The Effect of Multimodal Approach of Electrotherapy Versus Shock Wave Therapy in Menopausal Women With Tennis Elbow.

As estrogen decreases, tendons may become weaker, less resilient, and more susceptible to injury, potentially leading to conditions like tendinopathy. This can often add to these feelings of pain and limit of function ; and possibly limit your movements in day to day activities. Multimodal electrotherapy ( low level laser therapy plus interferential current) and extracorporeal shock wave therapy can be used to improve this problem.

Inclusion criteria

• forty five menopausel females suffer from chronic lateral epicondylitis from Department of out patient orthopedic clinic of 6 october hospital .

(2) Their age ranged from 45 _55 years old 3) Their BMI will be 18.5 to 24.9 kg/m2. 4) Point tenderness at the lateral epicondyle. 5) Positive Cozen test 6) Symptoms duration of minimum 3 months

Exclusion criteria

• Patients with cervical radiculopathy ,thoracic outlet syndrome ,
• dysfunction in shoulder or elbow with corticosteroid injection in previous three months.
• Their BMI more than 25 kg/m2.
• Unrelated to any traumatic conditions
• Any previous fracture elbow, wrist or hand

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