A positive Mills test indicates the presence of lateral epicondylitis, also known as tennis elbow, which is characterized by pain at the lateral epicondyle.
Understanding the Mills Test
The Mills test is a common physical examination technique used to assess for lateral epicondylitis. This test involves specific movements of the patient's wrist and elbow to reproduce the symptoms associated with this condition.
How a Positive Mills Test Manifests
According to the provided reference material, a positive Mills test occurs when:
- The patient experiences sudden pain specifically at the lateral epicondyle of the elbow during the test.
Step-by-Step Breakdown of a Positive Test
Here's a more detailed look at how the test and pain manifestation aligns:
- Patient Position: The patient is seated or standing with their elbow extended.
- Test Procedure: The examiner passively pronates the patient’s forearm, flexes the wrist, and extends the elbow.
- Positive Result: A positive result is indicated by the sudden onset of pain at the lateral epicondyle, suggesting lateral epicondylitis.
Implications of a Positive Mills Test
A positive Mills test suggests that there is inflammation or irritation at the lateral epicondyle where the tendons of the wrist extensor muscles attach to the bone. This finding is commonly seen in patients with lateral epicondylitis.
What to do After a Positive Test
Following a positive Mills test, it's essential to:
- Consult a healthcare professional for a proper diagnosis and treatment plan.
- Consider other diagnostic tests or physical assessments to confirm the condition.
