The NOrwegian Tennis Elbow (NOTE) Study
Lateral Epicondylitis, Tennis Elbow, Tendinopathy, Elbow
About this trial
This is an interventional treatment trial for Lateral Epicondylitis focused on measuring Extracorporeal shock wave therapy, Heavy slow resistance exercise, Strength exercises
Eligibility Criteria
Inclusion Criteria:
- Ability to fill in the questionnaires (understand oral and written Norwegian)
- Clinically diagnosed tennis elbow provoked by at least two of: Pain on pressure of the common extensor origin, Pain during power grip, Resisted wrist extension (Tomsen test), Resisted third finger extension (Maudsley´s test), Stretching of the extensors (Mill´s test)
Exclusion Criteria:
- Patients With significant Language issues (does not understand oral or written Norwegian
- Contraindications to ESWT (pregnancy, coagulation disturbance, connective tissues disease, epilepsy, use og pacemaker)
- Suspicion of other serious illness
Sites / Locations
- Oslo University Hospital
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Active Comparator
Active Comparator
Heavy Slow Exercise
Extracorporeal Shock wave therapy
Information and advice
One dedicated physiotherapist will supervise and instruct the exercise program on an individual basis. If the patient doesn't have access to a dumbbell, it will be offered free rental from the physiotherapy ward. Follow-up on the exercises will be scheduled as needed and tele rehabilitation will be offered as an option. Additionally to HSR exercises, participants will be instructed to perform daily stretches of the forearm.
The patients will receive rESWT (SwissDolodClast/EMS) once a week for three sessions. The treatment will be given by a physiotherapist trained in using rESWT. The rESWT is given on the ECRB tendon insertion area.
The information and advice group are given a single face-to-face session with a physiotherapist, lasting up to 60 minutes.