Tennis Elbow (or Lateral Epicondylalgia) is one of the most common overload injuries that it is the most frequent cause of lateral elbow pain, occurring to people between 40-60 years of age. It is characterized by pain on the outside of the elbow, usually near the lateral epicondyle bone where the extensor carpi Brevis tendon attaches, aggravated by gripping or wringing activities During menopause period, declining estrogen levels can negatively impact tendon health. Estrogen plays a protective role in tendons, contributing to their strength and ability to withstand load.
Inclusion Criteria:
1) forty five menopausel females suffer from chronic lateral epicondylitis from Department of out patient orthopedic clinic of 6 october hospital .
(2) Their age ranged from 45 _55 years old 3) Their BMI will be 18.5 to 24.9 kg/m2. 4) Point tenderness at the lateral epicondyle. 5) Positive Cozen test 6) Symptoms duration of minimum 3 months
Exclusion Criteria:
Patients with cervical radiculopathy ,thoracic outlet syndrome ,
dysfunction in shoulder or elbow with corticosteroid injection in previous three months.
Their BMI more than 25 kg/m2.
Unrelated to any traumatic conditions
Any previous fracture elbow, wrist or hand
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Heba.Ahmed.PT@o6u.edu.eg
It consisted of fifteen menopause women receive the multimodal electrotherapy ( low level laser therapy and interferential current ) with conventional physical therapy as form of stretching and strengthen exercise
It consisted of fifteen menopause women receive receives extracorporeal shock wave therapy with conventional physical therapy
It consisted of fifteen menopause women receive conventional physical therapy
Mennamohmed.PT@o6u.edu.eg01118758578
Effectiveness of Extracorporeal Shockwave Therapy Based on Fascial Manipulation Theory for Lateral Epicondylitis
Effectiveness of Extracorporeal Shockwave Therapy and Nutraceutical Supplementation in the Treatment of Epicondylitis: a Clinical Trial
Combined Shockwave Therapy Versus Focused Shockwave Therapy in Patients With Lateral Epicondylitis