The goal of this randomized controlled trial is to compare the effects of shockwave therapy and eccentric exercises on pain, functional ability, quality of life, grip strength and range of motion in patients with lateral epicondylitis. Participants will be randomly assigned to either Group A (Shockwave therapy) or Group B (Eccentric Exercises) using a computer-generated random number tables method.
The intervention will be provided over five weeks, with three sessions per week (total of 15 sessions):
Group A (Shockwave therapy): Participants will receive shockwave therapy, for 5 min with energy level 7.0 m J and frequency 6 Hz.
Group B (Eccentric Exercises): Participants will receive eccentric exercises, repeating each 10 repetitions 3 sets per session with a 1 min rest between each of them.
Outcomes will be assessed at baseline, week 0 and week 5 to evaluate which exercise program is more effective in reducing symptoms and improving functional outcomes.
Patients diagnosed with Lateral epicondylitis
Patients with 20-50 years
Both males and females
Willing to participate and provide informed consent
Patients with recent trauma (fractures, injury etc.)
Patients with blood clotting disorder (including thrombosis), oral anti-coagulants, and pacemaker, tumors at site of treatment, infected area or skin rupture or abrasion at the site of treatment, pregnancy.
Cervical Radiculopathy or any diseases that mimic or refer pain to elbow.
Patients who received steroid injection within 6 weeks.
Parallel
Shockwave Therapy
Other interventionParticipants will receive shockwave therapy, for 5 min with energy level 7.0 m J and frequency 6 Hz.
Eccentric exercises
Other interventionParticipants will receive eccentric exercises, repeating each 10 repetitions 3 sets per session with a 1 min rest between each of them
Pain Intensity
Pain intensity will be measured by Visual Analogue Scale
Functional Ability
Functional ability will be measured by Patient-Related Tennis Elbow Evaluation
Quality of Life of Patients
Quality of Life will be measured by SF-36 short form
Grip Strength
Grip Strength will be measured by Dynamometer
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