Indications:

Mill’s test is an elbow examination used to test for lateral epicondylitis.

Procedure:

  1. Patient seated, examiner extends and pronates patient’s elbow while flexing the wrist (test stretches the common extensor tendon).
Mills test for elbow

Patient seated, examiner extends and pronates patient’s elbow while flexing the wrist (test stretches the common extensor tendon).

Interpretation:

(+) Lateral elbow pain during test → Lateral epicondylitis.

Clinical notes:

Cliniciant’s option:

  • consider flexing the fingers and applying pressure with thumb over the common extensor tendon to further increase the sensitivity of this test.
  • Patients may demonstrate restricted ROM which mat suggest arthritis, capsular adhesions, or tendon contracture.
  • Mill’s test may be user as treatment for lateral epicondylitis (stretching of the common extensor tendon).