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Tennis elbow: blending basic science with clinical practice
Journal article   Open access   Peer reviewed

Tennis elbow: blending basic science with clinical practice

Jane M. Fedorczyk
Journal of hand therapy : official journal of the American Society of Hand Therapists, v 19(2)
Apr 2006
PMID: 16713862
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Preprint (Author's original)Drexel University. College of Nursing and Health Professions. Faculty Research and PublicationsOpen Access (License Unspecified) Open Access

Abstract

Animals Disease Models, Animal Humans Neuropeptides - physiology Tendinopathy - diagnosis Tendinopathy - physiopathology Tendinopathy - therapy Tendons - pathology Tendons - physiopathology Tennis Elbow - diagnosis Tennis Elbow - physiopathology Tennis Elbow - therapy
Tennis elbow defines a condition of varying degrees of pain or point tenderness on or near the lateral epicondyle. It is prevalent in individuals that perform a combination of forceful and repetitive activities including athletes and wheelchair users. It is the most common work-related disorder at the elbow. Histopathological findings indicate that tennis elbow is a degenerative condition, called tendinosis, of the common extensor tendon, with the ECRB tendon more commonly implicated as the primary location of tendinosis. Despite the absence of inflammation, patients with tennis elbow still present with pain. Neurochemicals including glutamate, substance P, and calcitonin gene-related peptide have been identified in patients with chronic tennis elbow and in animal models of tendinopathy. Their presence provides an alternative mechanism for pain mediation. Based on what is known about tissue changes within chronic tendinopathies, implications for therapy including examination and interventions are discussed.

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Web of Science research areas
Orthopedics
Rehabilitation
Surgery
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