Effectiveness of the Astym Technique, the Graston Technique, and Therapeutic Ultrasound in the Treatment of Lateral Epicondylosis.

A Randomized Clinical Controlled Study Comparing the Effectiveness of the Astym Technique, the Graston Technique, and Therapeutic Ultrasound in the Treatment of Lateral Epicondylosis.

The purpose of this study is to examine the effectiveness of three common techniques for the treatment of lateral epicondylosis. Through objective and subjective assessments this study will determine the effectiveness of the Astym Treatment Technique, the Graston Treatment Technique, and therapeutic ultrasound in the conservative treatment of lateral epicondylosis. It is hypothesized that the more manual Astym technique and Graston technique will produce more significant results than the more frequently utilized ultrasound.

Inclusion Criteria:

• Clients who are admitted to NYULMC Center for Musculoskeletal Care for outpatient occupational or physical therapy with a diagnosis of lateral epicondylosis will be included. To participate in the study participants must:
• Be able to follow a home exercise program
• Be able to consent to participation in the research study

Exclusion Criteria:

• Clients who are deemed unable to consent to participation in the research study and/or unable to following a home exercise program will not be included in this study
• Clients with additional acute orthopedic injuries and/or surgeries to the involved upper extremity will not be included in this study.
• Clients with open wounds of the involved upper extremity that will interfere with treatment techniques will not be involved in this study.