Clinical trial: Comparative Research Among 3 Action Protocol in Other to Approach Chronic Lateral Epicondyle Tendinopathy (NCT03572803)

Eligibility criteria:
Inclusion Criteria:

          -  Age between 18 and 65 years.

          -  Patients diagnosed of chronic lateral epicondyle tendinopathy with a minimum of 3
             months of evolution.

          -  Pain when palpating the lateral epicondyle area.

          -  Positive test in at least 1 of the following 3 clinical tests: Cozen, Thomson or
             Mill's

          -  Have the capacity to perform all clinical tests, understand the study process, and
             obtain informed consent.

        Exclusion Criteria:

          -  Previous history of direct trauma, fractures, joint instability, surgery or rheumatic
             alterations of the lateral epicondyle area.

          -  Full elbow extension limited.

          -  Alterations at cervical level such as: cervical radiculopathy (C4-C7), degenerative
             pathology in the cervical spine, exacerbated pain increase with neck movements or
             cervical compression.

          -  Symptoms compatible with entrapment of the posterior interosseous nerve.

          -  NSAID intake the week before the intervention;

          -  Have received treatment with infiltration in the last year;

          -  Have received physiotherapy treatment during the last month.
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

Patient description (medical language): 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 description (patient's own words): 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.

Does the patient match the trial criteria? Contradiction