I had a new client come in today with Tennis Elbow. Being new to Medical Massage, I was not yet familiar with any of the tests under the tennis elbow category; however, she did test negative for nerve irritation from the anterior scalenes and pec minor.
July 2012 she received her first cortisone shot which provided 6 months of relief. Dec 2012 she had another cortisone shot, but this time the skin around the lateral epicondyle turned black and green. The skin in that area now appears much thinner when compared to the other elbow (the bone on the affected side is much more prominent which she states was not the case prior to the 2nd shot). The area is extremely painful to the slightest touch.
Her doctor has been talking to her about plasma injections and she is also considering acupuncture (thoughts?). I did not want to proceed with the protocol and PM without consultation given the state of the tissue in that area after the cortisone.