Lateral Elbow Tendinopathy: A Better Term Than Lateral Epicondylitis or Tennis Elbow

Ali, Munawar; Lehman, Thomas A.

doi:10.1016/j.jhsa.2009.06.024

Cited by 8 publications

(6 citation statements)

References 4 publications

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“…Lateral elbow pain is a condition that is well known to cause challenges due to its long-term recovery, considerable morbidity, and financial costs, including time off work and prolonged treatment. 1,2 Approximately 40% of people will experience lateral elbow pain at some point in their life with over 50% of these patients reporting not being fully recovered at 12 months post onset. 3–5 This has been shown to correlate with direct costs of approximately £5600 per person resulting in a significant economic burden to the individual, health care system, and society.…”

Section: Introductionmentioning

confidence: 99%

A randomized controlled trial of comparative effectiveness of elastic therapeutic tape, sham tape or eccentric exercises alone for lateral elbow tendinosis

2016

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Introduction: Lateral elbow tendinosis is a condition that is well known to cause difficult challenges for hand therapists due to its long-term recovery and morbidity. Elastic therapeutic tape is commonly used as a treatment modality, despite limited evidence. Methods: A randomized controlled trial was conducted to evaluate the effectiveness of elastic therapeutic tape, in conjunction with eccentric exercises, in the treatment of lateral elbow tendinosis. Forty participants with this condition (12 men, 28 women) were randomly allocated to three groups: (i) elastic therapeutic tape and eccentric exercises, (ii) sham tape and eccentric exercises, and (iii) eccentric exercises alone. All groups received education on activity modification techniques. Interventions were undertaken over a 12-week period (four weekly sessions and four fortnightly sessions) and outcome measures were recorded at baseline, three months and six months post randomisation. Results: At three and six months, improvements were made in all three groups as assessed with the Patient-Rated Tennis Elbow Evaluation, the Short Form 36, pain-free grip strength, and the Occupational Self Assessment. However, there were no statistically significant differences between groups in any of these measures. There were no significant side effects or symptom exacerbation with using the elastic therapeutic tape. Conclusions: Whilst all groups improved on key outcomes, it is possible that exercise alone and/or natural recovery were responsible for improvements. It is positive to note that the use of elastic therapeutic tape was well tolerated by participants and not associated with any significant side effects or symptom exacerbation.

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Section: Introductionmentioning

confidence: 99%

A randomized controlled trial of comparative effectiveness of elastic therapeutic tape, sham tape or eccentric exercises alone for lateral elbow tendinosis

2016

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“…‘Lateral epicondylitis’ and ‘tennis elbow’ are common terms used by physicians and therapists when describing the clinical diagnosis related to pain experienced at or around the lateral epicondyle. 6,7 However, research reveals that these terms are misleading. The suffix ‘itis’ implies an inflammatory pathology, but extensive histological immunohistochemical and electron microscopy studies have shown that the condition is degenerative rather than inflammatory.…”

Section: Introductionmentioning

confidence: 99%

“…10 The clinical and refereed literature indicates that the condition is not inflammatory, the term ‘lateral epicondylitis’ is inappropriate. 6,7…”

Section: Introductionmentioning

confidence: 99%

“…It has been suggested that the more appropriate terms for this condition are either (i) lateral elbow tendinosis or (ii) lateral elbow tendinopathy. 6 It is important to apply the correct diagnostic terminology since the previous labels for this condition have led to misunderstanding and inappropriate treatment. A shift towards the correct diagnostic terms can ensure the implementation and development of more effective interventions.…”

Section: Introductionmentioning

confidence: 99%

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The use of elastic therapeutic tape and eccentric exercises for lateral elbow tendinosis: a case series

2015

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Introduction: 'Lateral elbow tendinosis' or 'lateral elbow tendinopathy' have been suggested to be more appropriate diagnostic terms instead of 'lateral epicondylitis' as the condition is degenerative rather than inflammatory. For this reason, it is important that interventions target this degeneration at the common extensor tendon. Methods: A descriptive, retrospective review of a series of four patients with lateral elbow tendinosis was conducted to examine functional outcomes with the use of elastic therapeutic tape, eccentric exercises and activity modification techniques. Results: All patients recorded improved changes in pain and grip strength within three months of treatment using elastic therapeutic tape, eccentric exercises and activity modification techniques. Conclusions: There may be clinical benefit in the use of elastic therapeutic tape, in conjunction with eccentric exercises and activity modification techniques, for the treatment of lateral elbow tendinosis. More rigorous and comprehensive studies are recommended to further investigate this intervention.

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“…The typical symptoms of lateral elbow pain and weakness of the wrist extension with elbow supination often occurs if the tendinopathy specifically involves the extensor carpi radialis brevis (ECRB) tendon 8 9. Treatment for this condition includes non-surgical and surgical options, with surgery generally being considered only when non-surgical treatment has failed to achieve the desired outcomes.…”

Section: Introductionmentioning

confidence: 99%

The Elbow-EpiTrainer: a method of delivering graded resistance to the extensor carpi radialis brevis. Effectiveness of a prototype device in a healthy population

et al. 2013

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Lateral Elbow Tendinopathy: A Better Term Than Lateral Epicondylitis or Tennis Elbow

Cited by 8 publications

References 4 publications

A randomized controlled trial of comparative effectiveness of elastic therapeutic tape, sham tape or eccentric exercises alone for lateral elbow tendinosis

A randomized controlled trial of comparative effectiveness of elastic therapeutic tape, sham tape or eccentric exercises alone for lateral elbow tendinosis

The use of elastic therapeutic tape and eccentric exercises for lateral elbow tendinosis: a case series

The Elbow-EpiTrainer: a method of delivering graded resistance to the extensor carpi radialis brevis. Effectiveness of a prototype device in a healthy population

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