Tennis Elbow (or Lateral Epicondylalgia) is one of the most common overload injuries that it is the most frequent cause of lateral elbow pain, occurring to people between 40-60 years of age. It is characterized by pain on the outside of the elbow, usually near the lateral epicondyle bone where the extensor carpi Brevis tendon attaches, aggravated by gripping or wringing activities During menopause period, declining estrogen levels can negatively impact tendon health. Estrogen plays a protective role in tendons, contributing to their strength and ability to withstand load.
As estrogen decreases, tendons may become weaker, less resilient, and more susceptible to injury, potentially leading to conditions like tendinopathy. This can often add to these feelings of pain and limit of function ; and possibly limit your movements in day to day activities. Multimodal electrotherapy ( low level laser therapy plus interferential current) and extracorporeal shock wave therapy can be used to improve this problem.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
45
subjects will receive multimodal approach of electrotherapy (LLLT , and IFC) with conventional physical therapy modalities in the form of (stretch and strengthen exercises ) 3 sessions every week for 6 weeks
subjects will receive shock wave therapy with conventional physical therapy modalities 3 sessions every week for 6 weeks.
subjects will receive with conventional physical therapy modalities only in the form of (stretching and strengthening therapeutic exercises ) 3 sessions every week for 6 weeks.
Heba
Cairo, Egypt
RECRUITINGVisual analogue scale
The VAS consists of a 10-cm line, with the left extremity indicating ''no pain'' and the right extremity indicating ''unbearable pain.'' Participants asked to use the scale to indicate their current level of pain Higher values suggest more intense pain ,It was found that VAS provide valid and reliable assessments for the affective magnitude, as well as the sensation intensity of pain.
Time frame: 6 weeks
hand grip
Grip hand strength will be assessed by hand held dynamometer
Time frame: 6 weeks
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