Lateral elbow pain can significantly limit people's ability to do the activities they want or need to do. We want to explore if one treatment technique is better than another for people with lateral elbow pain.
You will be placed in a traditional treatment group or in a non-traditional treatment group. Your placement in the group will depend on past treatments you have had for this pain.
Before you start treatment, you will be given four tests: 1) a grip strength test, 2) a pinch test, 3) a pain level survey, and 4) a functional survey. These four tests will take no longer than 15 minutes to complete. These four tests are common tests given to people with elbow pain. You will be given these four tests:
* At the beginning, before you start treatment * At 2-weeks * At 4-weeks * At the end of your treatment
Traditional treatment group: You will receive treatment 1x/week for 4-6 weeks. The traditional treatment group will consist of the following treatments:
* stretching and strengthening of the wrist extensors * soft tissue work to the forearm muscles * joint mobilization at the elbow * rigid and elastic taping with focus on the wrist extensor muscles * ergonomic strategies * transcutaneous electrical nerve stimulation (TENS) * wrist splinting
Non-traditional (TINLL) treatment group: You will receive treatment 1x/every 1-2-weeks for 4-6 weeks. The non-traditional (TINLL) treatment group will consist of the following treatments:
* joint and tendon mobilization at the elbow * elastic tape for muscles and nerves * stretching/strengthening of the muscles at the elbow and upper arm * ergonomic strategies
understanding of English language; adults 18 years of age or older
referral for lateral sided elbow pain or lateral epicondylitis
subjects positive on one of the following (tenderness over lateral epicondyle with palpation
pain with stretch of long wrist extensors
subjects unable to cognitively follow directions
have a legally-mandated reporter
subjects scheduled for surgery, or post-up surgical patients
subjects with carpal tunnel syndrome, cubital tunnel syndrome/medial elbow pain,
Parallel
TINLL techniques for relieving radial nerve tension
Other intervention1x/week for 4-6 weeks or less if patient responds well to the treatment
Traditional techniques to stretch and strengthen muscles
Other intervention1x/week for 4-6 weeks unless patients responds well to treatment
Patient rated tennis elbow evaluation (PRTEE)
15-item, self-report questionnaire designed to measure pain and disability in patients with lateral elbow tendinopathy (tennis elbow).
pain-free grip strength
pain-free grip strength using Jamar dynamometer
numeric rating scale for pain
pain scale
3-jaw pinch
pinch measurement
Click on the lead sponsor to view all of their trials.
