Management of lateral epicondylitis

Lenoir, H.; Marès, Olivier; Carlier, Yacine

doi:10.1016/j.otsr.2019.09.004

Cited by 62 publications

(62 citation statements)

References 88 publications

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“…On day 16, the patient was instructed to begin adding eccentric and isotonic wrist extension and flexion exercises with the goals of building muscle endurance and encouraging proper remodeling of the tendon. The patient was able to complete moderate sets (2-4) and high repetitions (10)(11)(12)(13)(14)(15) at this time. These various types of contractions and exercises were continued for two weeks as weights and frequency progressed slowly.…”

Section: Rehabilitation Protocolmentioning

confidence: 91%

“…Surgical treatment for lateral epicondylosis has a large variability in surgical technique. [13] In addition to the large variability in treatment options for refractory tennis elbow, there also exists a wide variation in rehabilitation treatment approaches with no certain consistency. [14] Additionally there is no consensus with respect to treatment after regenerative or orthobiologic procedures.…”

Section: Introductionmentioning

confidence: 99%

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Rapid and Successful Rehabilitation and Return to Play for a D1 Gymnast After Treatment for Lateral Epicondylosis with Ultrasound Guided Percutaneous Tenotomy (Tenex)

Walrod¹,

Turner²,

Pauls³

2020

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Lateral elbow pain is a commonly seen in sports medicine. There are multiple interventions for this chronic condition which may lead to difficulty with successful treatment. There are also multiple rehabilitation strategies employed for treatment. Variations in treatments and rehabilitation protocols can lead to different and sometimes unsuccessful long term outcomes. We present a novel case of a Division 1 college gymnast with recalcitrant lateral elbow pain who underwent percutaneous tenotomy (Tenex) of the common wrist extensor tendon. The athlete was able to return to full Division 1 athletics two months after the procedure. This case is unique secondary to the patient being a high level athlete and his rapid return to the intensity and requirements of competing in Division 1 sports. We also developed a specific rehabilitation protocol that we postulated would be appropriate after this procedure. We illustrate the athlete's rehabilitation in detail. We feel that this specific protocol may have also influenced his rapid and complete return. We anticipate that this specific rehabilitation protocol may potentially guide future rehabilitation protocols after the Tenex procedure for recalcitrant lateral epicondylosis. In addition, this rehabilitation protocol may be considered after the Tenex procedure for additional conditions like medial epicondylosis, achilles tendinosis, patella tendinosis and gluteal tendinosis.

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Section: Rehabilitation Protocolmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Rapid and Successful Rehabilitation and Return to Play for a D1 Gymnast After Treatment for Lateral Epicondylosis with Ultrasound Guided Percutaneous Tenotomy (Tenex)

Walrod¹,

Turner²,

Pauls³

2020

View full text Add to dashboard Cite

show abstract

“…The vast majority of lateral epicondylitis cases can be managed nonsurgically [22]. Activity modification is a key component of treatment.…”

Section: Managementmentioning

confidence: 99%

“…Decreasing or stopping the instigating motions or modifying equipment such as using a wider grip on a tennis racquet can assist in managing symptoms. Physical therapy (eccentric-based exercises), NSAIDs, steroid injections, and counter load braces have been the mainstay of conservative treatment [20], but currently the use of corticosteroids is being debated [22]. Increasing evidence shows that prolonged lateral epicondylitis (greater than 4-6 months) is a tendinosis instead of tendinitis, thus calling into question the usage of NSAIDs and steroid injections in its management [33].…”

Section: Managementmentioning

confidence: 99%

“…New treatment techniques such as dry needling, prolotherapy, autologous blood injection (ABI), and plateletrich plasma (PRP) are emerging as treatment options [21]. There is no clinical consensus on the most efficacious treatment plan at this time [22] with multiple modalities helping improve long-term outcomes. Recalcitrant cases (greater than 18 months of symptoms without response) can be referred to orthopedics for possible operative debridement [21].…”

Section: Managementmentioning

confidence: 99%

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