Mill’s Test of the elbow joint:

• This Mill’s Test is also known as the Lateral epicondylitis test.
• This Mill’s Test is passively performed by the examiner.
• This Mill’s Test clinical & orthopedic test is applied by to doctor or therapist when the patient is complain about the lateral side of elbow joint pain.

Clinical presentation of the Lateral epicondylitis:

• This Lateral epicondylitis of elbow Presenting equally in the men &women,
• 1% to 3% of the all population is experience the lateral epicondylitis of elbow in their lifetime, usually between the ages of 35 & 50.
• Patients is report to pain at the lateral side of elbow which is radiates down the forearm.
• The patients are complain of the weakness in grip & difficulties of lifting the objects.
• Tn the physical examination of assessment part, in the patient present of the point tenderness in the medial & distal to the lateral epicondyle of the elbow.

• Condition = Lateral epicondylitis of elbow
• Patient age for the Lateral epicondylitis = 35-55 years
• Mechanism of injury of the Lateral epicondylitis = Gradual overuse of the elbow joint
• Symptoms Lateral epicondylitis of aggravated by = Activities involving the wrist joint extension & grasping
• Observation of the elbow joint = Possible present to swelling at over the lateral elbow
• Tenderness with the palpation of elbow joint = [resent as the Lateral elbow over the extensor carpi radialis brevis mucle.

What is Purpose of the Mill’s Test?

• This Mill’s Test is used to for the check the lateral epicondylitis of the elbow joint or tennis elbow.
• Tennis elbow means lateral epicondylitis most occurs in the tennis player.

How do you perfom of the Mill’s Test?

• First of the examiner is palpate the lateral epicondyle of the elbow.
• Then the examiner is passively pronates the patient’s forearm /flexs the wrist & extended the elbow joint.

What is result of the Mill’s Test?

• If the patient complains the pain over the lateral epicondyle of the humerus, it indicates a positive test.

• This maneuver also puts stress on the radial nerve & in the presence of compression of the radial nerve, cause symptoms similar to those of lateral epicondyle means tennis elbow.

• Electrodiagnostic studies help differentiate the two conditions.

What is Evidence of the Mill’s Test?

• Sensitivity of the Mill’s Test (%) = 53
• Specificity of the Mill’s Test (%) = 100
• Positive Likelihood ratio of the Mill’s Test = ~ (infinity)
• Negative Likelihood ratio of the Mill’s Test = 0.47

What is Key Research of the Mill’s Test?

• A study
• Which is describe by the Tuomo Pienimäki et al. in 2002
• In this study found that the pain thresholds at the lateral epicondyles of the elbow are strongly associated with the pain on the palpation of the elbow & when the present of positive Mills test.

• Wadsworthis found that when the Mills movement is applied forcefully under general anesthesia, it produces an audible snap & provides good results, but not given to any scientific reason.

• This Mills test is a very straight forward test which is described in the most of the physical therapy by applied manuals.