Even a “simple” pain condition such as “Tennis Elbow” is not only a somatic experience: body and mind are inseparable entities

Even a “simple” pain condition such as “Tennis Elbow” is not only a somatic experience:... In this issue of the Scandinavian Journal of Pain, Garnevall et al. [1] 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 [2]. 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 [2], 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 [2].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 [6]. Accordingly, the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Scandinavian Journal of Pain de Gruyter

Even a “simple” pain condition such as “Tennis Elbow” is not only a somatic experience: body and mind are inseparable entities

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Publisher
De Gruyter
Copyright
© 2013 Scandinavian Association for the Study of Pain
ISSN
1877-8860
eISSN
1877-8879
D.O.I.
10.1016/j.sjpain.2013.05.002
Publisher site
See Article on Publisher Site

Abstract

In this issue of the Scandinavian Journal of Pain, Garnevall et al. [1] 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 [2]. 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 [2], 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 [2].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 [6]. Accordingly, the

Journal

Scandinavian Journal of Painde Gruyter

Published: Jul 1, 2013

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