The aim of the present intervention is to determine the effectiveness of the application of tissue flossing in patients with tennis elbow

The application of tissue flossing has been deemed to provide beneficial results in patients with ankle range of motion limitation. Although, tissue flossing is widely extended among athletes due to its effectiveness in pain, function and range of motion, the evidence is limited.

The aim of the present protocol is to determine the effectiveness of tissue flossing in patients with tennis elbow.

Inclusion Criteria:

• Elbow pain for at least 6 weeks and satisfy the widely accepted diagnostic criteria of lateral epicondylalgia.
• Diagnostic criteria are pain over the lateral humeral epicondyle that is provoked by gripping activities.
• Reduced grip strength and increased sensitivity to manual palpation over the lateral epicondyle.
• Pain with stretching or contraction of the wrist extensor muscles.

Exclusion Criteria:

• Upper limb fractures, surgery or concomitant disease.
• Red flags presence.
• Mental disorders.

This intervention could be beneficial to support or refuse the use of tissue flossing.

Patients will be allocated to intervention (flossing) or control group (conventional physiotherapy) using a randomized list of allocated numbers generated by a computer program. Opaque envelope will contain the patients allocation while outcome assessors, care provider and principal investigator will be blinded to the allocation process.