The patient is a WFH office worker and avid racquetball and badminton player. She complains of pain and tenderness in the inner side of the right elbow, exacerbated by repetitive movements (e.g. typing, lifting, and playing any sports). She had been diagnosed with medial epicondylitis by a physiotherapist approximately 3 months ago. She initially presented with dull, aching pain located on the medial (inner) side of the right elbow, with occasional sharp pains during specific movements. She particularly noted that forward swings while playing sports as well as overhead shots gave her the most discomfort.
Upon examination, there was sensitivity over the medial epicondyle and along the flexor tendons of the forearm. There was also mild stiffness and weakness in the forearm, particularly after activity. The patient expressed distress because she now had difficulty gripping objects tightly without pain or discomfort. This not only kept her from playing sports but also made it difficult for her to perform tasks around the house.
Acupuncture treatment according to the IMEAST (Intramuscular Electroacupuncture Stimulation Treatment) was done for this patient, focusing on the flexor muscles of the forearm as well as certain other points in the triceps and extensor muscles.
After two weeks of biweekly treatment, there was significant reduction in elbow pain, improved range of motion, and decreased tenderness over the medial epicondyle. The patient noted an improved ability to perform daily tasks and she was able to do her stretching routine with little pain, although she could not return to sports. After another month of biweekly and weekly treatment, there was restoration of functional strength in the forearm muscles, and the patient returned to full activity without significant discomfort. However, the patient was advised to incorporate a better warm-up routine before beginning intense sports activities and possibly undergo personal strength training so that her body can better handle the impact of regular high-intensity activity.