Management of lateral elbow tendinopathy: one size does not fit all

Coombes, Brooke K., Bisset, Leanne and Vicenzino, Bill (2015) Management of lateral elbow tendinopathy: one size does not fit all. Journal of Orthopaedic & Sports Physical Therapy, 45 11: 938-949. doi:10.2519/jospt.2015.5841


Author Coombes, Brooke K.
Bisset, Leanne
Vicenzino, Bill
Title Management of lateral elbow tendinopathy: one size does not fit all
Journal name Journal of Orthopaedic & Sports Physical Therapy   Check publisher's open access policy
ISSN 0190-6011
1938-1344
Publication date 2015-11
Year available 2015
Sub-type Article (original research)
DOI 10.2519/jospt.2015.5841
Open Access Status Not Open Access
Volume 45
Issue 11
Start page 938
End page 949
Total pages 12
Place of publication Alexandria, VA United States
Publisher American Physical Therapy Association
Collection year 2016
Language eng
Abstract Synopsis Clear guidelines for the clinical management of individuals with lateral elbow tendinopathy (LET) are hampered by many proposed interventions and the condition's prognosis, ranging from immediate resolution of symptoms following simple advice in some patients to long-lasting problems, regardless of treatment, in others. This is compounded by our lack of understanding of the complexity of the underlying pathophysiology of LET. In this article, we collate evidence and expert opinion on the pathophysiology, clinical presentation, and differential diagnosis of LET. Factors that might provide prognostic value or direction for physical rehabilitation, such as the presence of neck pain, tendon tears, or central sensitization, are canvassed. Clinical recommendations for physical rehabilitation are provided, including the prescription of exercise and adjunctive physical therapy and pharmacotherapy. A preliminary algorithm, including targeted interventions, for the management of subgroups of patients with LET based on identified prognostic factors is proposed. Further research is needed to evaluate whether such an approach may lead to improved outcomes and more efficient resource allocation.
Keyword Epicondylalgia
Prognosis
Tennis elbow
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Biomedical Sciences Publications
School of Health and Rehabilitation Sciences Publications
 
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