Comparative Effects of Multiple Angle Isometrics vs Standard Isometric Exercise in Lateral Epicondylitis

Lateral Epicondylitis is one of the most common musculoskeletal conditions affecting 1-3% of population.Various terminologies are used to describe the disease like tendinitis of extensor carpi radialis brevis muscle (ECRB), periostitis and radial epicondylitis, lateral epicondylitis is still the most used terminology in literature. Research shows that LE mainly targets population which is active with poor nutrition habits and biomechanical faults thus affecting their job and social life. Pain is seen to be activity dependent and is triggered via excessive muscle activity.

* Inclusion Criteria: * Adults aged 25-35 years. * Clinically diagnosed with acute or subacute lateral epicondylitis. * Patients with ≥3 out of the following 5 positive clinical tests: * Pain on palpation over the lateral epicondyle. * Cozen's test positive. * Mill's test positive. * Maudsley's test positive. * Acute or subacute clinical presentation. * Willing to participate and provide written informed consent. * Exclusion Criteria: * Cervical spine disorders. * Chronic lateral epicondylitis. * Elbow deformity (fracture, previous surgery, contracture, etc.). * Diabetes mellitus. * Steroid injection at the lateral epicondyle within the previous 3 months. * Rheumatoid arthritis or other neurological or muscular disorders. * Previous elbow injury. * Arthritic changes or calcifications around the elbow joint on radiographs. Malignancy. * Pregnancy. * Corticosteroid injection to the lateral epicondyle within the previous 6 weeks.