Central Sensitization and Ultrasound in Lateral Epicondylitis
Official title: Central Sensitization, Ultrasonographic Findings, Functional Status, and Psychosocial Factors in Lateral Epicondylitis
Run by Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey · NCT07827898 · Data updated 2026-11-12
This study tests whether people with chronic tennis elbow have different pressure pain thresholds and ultrasound findings compared with healthy controls.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 128 (estimated) |
| Sponsor | Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey Academic / other |
| Locations | 1 site (Istanbul) |
| Status | Recruiting |
| Started | August 15, 2026 |
| Main results expected | December 15, 2026 |
| Study ends | December 15, 2026 |
| Registry record updated | September 18, 2026 |
| Trial ID | NCT07827898 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with unilateral lateral elbow pain lasting at least 3 months, a pain score of 4/10 or higher, tenderness at the common extensor tendon or lateral epicondyle, and grip-related pain or wrist extensor resistance.
✕Probably not a fit
Individuals with recent elbow surgery, other elbow pathologies, cervical/shoulder disorders, or systemic conditions may not benefit from this study’s findings for their condition.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This cross-sectional case-control study compares remote pressure pain thresholds between adults with chronic lateral epicondylitis and healthy individuals. It also examines clinical, functional, psychosocial, and ultrasonographic features to understand factors linked to functional impairment. The approach uses pressure pain threshold testing and ultrasonography of the lateral elbow region, including the radial nerve area, to explore peripheral and central contributors to pain. Eligibility focuses on adults with unilateral elbow pain persisting at least three months and specific clinical criteria, alongside healthy controls. The study aims to identify associations between sensitization, imaging findings, and disability in chronic lateral epicondylitis.
Why it matters
Potential benefit: If successful, findings could improve understanding of pain mechanisms in chronic lateral epicondylitis and inform more comprehensive assessment and management strategies.
How similar studies have gone: Previous work suggests both local and central pain mechanisms can accompany chronic tendinopathies, but direct evidence in this exact combination is limited, making this approach relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
1. CASE GROUP Inclusion Criteria: Have unilateral lateral elbow pain persisting for at least 3 months Have a visual analog scale score of 4/10 or higher Have tenderness upon palpation of the common extensor tendon and/or lateral epicondyle region Experience elbow pain that occurs or worsens with hand grip or lateral elbow pain that occurs with resistant static contraction or stretching of the wrist extensors Have read and signed the volunteer consent form (VCF) Exclusion Criteria: * Having undergone surgery on the upper extremity or cervical region before * Presence of cervical or shoulder pathology * Mechanical symptoms in the elbow (locking, limited range of motion) and other elbow pathologies * History of trauma to the elbow * Presence of upper extremity neurological deficit * History of fibromyalgia, central nervous system disease, or rheumatic disease * Last 1 month history of physical therapy or injection for lateral epicondylitis * Pregnancy 2. HEALTHY GROUP Inclusion Criteria: * Not having experienced elbow pain before * Having read and signed the volunteer agreement form (BGOF) 2.Exclusion criteria * Presence of upper extremity, shoulder, or neck pain within the last year * History of upper extremity fractures * Presence of neurological deficits
Where it's running
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Sultan Abdülhamid Han Eğitim ve Araştırma Hastanesi
Istanbul, Turkey (Türkiye) Recruiting
Study contacts
- Principal investigator: Mustafa Hüseyin Temel, Assoc. Prof. — Saglik Bilimleri Universitesi
- Study coordinator: Mustafa Hüseyin Temel, Assoc. Prof.
- Email: mhuseyintemel@gmail.com
- Phone: 2165422000
Similar studies
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Combining ESWT and Blood Flow Restriction Therapy for Lateral Epicondylitis
This study tests whether combining extracorporeal shock wave therapy (ESWT) with blood flow restriction (BFR) therapy helps people with lateral epicondylitis restore function and reduce pain.
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.