Effectiveness of Extracorporeal Shockwave Therapy Based on Fascial Manipulation Theory for Lateral Epicondylitis

Inclusion Criteria

• •1. Persistent pain at the lateral epicondyle of the humerus for ≥ 3 months
• •2. Pain is palpable at the lateral epicondyle of the humerus during examination
• •3. Positive Thompson's test (i.e., the patient reports pain when performing resisted extension while slightly extending the wrist joint, flexing the fist, extending the elbow joint, and having the forearm in an ulnar deviation position)
• •4. Positive Mill's test (i.e., the patient reports pain when performing resisted supination while slightly flexing the elbow joint, having the forearm in an ulnar deviation position, slightly extending the wrist joint, and flexing the fist)
• •5. Pain occurs during resisted extension of the index finger
• •6. Age between 18 and 65 years old. The participants in our study included those who were frequently active.