Evidence Based Guide to Tennis Elbow | Lateral Epicondylalgia, Epicondylitis, Tendinitis, Tendinopathy: FPF Show Episode 33

Evidence Based Guide to Tennis Elbow | Lateral Epicondylalgia, Epicondylitis, Tendinitis, Tendinopathy: FPF Show Episode 33

In today's episode we go over an Evidence Based Guide to Tennis Elbow | Lateral Epicondylalgia, Epicondylitis, Tendinitis, Tendinopathy.

• 0:00 Intro
• 1:43 What is the prevalence of tennis elbow? (lateral epicondylalgia)
• 2:41 The expensive societal impact of tennis elbow
• 3:50 Tennis elbow defined - What is Tennis Elbow?
• 4:16 Is tennis elbow an inflammatory issue or more of a tendinopathy?
• 5:15 Tennis elbow etiology - What causes pain?
• 5:34 What is the most common tendon involved in tennis elbow?
• 5:55 Tennis elbow natural history - Does tennis elbow go away with time?
• 8:56 What is the mechanism of injury for tennis elbow?
• 10:20 Clinical evaluation of tennis elbow - Subjective
• 11:31 Clinical evaluation of tennis elbow - Objective
• 13:21 Clinical evaluation of tennis elbow - Special tests
• 17:00 Differential diagnosis for tennis elbow
• 18:01 What is the best treatment for tennis elbow?
• 19:09 What is the best type of exercise and strengthening for tennis elbow?
• 22:56 What the optimal duration of physical therapy treatment for tennis elbow?

Listen and Subscribe to the Podcast

You can listen to the podcast and subscribe with any of the links below. 

Spotify -  Apple podcasts - Youtube 

Show Notes / Relevant Articles:

• FPF Mini Course - 7 Reasons Why Injuries Happen in the Gym and What to do About it
  
• Evidence Based Guide to Patellofemoral Pain
• Evidence Based Guide to Stretching

Want to support me and decide topics for future episodes?  Click HERE to sign up for FPF "Insiders" for just a dollar. You'll gain access to 100+ webinars, e-books and complete guides.  Plus, you'll get private access to the "Insiders" Facebook group where you can have all of your questions answered by me.  

Looking for other ways to support me that are 100% free?

• Like, comment and share on youtube, facebook and instagram 
• Leave a 5-star review on apple podcasts

Thank you!

Dan Pope DPT, OCS, CSCS

References: 

1. Ma KL, Wang HQ. Management of Lateral Epicondylitis: A Narrative Literature Review. Pain Res Manag. 2020;2020:6965381. Published 2020 May 5. doi:10.1155/2020/6965381

2. Peterson M, Butler S, Eriksson M, Svärdsudd K. A randomized controlled trial of exercise versus wait-list in chronic tennis elbow (lateral epicondylosis). Ups J Med Sci. 2011 Nov;116(4):269-79. doi: 10.3109/03009734.2011.600476. PMID: 22066975; PMCID: PMC3207303.

3. Stasinopoulos D, Stasinopoulos I. Comparison of effects of eccentric training, eccentric-concentric training, and eccentric-concentric training combined with isometric contraction in the treatment of lateral elbow tendinopathy. J Hand Ther. 2017 Jan-Mar;30(1):13-19. doi: 10.1016/j.jht.2016.09.001. Epub 2016 Nov 4. PMID: 27823901.

4. Stasinopoulos D, Stasinopoulos I. Comparison of effects of eccentric training, eccentric-concentric training, and eccentric-concentric training combined with isometric contraction in the treatment of lateral elbow tendinopathy. J Hand Ther. 2017 Jan-Mar;30(1):13-19. doi: 10.1016/j.jht.2016.09.001. Epub 2016 Nov 4. PMID: 27823901.

5. Yoon SY, Kim YW, Shin IS, Kang S, Moon HI, Lee SC. The Beneficial Effects of Eccentric Exercise in the Management of Lateral Elbow Tendinopathy: A Systematic Review and Meta-Analysis. J Clin Med. 2021 Sep 1;10(17):3968. doi: 10.3390/jcm10173968. PMID: 34501416; PMCID: PMC8432114.

6. Day JM, Bush H, Nitz AJ, Uhl TL. Scapular muscle performance in individuals with lateral epicondylalgia. J Orthop Sports Phys Ther. 2015 May;45(5):414-24. doi: 10.2519/jospt.2015.5290. Epub 2015 Jan 10. PMID: 25579691.

7. Ucurum SG, Karabay D, Ozturk BB, Kaya DO. Comparison of scapular position and upper extremity muscle strength in patients with and without lateral epicondylalgia: a case-control study. J Shoulder Elbow Surg. 2019 Jun;28(6):1111-1119. doi: 10.1016/j.jse.2018.12.010. Epub 2019 Mar 26. PMID: 30926184.

8. Sethi, Kritika; Noohu, Majumi M. (2018). Scapular muscles strengthening on pain, functional outcome and muscle activity in chronic lateral epicondylalgia. Journal of Orthopaedic Science, (), S0949265818301350–. doi:10.1016/j.jos.2018.05.003

9. Lee JH, Kim TH, Lim KB. Effects of eccentric control exercise for wrist extensor and shoulder stabilization exercise on the pain and functions of tennis elbow. J Phys Ther Sci. 2018;30(4):590-594. doi:10.1589/jpts.30.590

10. Keijsers R, de Vos RJ, Kuijer PPF, van den Bekerom MP, van der Woude HJ, Eygendaal D. Tennis elbow. Shoulder Elbow. 2019;11(5):384-392. doi:10.1177/1758573218797973

11. Bisset LM, Vicenzino B. Physiotherapy management of lateral epicondylalgia. J Physiother. 2015 Oct;61(4):174-81. doi: 10.1016/j.jphys.2015.07.015. Epub 2015 Sep 8. PMID: 26361816.

12. Aben A, De Wilde L, Hollevoet N, Henriquez C, Vandeweerdt M, Ponnet K, Van Tongel A. Tennis elbow: associated psychological factors. J Shoulder Elbow Surg. 2018 Mar;27(3):387-392. doi: 10.1016/j.jse.2017.11.033. PMID: 29433642.

13. Karanasios S, Korakakis V, Moutzouri M, Drakonaki E, Koci K, Pantazopoulou V, Tsepis E, Gioftsos G. Diagnostic accuracy of examination tests for lateral elbow tendinopathy (LET) - A systematic review. J Hand Ther. 2021 Feb 27:S0894-1130(21)00039-9. doi: 10.1016/j.jht.2021.02.002. Epub ahead of print. PMID: 33814224.

14. Saroja G, Aseer PA, Venkata Sai PM. Diagnostic accuracy of provocative tests in lateral epicondylitis. Int J Physiother Res. 2014 Dec 11;2(6):815-23.