Understanding the Mill's Test Assessment
To detect **Lateral Epicondylitis** (Tennis Elbow) by passively stressing the common extensor tendon origin.
Watch How It's Done
How do I start?
Patient is sitting or standing. Elbow is extended.
What happens?
The examiner passively moves the patient's arm through the following sequence: **1) Pronate the forearm** maximally. **2) Flex the wrist** fully. **3) Fully extend the elbow**.
In Plain English
What Does a Positive Result Mean?
Sharp **pain is reproduced precisely over the lateral epicondyle** of the elbow.
Helpful Tip:
This maneuver maximally stretches the ECRB and the common extensor tendon origin across the lateral epicondyle.
Safety First
This guide is to help you understand what happens in a clinic. Do not try to diagnose yourself. If you have severe pain, swelling, or cannot put weight on your leg, please visit an urgent care center or your doctor immediately.
Other Elbow Tests
Elbow Quadrant Tests
A generalized term for assessing the **end-feel and range of motion** of the elbow joint in flexion and extension, often used to assess stiffness or loose bodies.
Cozen's Test
To detect **Lateral Epicondylitis** (Tennis Elbow), which is tendinopathy of the **Extensor Carpi Radialis Brevis (ECRB)** origin.
Tinel's Test (at the Elbow)
To assess for irritation, regeneration, or entrapment of the **Ulnar Nerve** at the elbow (**Cubital Tunnel Syndrome**).
Valgus Stress Test (Elbow)
To assess the integrity of the **Ulnar Collateral Ligament (UCL)** (Medial Collateral Ligament), which resists valgus forces.