TY - JOUR T1 - A new integrative model of lateral epicondylalgia JF - British Journal of Sports Medicine JO - Br J Sports Med SP - 252 LP - 258 DO - 10.1136/bjsm.2008.052738 VL - 43 IS - 4 AU - B K Coombes AU - L Bisset AU - B Vicenzino Y1 - 2009/04/01 UR - http://bjsm.bmj.com/content/43/4/252.abstract N2 - 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. ER -