Publish in this journal
Journal Information
Vol. 56. Issue 211.
(July - September 2021)
Download PDF
More article options
Vol. 56. Issue 211.
(July - September 2021)
Intractable lateral epicondilytis: A differential diagnosis algorithm for a correct clinical interpretation
Jose Miguel Aguililla Liñana,
Corresponding author

Corresponding author.
, Maria Isabel Miguel Pérezb, Jordi Palau Gonzálezc, Ingrid Möller Parerab
a Gimbernat School of Physiotherapy, Universitat Autònoma de Barcelona, Sant Cugat del Vallès 08174, Spain
b Department of Pathology and Experimental Therapeutics, Human Anatomy and Embryology Unit, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain
c Centre for Hand Therapy (Centre de la Mà de Barcelona), Barcelona, Spain
Article information
Full Text
Download PDF
Tables (2)
Table 1. Differential diagnosis of intractable lateral epicondylitis if the patient has snapping, blockage and/or apprehension.
Table 2. Muscles whose Myofascial Trigger Points can be involved in intractable lateral epicondylitis and that the clinician must assess (from highest to lowest prevalence).
Show moreShow less

The epicondylalgia is the most frequent upper extremity pathology in adults and it can become an “intractable lateral epicondylitis” when patients do not improve with the treatment received. This is a complex entity that includes several musculo-tendinous, articular and neural syndromes than can coexist and they can also be confused with each other. For this reason, it is necessary to do a systematized and exhaustive evaluation where all the dysfunctions capable of generating the symptoms are precisely and independently analyzed. On this basis, a 7 steps assessment algorithm is proposed on this paper to enable the clinician to perform a complete and organized evaluation of these patients, to achieve a correct clinical interpretation.

Tennis elbow
Chronic pain
Physical examination


These are the options to access the full texts of the publication Apunts Sports Medicine

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe to

Apunts Sports Medicine

Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Apunts Sports Medicine

Subscribe to our newsletter

Article options

Are you a health professional able to prescribe or dispense drugs?