Lateral Epicondylalgia Essay

the proven positive effect of anti-inflammatory drugs and corticosteroids. It still remains unknown whether inflammation precedes degeneration in the more acute phase of this condition. Pain mechanisms in CLE are due to central sensitization and the triggering of nociceptors by neurotransmitters or biochemical irritation due to the noxious products of cellular activity. Substance P found in the origin of ECRB tendon, has powerful influence on pain modulation in central nervous system.
LE is clinically diagnosed by mill’s test or cozen’s test. The natural course of the condition seems to be favourable, with spontaneous recovery within 1–2 years in 80–90% of the patients; however there is very little scientific data available on the natural history
Very few studies are available for the myofascial release technique and no studies are available for the combined treatment of Mulligan’s mobilization with movement and myofascial release technique in recurrent chronic lateral epiondylalgia. Hence, a need arises to rule out the usefulness of, the addition of myofascial release technique with Mulligan’s MWM and conventional treatment for patients with recurrent chronic lateral epicondylalgia. This study investigates the effectiveness of MWM and myofascial release technique on pain, grip strength and functional disability in recurrent chronic lateral epicondylalgia
MWM is a form of manual therapy that includes a sustained lateral glide to the elbow joint with concurrent physiological movement9. This mobilization technique is often used to correct the faulty position of the elbow joint is being widely used in management of musculoskeletal disorders. Miller5 described in his case report the use of the MWM for lateral epicondylalgia resulting in reduced pain, improvement of painfree grip strength (PFGS), and increased ability to tolerate resisted isometric wrist