College of Massage Therapists of British Columbia (CMTBC) Practice Exam

What is considered the best treatment for lateral epicondylitis?

1. Rest and ice application

2. Reciprocal inhibition to flexors

3. Stretching the extensors

4. Strength training of the forearm

The correct answer is: Reciprocal inhibition to flexors

The best treatment for lateral epicondylitis, often known as tennis elbow, typically involves addressing the muscle imbalances and functional deficits that contribute to the condition. Reciprocal inhibition to the flexors is a technique that involves relaxing tight or overactive muscles (in this case, the flexor muscles of the forearm) while engaging their antagonist muscles (the extensor muscles). This approach helps to reduce tension in the flexors, thus alleviating stress on the elbow joint where the extensor tendons attach. The goal is to improve the overall balance between the muscles that cross the elbow joint, aiding in rehabilitation and recovery from the condition. By promoting proper muscle function and reducing strain on the elbow, this technique can effectively assist in managing symptoms and facilitating healing. While rest and ice application, stretching of the extensors, and strength training of the forearm are all valuable components of an overall treatment plan for lateral epicondylitis, they may not directly address the muscle imbalances as effectively as reciprocal inhibition, which specifically targets the relationship between the agonist and antagonist muscles to promote better functionality and pain relief.