Efficacy of Therapeutic Ultrasound and Therapeutic Laser Along with Myofascial Release in Reducing Pain and Improving Hand Grip for People with Lateral Epicondylitis

Abstract

Background: Lateral epicondylitis is a common overuse injury that affects the tendons on the outer side of the
elbow. It results from repetitive gripping or wrist extension activities, leading to microtrauma and subsequent
inflammation. The condition primarily manifests as pain and reduced grip strength, often affecting daily
activities and occupational performance. However, limited research directly compares the effectiveness of these
interventions for lateral epicondylitis.
Purpose: The aim of this study is to compare the effectiveness of therapeutic ultrasound and therapeutic laser,
in conjunction with myofascial trigger release, in reducing pain and improving handgrip strength in individuals
with lateral epicondylitis.
Methods: Patients willing to participate in the study were screened for inclusion and exclusion criteria taken from
Get well soon physio rehabilitation centre. The total number of subjects (40) are divided into 20 subjects for the
experimental group (Group A), they are given therapeutic ultrasound along with myofascial release . The control
group (Group B) consisting of 20 subjects, are low level therapeutic laser along with myofascial release, NPRS and
Handheld dynamometer are used as outcomes measure. The entire process was conducted from November 2022
to March 2023.
Results: The results revealed significant pain reduction and greater improvements in handgrip strength for the
therapeutic laser group compared to the therapeutic ultrasound group. This study showed that the p value is
statistically significant <0.0001.
Conclusion: This study concluded that therapeutic laser, when combined with myofascial trigger release,
demonstrated superior effectiveness compared to therapeutic ultrasound in the management of lateral epicondylitis.