Lateral epicondylalgia: A primary nervous system disorder

Bordachar, Diego

doi:10.1016/j.mehy.2019.01.009

Cited by 10 publications

(8 citation statements)

References 105 publications

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“…The conservative treatment included tablet Aceclofenac 100 mg if required and tablet Pantoprazole 40 mg if needed; rest from repetitive activities aggravating pain, deep friction massage, ice application, stretching exercises, grip strengthening and counterforce bracing. [ 6 ] Conservative management was continued throughout the study period irrespective of the management response.…”

Section: Methodsmentioning

confidence: 99%

“…A theoretical framework noting that the nervous system is likely one component in causing pain in LE emphasized that the excessive expansion of neuronal action and the loss of homeostatic regulation by RN-derived nociceptors contribute to axonal growth free sensitive spots. [ 6 ] The present study's focus was not on radial nerve (RN) compression or entrapment neuropathy as the primary driver of the pathophysiology but the RN's role in peripheral sensitization.…”

Section: Introductionmentioning

confidence: 99%

“…This, alongside growing evidence of peripheral and central sensitization, without the RN's specific role in LE cases, prompted us to look at the RN as an additional objective of this study to see if the theoretical framework described by Bordachar et al . [ 6 ] holds promise.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of a local corticosteroid injection on pain, disability and radial nerve thickness in patients with lateral epicondylitis

Neyaz

Vasudeva

Ritika

et al. 2021

Journal of Family Medicine and Primary Care

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Introduction: The aim of this study was to compare the effect of a steroid injection with conservative therapy (CT) versus CT alone on pain, functional limitations and the cross-sectional area (CSA) of the radial nerve (RN) in patients with lateral epicondylitis (LE). Methods: In this clinical trial, seventy subjects in the age group of 30–60 years with a clinical diagnosis of LE were recruited. Patients received an ultrasound-guided steroid injection and CT (Group A, n = 35) or CT alone (Group B, n = 35). Pain intensity (numeric pain rating scale), functional limitations (Quick Disabilities of the Arm, Shoulder, and Hand questionnaire) and the CSA of RN (mm 2 ) using ultrasound were assessed at baseline, 4 and 12 weeks. Results: There was a significant difference in pain intensity ( P < 0.05) at 4 weeks in favour of Group A but not at 12 weeks. A statistically significant difference was not present favouring either group concerning disability at both the follow-ups. The difference in CSA of the RN at the affected side in both groups A and B was not statistically significant at either the spiral groove or the antecubital fossa at baseline or the subsequent follow-ups. Conclusions: The CT with a steroid injection proved to be more efficacious in the short term concerning pain intensity and functional limitations. The RN thickness is not increased in patients with LE, thereby refuting its role to some extent in the pathogenesis of LE.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Efficacy of a local corticosteroid injection on pain, disability and radial nerve thickness in patients with lateral epicondylitis

Neyaz

Vasudeva

Ritika

et al. 2021

Journal of Family Medicine and Primary Care

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“…Most of the time, this injury is considered as a tendinopathy because lateral epicondylalgia often presents with a degenerative process that affects the tendon structure, although motor system impairments and changes in pain perception have also been observed [ 6 , 7 ]. Changes can be seen at the histological level with disorganization in the arrangement of collagen fibers and local hypervascularization, proliferation of fibroblasts, and tissue granulation [ 8 , 9 , 10 ]. Specifically, in LE, there are changes in the tendon of the extensor carpi radialis brevis muscle [ 7 , 9 , 11 ], and usually, the pain is intensified by resisted muscular contraction of the extensor carpi radialis brevis [ 3 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…Changes can be seen at the histological level with disorganization in the arrangement of collagen fibers and local hypervascularization, proliferation of fibroblasts, and tissue granulation [ 8 , 9 , 10 ]. Specifically, in LE, there are changes in the tendon of the extensor carpi radialis brevis muscle [ 7 , 9 , 11 ], and usually, the pain is intensified by resisted muscular contraction of the extensor carpi radialis brevis [ 3 , 7 ]. On ultrasound examination, it is possible to observe thickening of the tendon, areas of hypogenicity, and neovascularization [ 4 ], as well as the existence of angiofibroblastic hyperplasia [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Percutaneous Electrolysis in the Treatment of Lateral Epicondylalgia: A Single-Blind Randomized Controlled Trial

Rodríguez-Huguet

Góngora-Rodríguez²,

Lomas‐Vega

et al. 2020

JCM

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Few studies have considered the effects of percutaneous electrolysis (PE) in the treatment of lateral epicondylalgia (LE). For this reason, the objective of this study was to compare the effects of PE with an evidence-based approach—trigger point dry needling (TDN)—in patients with LE. A randomized controlled trial was conducted in which 32 participants with LE were randomly assigned to two treatment groups, the PE group (n = 16) and the TDN group (n = 16). Both groups received four therapy sessions and an eccentric exercise program to be performed daily. The numerical pain rating scale (NPRS), pressure pain thresholds (PPT), quality of life, and range of motion were measured before treatment, at the end of treatment, and at one- and three-month follow-ups. Significant between-group mean differences were found after treatment for NPRS (p < 0.001) and flexion movement (p = 0.006). At one-month follow-up, significant mean differences between groups were found for NPRS (p < 0.001), PPT (p = 0.021), and flexion (p = 0.036). At three-months follow-up, significant mean differences between groups were found for NPRS (p < 0.001), PPT (p = 0.004), and flexion (p = 0.003). This study provides evidence that PE could be more effective than TDN for short- and medium-term improvement of pain and PPTs in LE when added to an eccentric exercise program.

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Physiotherapeutische Möglichkeiten bei lateraler Epikondylopathie

Reuter

2023

Orthopädie

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Lateral epicondylalgia: A primary nervous system disorder

Cited by 10 publications

References 105 publications

Efficacy of a local corticosteroid injection on pain, disability and radial nerve thickness in patients with lateral epicondylitis

Efficacy of a local corticosteroid injection on pain, disability and radial nerve thickness in patients with lateral epicondylitis

Percutaneous Electrolysis in the Treatment of Lateral Epicondylalgia: A Single-Blind Randomized Controlled Trial

Physiotherapeutische Möglichkeiten bei lateraler Epikondylopathie

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