Lateral epicondylalgia: a problem for rural workers

Area of Science:

• Occupational Health
• Musculoskeletal Disorders
• Rehabilitation Medicine

Background:

• Lateral epicondylalgia (LE), commonly known as tennis elbow, is a prevalent condition impacting workers in physically demanding rural industries.
• Industries like agriculture, food processing, and winemaking pose a significant risk for work-related upper limb disorders, including LE.
• Rural health professionals frequently encounter LE, necessitating a comprehensive understanding of its causes and effective management strategies.

Purpose of the Study:

• To review the current understanding of the etiology and management of lateral epicondylalgia.
• To provide guidance for rural health professionals managing patients with LE.
• To highlight evidence-based treatment options, emphasizing the role of exercise.

Main Methods:

• Literature review of current understanding of LE etiology.
• Analysis of existing treatment options for LE.
• Synthesis of recent research findings on exercise-based interventions.

Main Results:

• Exercise is identified as a crucial component in the management of LE.
• While various treatment options exist, the literature shows division regarding the most effective approach.
• Emerging research suggests incorporating shoulder and cervical spine stabilizing exercises in addition to traditional wrist extensor exercises.

Conclusions:

• Effective management of LE requires a multifaceted approach.
• Rural practitioners should consider a broader range of exercises, including those for shoulder and cervical spine stabilization.
• Further research may clarify optimal management strategies for LE in occupational settings.