Physiotherapy Approach for Treating Lateral Epicondilalgia

Abstract: Lateral epicondylitis, a tendinopathy affecting forearm extensor muscles, results from overuse and commonly manifests as pain over the lateral humeral epicondyle. The ex-tensor carpi radialis brevis (ECRB) is implicated, particularly during forceful gripping. The condition is prevalent in the 35-45 age group and it affects 1-3% of the population, with symptoms lasting two years and reoccurring after asymptomatic periods. Consid-ering the economic impact of lateral epicondylalgia-related sick leave, therapeutic fo-cus must emphasize long-term as well as short-term efficacy. Treatment approaches include drugs, rest, physiotherapy and surgery. Platelet-rich plasma proves highly ef-fective, reducing pain and work absenteeism. Severe cases may require surgical ap-proach, with studies questioning the benefits of surgery over a placebo. Pain manage-ment involves shockwave therapy, ultrasound, friction massage, eccentric exercises, stretching, and orthoses. Shockwave therapy stands out for its rapid pain relief and long-term efficacy. The combination of exercises and kinesiotaping is effective, while high-intensity laser therapy has limited evidence. Functionality improves with manual therapy, stretching, and strengthening exercises. Orthoses may negatively impact hand function. Grip strength correlates closely with functionality, with therapeutic exercise and manual therapy showing significant long-term results. Keywords: Lateral epicondylalgia, tendinopathy, rehabilitation, physiotherapy ap-proach