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Differential Diagnosis of Lateral Elbow Pain

presented by Ann Porretto-Loehrke

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Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Why is treating a “simple” tennis elbow diagnosis sometimes so difficult? This course will help guide you through a systematic approach to evaluating a patient with lateral elbow pain to identify the pain-generator. Determining the patient’s impairments will provide guidance for addressing treatment, which will be covered in the subsequent course. Recognizing when special tests are needed and performing a systematic clinical examination will be presented.

CHTs, when submitting this for recertification through HTCC, this course can be used for CAT B (hand therapy courses < 3 hours in length); however, if this course certificate is submitted with the following course certificates listed below (or any combination totaling 3 hours or more), they can be submitted under CAT A (hand therapy courses > 3 hours in length).

  • Differential Diagnosis of Lateral Elbow Pain (2 hours)
  • Treatment of Lateral Elbow Pain (1.5 hours)


  • Meet Your Instructor

    Ann Porretto-Loehrke, PT, DPT, CHT, COMT, CMTPT

    Ann Porretto-Loehrke is a skilled clinician and dynamic instructor. She is the therapy manager of a large department at the Hand to Shoulder Center. Ann is a Certified Hand Therapist (CHT) and a Certified Orthopedic Manual Therapist (COMT) for treatment of the upper quadrant through the International Academy of Orthopedic Medicine (IAOM). She has extensive…

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    Chapters & Learning Objectives

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    1. Anatomy of the Lateral Elbow

    This chapter provides an overview of the anatomy in the lateral elbow including the humeroradial joint, lateral ligamentous support, musculotendinous structures, and radial nerve. Having a solid understanding of these structures and their location will give better insight of the involved structure when performing the clinical examination.

    2. Pathomechanics of Lateral Elbow Pain

    This chapter covers the pathomechanics of tendinopathy, articular, ligamentous, and neural issues at the lateral elbow.

    3. Clinical Examination

    This chapter provides a systematic approach to differentiating between musculotendinous, articular, ligamentous, and neural issues at the lateral elbow. An analysis of recognizing special tests needed and performing these will be showcased.

    More Courses in this Series

    Treatment of Lateral Elbow Pain

    Presented by Ann Porretto-Loehrke, PT, DPT, CHT, COMT, CMTPT

    Treatment of Lateral Elbow Pain

    Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
    Why is treating a “simple” tennis elbow diagnosis sometimes so difficult? Let this course help to guide you through a systematic approach to addressing impairments found within the clinical examination. This course provides the tools for treating issues arising from a musculotendinous, articular and neural origin. Gain clinical confidence in efficiently evaluating lateral elbow pain and optimizing your patient’s outcomes.

    CHTs, when submitting this for recertification through HTCC, this course can be used for CAT B (hand therapy courses < 3 hours in length); however, if this course certificate is submitted with the following course certificates listed below, they can be submitted under CAT A (hand therapy courses > 3 hours in length)

  • Differential Diagnosis of Lateral Elbow Pain (2 hours)
  • Treatment of Lateral Elbow Pain (1.5 hours)


  • View full course details

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