Article Text

PDF
A new integrative model of lateral epicondylalgia
  1. B K Coombes1,
  2. L Bisset2,3,
  3. B Vicenzino1
  1. 1
    Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, Queensland, Australia
  2. 2
    School of Physiotherapy and Exercise Science, Griffith University, Gold Coast Campus, Queensland, Australia
  3. 3
    Physiotherapy Department, Royal Brisbane & Women’s Hospital, Herston Queensland, Australia
  1. Bill Vicenzino, Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, Building 84A, St Lucia QLD 4072; b.vicenzino{at}uq.edu.au

Abstract

Tennis elbow or lateral epicondylalgia is a diagnosis familiar to many within the general community and presents with an uncomplicated clinical picture in most cases. However, the underlying pathophysiology presents a more complex state and its management has not been conclusively determined. Research on this topic extends across anatomical, biomechanical and clinical literature; however, integration of findings is lacking. We propose that the current understanding of the underlying pathophysiology of lateral epicondylalgia can be conceptualised as encompassing three interrelated components: (i) the local tendon pathology, (ii) changes in the pain system, and (iii) motor system impairments. This paper presents a model that integrates these components on the basis of a literature review with the express aim of assisting in the targeting of specific treatments or combinations thereof to individual patients.

Statistics from Altmetric.com

Footnotes

  • Funding: National Health & Medical Research Council Grant #511238.

  • Competing interests: None.

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles