good morning I'm Dr Ian young with tyby Wellness out of Savannah and the American Academy of manipulative therapies Fellowship in muscular skeletal ultrasound I'm here today to perform a ultrasound guided dry needeing procedure to the lateral elbow so first thing we're going to do is look at some basic structures in the elbow um then we're going to get the patient set up for a procedure of dry needling so the first thing we're going to do is have the patient set up in the Supine position medial elbow on the table and the hand on the hip so the elbows at about 75 to 90° then we're going to place the probe in Long axis View and we're going to get the view of the humoral radial joint and we're going to look at some important structures right up front so we can get an idea where we are we're going to look at the lateral epic cond then we're going to see the joint and then we're going to see the radial head spanning that joint is the radial collateral ligament and that runs about halfway up the slope of the lateral Epic cond and then just superficial to that we are going to have the lateral epicondilite or LAX position we're going to slide that probe a little more cranially because we have to get the needle in a long way then what we're going to do is take the needle at a very shallow angle and we're going to progress towards the lateral pondi okay and until we make contact with a bony backdrop of the lateral Bondi okay and once we're there if the patient has longstanding chronic tendonosis we're probably going to do a little pecking on the periostium to create some influx of a new healing we will stay there and Peck for a few seconds and then pull the needle out okay and that is the ultrasound guided uh dry needling procedure for the lateral elbow and the common extensor origin
