[log in to unmask] wrote:
>
> Hi Everyone,
> I have an interesting patient and I would welcome any comment on
> this.
> This patient is a 52 year old businessman who travels the world
> extensively in aeroplanes. He has chronic bi-lateral tennis elbow
> which he has had for over a year. He has been responding very well to
> physio. He then had a spell of travelling which included a few
> flights. He noticed that his pain in the worst elbow increased
> dramatically as the aeroplane began its descent. As he progressed
> from flight to flight the reaction grew worse. When I saw him again
> his 'bad' elbow was very inflammed. Could it be that the pressure
> change within the cabin as the plane descended created an increase in
> joint pressure within his elbow causing the pain and thereby
> increasing the inflammation?
> Any Ideas?
> Mags
Or could it be that it is not the tendo periosteal junction but ANT or
C/spine problem which is aggravated by bad cervical posture when
sleeping on a plane.
regards
Pete
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