ESWT vs HILT in Chronic Lateral Epicondylitis

Effectiveness of Shockwave Therapy Versus High-Power Laser Therapy in the Management of Chronic Lateral Epicondylitis: A Double-Blind Randomized Controlled Trial

This randomized controlled trial aims to compare the effectiveness of Extracorporeal Shock Wave Therapy (ESWT) and High-Intensity Laser Therapy (HILT) in patients with chronic lateral epicondylitis.

Participants will be randomly assigned into three groups receiving either conventional physiotherapy alone, ESWT plus conventional physiotherapy, or HILT plus conventional physiotherapy. Clinical assessments will be performed before and after treatment

Inclusion Criteria:

• • Age 40-50 years.

  • Clinically diagnosed chronic lateral epicondylitis.
  • Symptoms lasting more than 3 months.
  • Positive clinical provocation tests.
  • Localized tenderness over the lateral epicondyle.

Exclusion Criteria:

• • Previous elbow surgery.

  • Corticosteroid injection within the last 6 months.
  • Cervical radiculopathy.
  • Peripheral nerve entrapment.
  • Rheumatologic or systemic inflammatory disorders.
  • Elbow fracture.
  • Severe elbow instability