Tennis Elbow-Cyriax Approach

Tennis Elbow-Cyriax Approach

A quote from this review article on one of the techniques we use for tennis elbow or lateral epicondylitis.

‘‘Such a variety of treatment options suggests that the optimal treatment strategy is not known’’

There are over 40 different approaches to treating tennis elbow or lateral epicondylitis. To maximize results, we use a systematic and comprehensive approach with this methodology (combined with others) usually used in our “plan A” treatment package.

Here is a brief overview from the article:

Tennis elbow (lateral epicondylitis) is one of the most common lesions of the arm. This disorder challenges the clinician daily, as it is an injury that is difficult to treat, is prone to recurrent bouts, and may last for several weeks or months. The average duration of a typical episode of tennis elbow is between six months and two years.

It is a degenerative or failed healing tendon response characterised by the increased presence of fibroblasts, vascular hyperplasia, and disorganised collagen in the origin of the extensor carpi radialis brevis, the most commonly affected structure.

It is generally a work related or sport related pain disorder with macroscopic and microscopic tears in the extensor carpi radialis brevis, usually caused by excessive quick, monotonous, repetitive eccentric contractions and gripping activities of the wrist. The dominant arm is commonly affected, with a prevalence of 1–3% in the general population, but this increases to 19% at 30–60 years of age and appears to be more long standing and severe in women.