent pain and tenderness on the outer side of
his elbow. He reported that the pain began gradually and intensified over several weeks,
especially during activities that involved gripping or lifting. As an avid tennis player, he
noticed the pain during his games, leading him to seek medical attention.

Clinical examination and specific tests confirmed the diagnosis of lateral epicondylitis,
commonly known as tennis elbow. The condition results from overuse of the forearm
muscles, leading to micro-tears at the tendon attachment on the outer part of the elbow.

A combination approach was suggested to alleviate Mark’s symptoms and promote
healing:

Osteopathy Sessions (Initial Visit and Follow-ups):

  • Initial assessment revealed tightness and restricted mobility in Mark’s
    forearm muscles and reduced flexibility in the wrist and elbow joints.
  • Treatment involved osteopathic techniques focusing on releasing muscle
    tension, improving joint mobility, and enhancing blood circulation to the
    affected area.

Shockwave Therapy:

  • Shockwave therapy utilises high-energy acoustic waves to stimulate the
    healing process in damaged tissues.
  • Mark underwent several sessions of shockwave therapy targeting the
    affected area of the elbow.

Treatment Outcomes:

First Osteopathy Session (Day 1):

  • After the initial osteopathy session, Mark reported a slight reduction in
    pain and improved mobility in his forearm.
  • The osteopath provided stretching and strengthening exercises to be
    performed at home.


Shockwave Therapy Sessions (Days 3, 7, and 14):

  • Mark underwent a total of three shockwave therapy sessions over two
    weeks.
    Each session targeted the specific area of tenderness and discomfort in
    his elbow.

Third Osteopathy Session (Day 21):

  • Mark experienced significant improvement in his symptoms.
  • The osteopath performed a re-evaluation and noted a decrease in
    tenderness and increased range of motion in the affected elbow.

Follow-up:

Following the combined treatment of osteopathy and shockwave therapy, Mark’s pain
significantly decreased, and his functional ability improved. He was able to gradually
resume his tennis practice and work without experiencing discomfort. He continued to
perform the prescribed exercises to maintain flexibility and strength in his forearm
muscles.

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