Patient case (clinical description): A 17-year-old male comes to the office due to several months of right elbow pain.  The pain is worse with activity and limits his workouts and activities.  He has tried over-the-counter medications with limited relief.  Medical history is notable for eczema, and current medications include a topical hydrocortisone ointment.  He is sexually active with his girlfriend and uses condoms. He does not smoke or drink alcohol. He plays tennis most of the days of the week. The comprehensive evaluation shows pain on the lateral side of the elbow, made worse by pressure applied on the lateral epicondyle of the humerus and when making a fist with the elbow joint straightened. The patient has this pain since last year and had several courses of physical therapy.

Patient's own account: I'm 17, and I had to go to the doctor because I've been suffering from my right elbow for several months. The pain is even worse when I do sports and it kind of limits me for my workouts and activities. I tried over-the-counter medications but it didn't work much. I had eczema before and my medication is ointments that contain cortisone. I am sexually active as a 17-year-old guy, and I have a girlfriend, and we use condoms. I don't smoke or drink. I play tennis most days of the week. I did an exam that showed pain on the side of my elbow and it was worse when they applied some pressure on it and when I was putting my hand as a fist. I have had this pain since last year, and I had several sessions of physical therapy already.

Clinical trial: Comparison of Peloidotherapy and Extracorporeal Shock Wave Therapy Efficiency in Patients With Lateral Epicondylitis

Eligibility criteria:
Inclusion Criteria:

          -  Patients who present with elbow pain and are diagnosed with unilateral LE due to the
             presence of pain by pressing on the epicondyle in physical examination, wrist
             extension against resistance and during stretching of the wrist extensors, who have
             elbow pain for at least 3 months and between the ages of 18-65 will be accepted to the
             study.

        Exclusion Criteria

          -  Those with communication problems

          -  A history of cervical and shoulder problems

          -  History of injection, surgery, physical therapy in the elbow area in the last 6 months

          -  Having had ESWT treatment in the elbow area before

          -  History of elbow problems other than LE

          -  Elbow osteoarthritis, previous elbow fracture history

          -  A history of polyneuropathy,

          -  Those with a history of uncontrolled systemic disease (cardiovascular, pulmonary,
             hepatic, renal, hematologic ..),

          -  Those with a history of systemic endocrine disease (DM, hyperthyroidism ..),

          -  Major psychiatric illness

          -  History of rheumatic diseases such as fibromyalgia, polymyalgiaromatica, ankylosing
             spondylitis, rheumatoid arthritis

          -  Those who use bleeding disorders and anticoagulants

          -  Neurological deficit

          -  Malignancy

          -  Those with a history of pacemakers were not included in the study.
No condition on gender to be admitted to the trial.
No healthy subjects accepted to join the trial.
Subject must be at least 18 Years old.
Subject must be at most 65 Years

Eligibility (NLI label): Contradiction