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Lateral epicondylalgia – treatment considerations

Lateral epicondylalgia – treatment considerations on: 2021 Feb 18

            Written by Sian Smale   Welcome back to part two of the lateral epicondylalgia series. Part 1 covered assessment and clinical anatomy and in this section we are going to focus on treatment considerations and commonly used manual therapy techniques and exercise prescription. From an evidence-based practice perspective, Bisset & Vicenzino published a paper in 2015 which summaries over 200 clinical trials on this topic and is well worth reading. The research is littered with various treatments such as friction massage, ultrasound, laser, acupuncture, manual therapy and exercise. There are two main treatments I would like to review in this blog, manual therapy and exercise. For a more comprehensive overview of treatment Vicenzino’s 2003 masterclass is a brilliant read. “There is no universally accepted treatment for all patients presenting with LET” (Coombes, Bisset & Vicenzino., 2015, p. 941). But the good news is that despite this, “conservative management is…



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