(English) Episode 189-Lateral Elbow Pain Management Guidelines

These clinical practice guidelines provide a comprehensive framework for managing lateral elbow tendinopathy (LET), commonly known as tennis elbow. The document outlines a multimodal treatment approach that prioritizes therapeutic exercise, specifically wrist extensor strengthening, alongside manual therapies like joint mobilization and dry needling. Clinicians are encouraged to classify patients based on their level of irritability and pain distribution to tailor interventions effectively. While the text reviews various tools like orthoses, taping, and ultrasound, it notes that evidence for these specific modalities is often conflicting or limited to short-term relief. Ultimately, the guidelines emphasize phased tissue loading and ergonomic adjustments to restore long-term function and prevent recurrence. Prognostic factors such as grip strength, age, and occupation are also highlighted to help practitioners predict recovery outcomes.(Lucado AM, Day JM, Vincent JI, MacDermid JC, Fedorczyk J, Grewal R, et al. Lateral elbow pain and muscle function impairments: Clinical practice guidelines linked to the international classification of functioning, disability and health from the academy of hand and upper extremity physical therapy and the academy of orthopaedic physical therapy of the American physical therapy association. J Orthop Sports Phys Ther [Internet]. 2022;52(12):CPG1–111. Available from: http://dx.doi.org/10.2519/jospt.2022.0302)