A 40-year-old male carpenter who is right hand dominant visited our clinic with complaints of right lateral elbow pain on and off for at least 5 months. The pain started insidiously and worsened 4 weeks ago when his nail gun broke down, forcing him to use a hammer all day. The pain is severe and has reduced his strength, especially during activities like gripping, holding, and lifting, with pain radiating into his forearm. He has no history of locking, and his past medical history includes fractured ribs 3 years ago due to a fall at work. There were no elbow symptoms until 5 months ago. Aggravating factors include firm gripping, hammering, screw driving, using a jackhammer, driving (car has no power steering), closing a tap, and knocking the elbow. Easing factors are rest, ice, and night. The pain is constant and worsens during and directly after activity. He has no other health problems, is not using any medication, and has not received any other medical care. He is disappointed that his elbow problem hasn’t improved over time like his other injuries did and is afraid of losing his job due to increasing problems at work. He hopes that physiotherapy treatment will help him, even though he expects it may take some time since he wants to continue working.

We provided treatments such as cervical spine manipulation and mobilization, strengthening exercises for deep neck flexors and upper quarter muscles, thoracic spine thrust manipulation and exercises, C1-C2 self-sustained natural apophyseal glide (SNAG), and posture re-education.

Our offered treatments are truly effective. She is absolutely thrilled that she has finally recovered from her headache. Her only regret is not seeking help sooner, but she believes it’s better late than never. She now enjoys being able to curl and golf just like she used to.