Current research shows exercises and stretches are more effective than rest alone. Most guidelines support physical therapy especially in the acute phase to assist patients in reducing pain, learning stretches and prevention strategies. Most physical therapy treatments need to be done by professionals.
There is some potential risk from doing stretches, exercises and typical physical therapy modalities, but they are rare.
Current research shows exercises and stretches are more effective than rest alone. Treatments like ultrasound do not have a great deal of research evidence but may be worth a try. Specific modalities and procedures such as Low Level Laser Therapy and Extra Corporeal Shock Wave Treatment are considered separately.
Most guidelines support physical therapy especially in the acute phase to assist patients in reducing pain, learning stretches and prevention strategies. Many chiropractors and physicians can provide these approaches as well.
Coombes BK, Bisset L, Brooks P, Khan A, Vicenzino B. Effect of corticosteroid injection, physiotherapy, or both on clinical outcomes in patients with unilateral lateral epicondylalgia: a randomized controlled trial. JAMA. 2013 Feb 6;309(5):461-9. doi: 10.1001/jama.2013.129.
Overall, there are many different therapeutic approaches to Lateral Epicondyle Tendinopathy (LET) and no high-quality evidence definitively supports one approach over others.
Once taught you can do the stretches and exercises on your own. Most physical therapy treatments need to be done by professionals.
Professional instruction in exercises and therapy runs between $20 and $60 per session, with therapies priced about the same. Typically providers will treat 2-3 times per week for several weeks depending on response. If no improvement is noted after 6-12 visits a different treatment approach should be tried. Insurance may cover most of these costs.
USEFULNESS (overall rating): 4/5
How well Lateral Epicondyle Tendinopathy (LET) responds to many treatments, including physical therapy treatments, depends on how chronic the condition is and the extent of the damage. Unsurprisingly, studies show that treatment is more effective earlier in the condition, rather than later. Stretching and certain exercises have been shown to be helpful, and therapy is shown to be more effective than rest alone.
Some physical therapy modalities, however, such as electrical muscle stimulation, have almost no support in the scientific literature, and other commonly used treatments such as therapeutic ultrasound, have been shown to help in some studies, and not in others. In general, stretches and exercise should be part of every LET treatment program, while other approaches like ultrasound can be tried but should show benefit within a few treatments or they should be abandoned.
We achieve balance with a mixture of sensory information from the central nervous system, mobility, and strength. When any of these are compromised, balance can be lost. Balance problems can occur in the elderly when there is dysfunction with the inner ear, nerves, heart, eyes, joints, muscles and bones, which must all act in unison. …
In order to understand hypertension or high blood pressure, it is important to know what blood pressure actually is. Blood pressure is the force of blood pushing against the walls from within arteries. This pressure changes throughout the day as blood is transported from your heart to other body organs. It is measured with two…
What are home remedies for headaches? Home remedies for headaches involve herbs, and nutritional supplements along with practical actions that you can use such as sensible modification of diets, exercise and elimination of substances as in caffeine, alcoholic beverages and smoking. Home remedies have become increasingly popular since the public wants a more holistic approach…
Cervical Pain or Neck Pain What is it, what are possible causes and approaches and for treatment. The cervical spine is comprised of 7 segmented vertebrae. The spinal cord, an extension of the brain, exists through an opening at the bottom of the skull. At each spinal vertebrae two sets of nerves controlling sensory and…
Causes of Foot Cramps The human foot and ankle is comprised of26 bones, 33 joints, and more than 100 muscles, tendons and ligaments. Some common causes of cramps in the feet are due to excessive physical activity, especially in hot weather conditions. Over exertion combined with dehydration for example during prolonged exercise may lead to cramps. During exercise…
What is it? Lumbar spinal stenosis is a narrowing of one of the canals in the lumbar spine. Many people with spinal stenosis have no symptoms. Sometimes however, this canal narrowing can put pressure on nerves which might result in pain, numbness, tingling or weakness in the low back or into the buttocks and legs.…