A recently published Clinical Review in BMJ offers a concise overview of the Management of Tennis Elbow. In their article, Dr. John Orchard and PT, Alex Kountouris explain tendon mechanics, loading responses and the fundamental principles of effective treatment programmes. They also discuss the current evidence base for newer minimally invasive treatments such as: platelet-rich plasma injections, hyaluronan gel injections and nitrate patches.

Link to article extract here!

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Video demonstration of eccentric exercise for wrist extensors

Noteworthy responses from an informed readership

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Creaney, L, Wallace, A, Curtis M, and Connell, D. 2011. Growth factor-based therapies provide additional benefit beyond physical therapy in resistant elbow tendinopathy: a prospective, single-blind, randomised trial of autologous blood injections versus platelet-rich plasma injections.

Coombes, BK, Bisset, L, and Vicenzino, B. 2009. A new integrative model of lateral epicondylalgia

Zeisig, E, Ljung, B-O, Alfredson, H, and Danielson, P. 2009. Immunohistochemical evidence of local production of catecholamines in cells of the muscle origins at the lateral and medial humeral epicondyles: of importance for the development of tennis and golfer’s elbow?