In this issue of the Scandinavian Journal of Pain, Garnevall et al.  report on psychosocial issues of lateral epicondylalgia (tennis elbow) and how current classifications need revision so that these issues can be taken into account. Lateral epicondylalgia (LE) is a common condition with an incidence of 1–30% in the population . Symptoms are pain from the lateral aspect of the elbow on resisted dorsiflexion ofthe hand and on palpation ofthe affected tissue. Peak prevalence is between 35 and 45 years of age , and the cause is primarily repetitive overuse of the extensor muscles of the hand and fingers. Heavy manual labor increases the risk of being affected .The condition is a common example of soft tissue pain from ten-dons and tendinous muscle insertions. It was formerly looked upon as a straightforward tissue pain of nociceptive-inflammatory origin; hence, the common name tendinitis. However, recent research, of which a lot has been of Scandinavian origin, has paved the way for better understanding of the pathology and treatment of chronic tendon pain, e.g. Achilles tendinosis [3, 4, 5].We now know that in the chronic stage of the disorder the tissue no longer contains acute inflammatory reactions . Accordingly, the
Scandinavian Journal of Pain – de Gruyter
Published: Jul 1, 2013
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