Effectiveness of Neurodinamic Techniques on Radial Nerve for the Treatment of Lateral Epicondylalgia

Effectiveness of 'Tensioning Techniques' vs 'Sliding Techniques' on Radial Nerve for the Treatment of Lateral Epicondylalgia

Lateral elbow pain is a prevalent musculoskeletal disorder in the working population due to overuse of the upper limb. This pathology has serious consequences for health, work performance and overall health burden.

In this injury, as in any musculoskeletal disorder, the peripheral nervous system is involved. Because of its course and corresponding motor and sensory innervation in the area, the radial nerve should be taken into consideration as a structure involved in elbow pain.

The aim of the present study is to demonstrate which of the neurodynamic techniques is more effective in lateral epicondylalgia, neural tension techniques or neural mobilization techniques.

The aim of the present study is to demonstrate which is more effective among the neurodynamic techniques for lateral epicondylalgia, neural tension techniques or neural mobilization techniques.

A total of 60 subjects will be recruited and divided into 2 groups. 30 in Group 1 where they will receive a neural mobilization technique on the radial nerve and 30 in Group 2 where they will be subjected to a neural tension technique on the radial nerve.

The data to be collected will be grip strength, pain on pressure, pain and quality of life dash questionnaire, these data will be measured pre, post treatment and a re-evaluation at 4 weeks and 24 weeks after the intervention.

The duration of the treatment is 6 weeks, performing two sessions per week with 72 hours of rest between sessions. A total of 12 sessions will be carried out.

Inclusion Criteria:

• Patient diagnosed with lateral epicondylalgia.
• Experiencing elbow pain of 2 to 6 months duration.
• Age between 30 and 60 years old.
• Radial humeral joint tenderness to palpation.
• Positive Cozen's test

Exclusion Criteria:

• - Bilateral symptoms.
• Rheumatologic disease involving the elbow and wrist
• Musculoskeletal disorder due to connective tissue pathology
• Cervical radiculopathy
• Nerve compression including the upper extremity
• Operation on the affected arm
• Having received treatment for epicondylalgia in the last 6 months
• Radiating pain from the cervical spine
• Instability of the external ligamentous complex of the elbow(3).
• Not having received any physiotherapy session in the month prior to the start of the study.
• Neural clinical manifestations (electric shock-like pain, tingling, tingling, numbness and/or burning).