|Lateral epicondylitis or tennis elbow is one of the most common lesions of the arm. This injury is a major challenge, as it is difficult to treat, prone to recurrence and may last for several weeks or months, with an average duration of a typical episode which has been reported to be between six months to two years. The dominant arm is more commonly affected and the incidence of tennis elbow in practice is approximately 4 to 7 per 1000 patients per year with the annual incidence of 1-3% in the general population which increases to 19% in 30-60 years old population specifically and appears to be more long standing and severe in women . A common presentation may consist of pain and tenderness over the lateral epicondyle of the humerus, the radial head, the fascia between and the origins of extensor muscles as well as radiating occasionally into the forearm. Many people complain of weak and painful grasp, eventually shaking hands along with which turning a door handle, picking up a milk carton or carrying a briefcase may cause severe pain around the epicondyle. The traditional view is that tennis elbow is initiated by macroscopic or microscopic tears at the common tendon of the wrist extensor muscles due to chronic overuse.
Mobilization with Movement Technique as an Adjunct to Conventional Physiotherapy in Treatment of Chronic Lateral Epicondylits-A Comparative Study: Deepak B Anap, Mahendra L Shende and Subhash Khatri