Focused pain at the medial epicondyle

Patient 29 years old that comes up to consultation due to a focused pain of 6 out of 10 in the Visual Analogue Scale. The pain started 3 months ago during the refurbishment of the house. It has been increasing since then.

His pain appears when palpation in the spot, not in different spots arround though.

Ultrasound image does not show inflammation or degenerative changes in the tendon or in the bone cortex.

It is decided to use puncture due to the fact that the patient does not ameliorate after treating muscles involved.

http://www.youtube.com/watch?v=fesXs3YRu48

Two days after the treatment the patient has improved 50%. More sessions are needed in order to achieve a total recuperation.