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Abstract
This paper reviews a number of studies evaluating a variety of therapeutic interventions used in the management of lateral epicondylalgia. A range of physical therapies, drug therapies and surgical interventions are considered and evidence to support their efficacy is reviewed. While a number of treatments have shown some benefit in the management of lateral epicondylalgia no specific therapy has emerged as a 'gold standard' with demonstrably superior long-term efficacy. Although there have been many laudable studies, the body of research which has developed to date is characterized by a number of methodological flaws. These include: lack of non-treatment controls, lack of placebo controls, inadequate subject numbers, lack of objective outcome measures and inadequate follow-up. The limitations of current research are discussed and recommendations made for future studies. The paper also draws attention to approaches such as exercise therapy which have not been subject to rigorous research and encourages researchers to meet the challenge of evaluating these approaches.