Methods Utilized in Treating Lateral Epicondylitis

Abstract

Lateral epicondylitis is a common condition treated by many physical therapists. Although multiple treatment methods exist, scientific research has found that few have been consistently effective in treating lateral epicondylitis. Initially, lateral epicondylitis is often treated with rest, ice, braces and/or injections. When the condition is chronic or not responding to initial treatment, physical therapy is introduced. Common therapeutic modalities often utilized are ultrasound, phonophoresis, electric stimulation, manipulation, soft tissue mobilization, neural tension, friction massage, ASTM AdvantEDGE™, in addition to stretching and strengthening exercises. ASTM AdvantEDGE™ is becoming a more standard treatment process owing to its ability to help with the detection in changes in the soft tissue texture as the patient progresses through the therapeutic process. Laser and acupuncture are also becoming more popular. Finally, in resistant cases of lateral epicondylitis, patients can receive surgery. In all, there are over 40 different treatment methods reported in the literature. Further research efforts are needed to determine which methods are most effective.