EC Orthopaedics

Short Communication Volume 16 Issue 1 - 2025

Challenges and Solutions in Evaluating Physiotherapy for Managing Lateral Elbow Tendinopathy

Dimitrios Stasinopoulos*

Associate Professor of Physiotherapy, Department of Physiotherapy, Faculty of Health and Caring Sciences, University of West Attica, Member of Laboratory of Neuromuscular and Cardiovascular Study of Motion (LANECASM), Athens, Greece

*Corresponding Author: Dimitrios Stasinopoulos, Associate Professor of Physiotherapy, Department of Physiotherapy, Faculty of Health and Caring Sciences, University of West Attica, Member of Laboratory of Neuromuscular and Cardiovascular Study of Motion (LANECASM), Athens, Greece.
Received: September 26, 2024; Published: December 26, 2024



I read with interest the research that contributes to the understanding of the efficacy of physiotherapy techniques in the treatment of lateral elbow tendinopathy (LET) [1].

Keywords: Lateral Elbow Tendinopathy; Exercise; Manual Therapy; Physical Agents

  1. Lucado AM., et al. “Lateral elbow pain and muscle function impairments”. Journal of Orthopaedic and Sports Physical Therapy 12 (2022): CPG1-CPG111.
  2. Di Filippo., et al. “Treatment, diagnostic criteria and variability of terminology for lateral elbow pain: findings from an overview of systematic reviews”. Healthcare6 (2022): 1095.
  3. Stasinopoulos D and Johnson MI. “Lateral elbow tendinopathy is the most appropriate diagnostic term for the condition commonly referred-to as lateral epicondylitis”. Medical Hypotheses 6 (2006): 1400-1402.
  4. Scott A., et al. “ICON 2019: International scientific tendinopathy symposium consensus: clinical terminology”. British Journal of Sports Medicine 5 (2020): 260-262.
  5. Stasinopoulos D and Papadopoulou M. “Is lateral elbow tendinopathy an appropriate clinical diagnostic term when the condition is persistent?” Journal of Clinical Medicine 9 (2022): 2290.
  6. Bateman M., et al. “Lived experience of people with lateral elbow tendinopathy: a qualitative study from the OPTimisE pilot and feasibility trial”. BMJ Open8 (2023): e072070.
  7. Stasinopoulos D. “Stop using the eccentric exercises as the gold standard treatment for the management of lateral elbow tendinopathy”. Journal of Clinical Medicine 5 (2022): 1325.
  8. Bateman M., et al. “Development of an optimised physiotherapist-led treatment protocol for lateral elbow tendinopathy: a consensus study using an online nominal group technique”. BMJ Open12 (2021): e053841.
  9. Stasinopoulos D. “The effectiveness of electrophysical agents in the management of lateral elbow tendinopathy (LET)”. Annals of Physiotherapy and Occupational Therapy 3 (2023): 000254.
  10. Kinney WR and Anderson BR. “Nonoperative management of lateral epicondyle tendinopathy: An umbrella review”. Journal of Chiropractic Medicine 3 (2023): 204-211.
  11. https://shockwavetherapy.org/
  12. Recommended treatment doses for Low Level Laser Therapy. Laser class 3B, 904 nm GaAs Lasers. (Peak pulse output >1 Watt, mean output >5 mW and power density > 5mW/cm2).
  13. Recommended treatment doses for Low Level Laser Therapy. Laser class 3 B, 780 - 860nm GaAlAs Lasers. Continuous or pulsed, mean output: 5 - 500mW.
  14. Stasinopoulos D., et al. “Are there effective ultrasound parameters in the management of lateral elbow tendinopathy? a systematic review of the literature”. International Journal of Physical Medicine and Rehabilitation 3 (2013): 117.
  15. Stasinopoulos D. “Issues related to the effectiveness of extracorporeal shock wave therapy for the management of lateral elbow tendinopathy”. Journal of Clinical Medicine 18 (2022): 5413.
  16. Yoon SY., et al. “Does the type of extracorporeal shock therapy influence treatment effectiveness in lateral epicondylitis? a systematic review and meta-analysis”. Clinical Orthopaedics and Related Research 10 (2020): 2324-2339.
  17. Dimitrios S. “Are electrophysical agents the only passive physical therapy modalities?” Journal of Orthopedic Research and Therapy 9 (2024): 1351.

Dimitrios Stasinopoulos. "Challenges and Solutions in Evaluating Physiotherapy for Managing Lateral Elbow Tendinopathy." EC Orthopaedics 16.1 (2025): 01-03.

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