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Lateral Elbow Pain and Muscle Function Impairments.

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    Effective non-surgical treatments are needed for lateral elbow tendinopathy due to high recurrence and prolonged sick leave. This guideline details management strategies for physical therapists.

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    Area of Science:

    • Orthopedics
    • Sports Medicine
    • Physical Therapy

    Background:

    • Lateral elbow tendinopathy, often considered self-limiting, presents challenges with high recurrence rates and significant sick leave.
    • The underlying pathophysiology involves tendon changes, motor control deficits, and altered pain processing, contributing to persistent symptoms.

    Purpose of the Study:

    • To provide a comprehensive clinical practice guideline for managing lateral elbow tendinopathy.
    • To consolidate current knowledge on epidemiology, pathophysiology, risk factors, and prognosis.
    • To outline evidence-based tests, measures, and interventions for physical therapy.

    Main Methods:

    • Systematic review and synthesis of existing literature.
    • Development of evidence-based recommendations for clinical practice.
    • Inclusion of epidemiology, anatomy, pathophysiology, risk factors, clinical course, prognosis, diagnosis, and interventions.

    Main Results:

    • High recurrence rates and extended sick leave underscore the need for effective interventions.
    • Understanding the interplay of structural, functional, and pain processing factors is crucial for management.
    • The guideline offers a structured approach to assessment and treatment within physical therapy.

    Conclusions:

    • Lateral elbow tendinopathy requires effective non-surgical management strategies beyond its self-limiting description.
    • Physical therapists play a key role in addressing the multifaceted nature of this condition.
    • This guideline serves as a resource for optimizing patient outcomes and reducing disability.