S2E50 - Physiotherapy for Tennis Elbow

Welcome to Season 2 of AMC Clinical Deep Dive!

Affecting 1–3% of the population, this is a high-yield OSCE scenario where understanding the degenerative pathology—microtrauma rather than acute inflammation—is key. This episode explores NHMRC Level 1 evidence supporting physiotherapy over corticosteroid injections for superior long-term outcomes. Learn essential OSCE steps: explaining the "2/10 pain rule" for wrist extensor loading, advising against "palm-down" lifting, and structuring a 6–8 week supervised exercise plan. We cover how to transition from isometric to progressive resistance using rubber bands. Deliver a safe, evidence-based management plan that satisfies Australian standards today!

#AMCClinicalExam #TennisElbow #OSCE #LateralEpicondylalgia #Physiotherapy #IMGAustralia #WristExtensorExercises

Pro Tip: In your OSCE, specifically mention that while corticosteroid injections offer short-term relief, they are associated with worse long-term outcomes and higher recurrence compared to physiotherapy. Explicitly advising the patient not to lift objects in a "palm-down" (pronated) position and to maintain activity rather than immobilising the limb demonstrates the high-level safety awareness and practical clinical reasoning examiners look for in a passing candidate. Don't forget to offer the RACGP patient information sheet to finalise a high-scoring psycho-education plan!

Also, listen to the related episodes: ⁠S2E36 - Digital Therapy Matery_iCBT for Depression⁠ ⁠S2E26 - Exercise Prescriptions for Mild to Moderate Depression⁠ ⁠S2E5 - Behavioural Sleep Interventions for Infants 6-12 Months⁠ ⁠S1E109 - Postnatal Depression and Exhaustion⁠

🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.