Effectiveness of Radial Nerve Mobilization for Chronic Epicondylalgia

Effectiveness of Radial Nerve Mobilization Techniques and Their Interfaces for Treating Chronic Epicondylalgia

Effectiveness of radial nerve mobilization techniques and their interfaces for treating chronic epicondylalgia

Intervention: This is a randomized controlled clinical trial that will evaluate the effectiveness of adding radial nerve and its interface mobilization techniques to conventional musculoskeletal treatment.

Participants: Patients over 18 years of age with a diagnosis of chronic epicondylalgia and a positive radial nerve neurodynamic test. Those with previous infiltrations, concomitant pathologies, or contraindications will be excluded.

Study Groups:

• Control Group (n=23): Will receive conventional musculoskeletal treatment.
• Intervention Group (n=23): Will receive the same conventional treatment plus mobilization of the radial nerve and its interfaces.

Primary Outcomes:

• Pain (NPRS).
• Pain and functionality (PRTEE).
• Pressure pain threshold (Algometry).
• Pain-free grip strength (Dynamometry).
• Central sensitization (CSI). Assessments will be conducted at baseline, one week after the last treatment, and 3 months after the last treatment.

Inclusion Criteria:

• Age: Over 18 years old.
• Clinical diagnosis of lateral epicondylalgia.
• Chronic epicondylalgia symptoms for at least 3 months.
• Positive radial nerve neurodynamic test
• Signed informed consent form.

Exclusion Criteria:

• Infiltrations for CE within at least 3 months prior to the study.
• Concomitant problems or mobility issues of the upper limb or cervical spine.
• Contraindications specific to Diacutaneous Fibrolysis or neural mobilization.
• Difficulty understanding and signing the informed consent form.