A Multimodal Approach for Pain Modulation and Pain Intensity Reduction in Individual With Lateral Epicondylitis and Associated Non-Specific Neck Pain

Background: Lateral Epicondylitis (tennis elbow) is a common musculoskeletal condition causing elbow pain and functional limitation. It is often associated with Non-Specific Neck Pain due to biomechanical links between the cervical spine and upper limb. Multimodal physiotherapy approaches targeting both proximal and distal structures may improve treatment outcomes. Objective: To evaluate the effectiveness of a multimodal physiotherapy approach—including the Tyler Twist technique, inhibition–ischemic compression, proximal kinetic chain exercises, and conventional therapy—in reducing pain and improving function in individuals with lateral epicondylitis associated with non-specific neck pain. Methodology: A randomized Clinical Trial was conducted on participants aged 30–40 years with lateral epicondylitis and non-specific neck pain. Subjects were divided into two groups: Group A received the Tyler Twist technique, inhibition–ischemic compression technique and conventional therapy; Group B received proximal kinetic chain exercises, inhibition-ischemic compression technique and conventional therapy; Outcomes were measured using NPRS, PRTEE, NDI, grip strength, MMT, and MFDS. Data were analysed using paired t- test. Results: Both experimental groups showed significant improvements in pain, strength, and function Group B demonstrated the greatest improvement in pain reduction, grip strength, and cervical disability scores. Conclusion: Multimodal physiotherapy is effective in managing lateral epicondylitis associated with non-specific neck pain. Proximal kinetic chain exercises showed superior benefits, highlighting the importance of including proximal strengthening in rehabilitation programs.