Podcast
Questions and Answers
What type of exercises are encouraged in the physiotherapy management of lateral epicondylalgia?
What type of exercises are encouraged in the physiotherapy management of lateral epicondylalgia?
- Isometric, eccentric, or concentric exercises of wrist flexor muscles (correct)
- Static stretching exercises for the wrist and elbow
- Aerobic exercises for overall fitness
- Plyometric exercises targeting the wrist extensor muscles
Which type of exercise should be strictly avoided until specific conditions are met in lateral epicondylalgia management?
Which type of exercise should be strictly avoided until specific conditions are met in lateral epicondylalgia management?
- Concentric exercises
- Isometric exercises
- Plyometric exercises (correct)
- Eccentric exercises
Which medication is NOT recommended as part of the common conservative management for lateral epicondylalgia?
Which medication is NOT recommended as part of the common conservative management for lateral epicondylalgia?
- Pregabalin
- Topical creams
- NSAIDs
- Prolotherapy (correct)
When is surgical intervention recommended in lateral epicondylalgia?
When is surgical intervention recommended in lateral epicondylalgia?
At what stage of rehabilitation should plyometric exercises be avoided in lateral epicondylalgia management?
At what stage of rehabilitation should plyometric exercises be avoided in lateral epicondylalgia management?
What is a common clinical feature of tennis elbow?
What is a common clinical feature of tennis elbow?
Which muscle shows altered cortical excitability characteristics in individuals with tennis elbow?
Which muscle shows altered cortical excitability characteristics in individuals with tennis elbow?
What is a key element of conservative management for tennis elbow?
What is a key element of conservative management for tennis elbow?
What tool is used to understand the level of pain-related disability in individuals with tennis elbow?
What tool is used to understand the level of pain-related disability in individuals with tennis elbow?
What criteria are used to identify individuals with tennis elbow who have a good prognosis?
What criteria are used to identify individuals with tennis elbow who have a good prognosis?
Which physical therapy intervention is considered as an adjunct therapy to facilitate inflammation response in tennis elbow?
Which physical therapy intervention is considered as an adjunct therapy to facilitate inflammation response in tennis elbow?
What does the evidence-informed clinical pathway for physiotherapy management of tennis elbow aim to do?
What does the evidence-informed clinical pathway for physiotherapy management of tennis elbow aim to do?
Which type of individuals with tennis elbow are at risk of poor prognosis?
Which type of individuals with tennis elbow are at risk of poor prognosis?
What do the orange arrows represent in the evidence-informed clinical pathway for physiotherapy management of tennis elbow?
What do the orange arrows represent in the evidence-informed clinical pathway for physiotherapy management of tennis elbow?
What does conservative management for tennis elbow primarily aim to optimize?
What does conservative management for tennis elbow primarily aim to optimize?
What is another common name for tennis elbow?
What is another common name for tennis elbow?
Which muscle is mostly attributed to the tissue pathology in tennis elbow?
Which muscle is mostly attributed to the tissue pathology in tennis elbow?
What type of function alteration is commonly seen in the pathophysiology of tennis elbow?
What type of function alteration is commonly seen in the pathophysiology of tennis elbow?
What imaging modality is a common tool to identify tendon structural changes associated with tennis elbow?
What imaging modality is a common tool to identify tendon structural changes associated with tennis elbow?
Which joint is mainly affected in tennis elbow?
Which joint is mainly affected in tennis elbow?
What type of activities are commonly associated with the development of tennis elbow?
What type of activities are commonly associated with the development of tennis elbow?
Study Notes
Tennis Elbow
- Also known as Lateral epicondylalgia or Lateral elbow tendinopathy
- A chronic pain condition affecting the lateral epicondyle region of the elbow joint
- Commonly seen in people performing repetitive hand grip and manual handling activities with a relatively flexed wrist position
Anatomy and Pathology
- Primary disorder of the common extensor tendon of the lateral elbow
- Occurs due to overuse and/or age-related tendon degeneration (tendinopathy)
- Tissue pathology mostly attributed to the tendinous portion of the extensor carpi radialis brevis (ECRB) muscle
Diagnostic and Clinical Features
- Grey-scale ultrasound imaging is a common and feasible clinical tool to identify tendon structural changes
- Clinical features include localized pain at the lateral humeral epicondyle of the elbow, often aggravated by palpation, resisted wrist extension, and resisted middle or index finger extension
- Presence of elbow pain reduces muscle strength during wrist extension and gripping tasks, altering gripping behavior and leading to upper extremity activity limitation
Conservative Management
- Multimodal physical therapy intervention, pain medication, and injection therapies
- Key element is to optimize tendon load and minimize strain on the healing tendon during exercise and loading management interventions
- Use of physical modalities (e.g., TENS, LASER, Ultrasound, heat therapy) as an adjunct therapy to facilitate inflammation response and enhance therapeutic exercise intervention
- Evidence-informed criterion to identify individuals with a good prognosis: pain duration < 3 months, no concomitant neck or other arm pain, PRTEE < 54/100
Clinical Pathway
- Different clinical pathways for patients with good prognosis, poor prognosis, and those that fall within the prognostic continuum
- Initial clinical pathway includes education, advice, exercise therapy, and Mobilisation-with-Movement manual therapy techniques
- Additional treatment options for patients at risk of poor prognosis include shock wave therapy, ultrasound, and injection therapies
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Description
Learn about tennis elbow, a chronic pain condition affecting the lateral epicondyle region of the elbow joint. Understand its causes and common symptoms. Explore its impact on individuals performing specific activities.
