37 y.o.M boxer presented with L) Elbow pain especially when blocking punches. Has been boxing for about 3 years. Looking to have his first pro fight in 3 months and really wants to fix his elbow by then. Had a car accident 20 years ago and dislocated same elbow causing prolonged instability for about 7 years. Had a building accident a few years ago knocking the same elbow leading to ongoing pain. Has tried rehab before at a few different places over the years but the pain and fear that the elbow was going to dislocate has never really went away. Works as a landscaper β does a lot of weeding, lifting and hedge trimming. Has no imaging.
Palpation: Tenderness at forearm extensors, forearm flexors, triceps insertion
Elbow AROM: full rom but apprehensive with full extension and 2/10 pain
Elbow PROM: full ROM firm bony end feel for extension
Here are my questions to you-
A) What would your assessment and differential diagnosis be?
B) What would your treatment be based on the above (short term and long term)?
C) How would your treatment plan shape your rebooking strategy?
READY. SET. GO πππππππ