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A correlation was found, suggesting comanagement of the disorders
ABSTRACT: Lateral epicondylitis, or tennis elbow, presents as pain at the lateral epicondyle. This overuse injury occurs most frequently in the extensor carpi radialis brevis tendon. C6 and C7 radiculopathy may cause referral of pain to near the lateral epicondyle. In earlier studies, resolution of elbow symptoms occurred in patients with recalcitrant lateral epicondylitis who were treated for cervical radiculopathy. In our study, we examined the prevalence of lateral epicondylitis in patients with a diagnosis of cervical radiculopathy to further understand the connection between C6 and C7 radiculopathy and lateral epicondylitis. On the basis of our findings, we recommend providing treatment programs designed to manage both the underlying cervical radiculopathy and the lateral epicondylitis when they present together. (J Musculoskel Med. 2010;27:111-115)
Lateral epicondylitis, or tennis elbow, is an overuse injury to the common extensor tendon that presents as pain at the lateral epicondyle. C 6 and C 7 radiculopathy may cause referral of pain down the arm near the lateral epicondyle.
In earlier studies, elbow symptoms resolved in patients with recalcitrant lateral epicondylitis who were treated for cervical radiculopathy. To further understand the connection between C6 and C7 radiculopathy and lateral epicondylitis, we conducted our own study. In this article, we describe our study, the results, our conclusions, and treatment recommendations.
Background
A diagnosis of lateral epicondylitis, described as a condition causing pain in the lateral elbow of tennis players, was first made in 1883. This injury occurs most frequently in the extensor carpi radialis brevis (ECRB) tendon (Figure). The degree of injury may vary from a slight disruption of collagen fibers to a partial or full tear of the ECRB and its attachment to the lateral epicondyle.1-3
Patients with lateral epicondylitis present with pain at the lateral aspect of the elbow that often radiates down the forearm. Weakness in grip and arm strength often is reported. Tenderness is present with palpation of the lateral epicondyle over the extensor mass. The onset of symptoms often is gradual, but it may be related to a specific injury.4
Lateral epicondylitis may be managed nonsurgically or surgically. Nonsurgical treatment has a success rate of up to 90%.5 Operative treatment is indicated if extensive conservative care has...