Indonesian Journal of Health Science
Vol 6 No 4 (2026)

Management of right-sided tennis elbow using ultrasound, TENS, and therapeutic exercise: A case study

Alifah Nurseptiyani (Universitas Muhammadiyah Pekajangan Pekalongan)
Ninit Amalia Permata (Universitas Muhammadiyah Pekajangan Pekalongan)
Ardhia Pramesti Amalia (Universitas Muhammadiyah Pekajangan Pekalongan)



Article Info

Publish Date
26 Aug 2026

Abstract

Tennis elbow or lateral elbow tendinopathy is a tendinopathy caused by repetitive microtrauma and overuse of the extensor carpi radialis brevis (ECRB) tendon, which can result in pain, decreased muscle strength, and functional limitations of the upper extremity. Physiotherapy management is needed to reduce pain and improve the patient's functional ability. This study aimed to describe the outcome of physiotherapy management using a combination of ultrasound, Transcutaneous Electrical Nerve Stimulation (TENS), and eccentric exercise in a patient with right-sided tennis elbow. This study used a case report design involving a 47-year-old male patient diagnosed with right-sided tennis elbow. The patient experienced pain on the lateral aspect of the right elbow following excessive tennis and weightlifting activities. Physiotherapy interventions were provided in three sessions on March 4, 11, and 18, 2026. The treatment program consisted of ultrasound therapy at a frequency of 1 MHz, an intensity of 1 W/cm² for 5 minutes, TENS at a frequency of 100 Hz for 20 minutes, and eccentric exercise consisting of 3 sets of 10 repetitions. Evaluation was performed using the Visual Analog Scale (VAS), Range of Motion (ROM), Manual Muscle Testing (MMT), and Patient-Rated Tennis Elbow Evaluation (PRTEE). The results demonstrated clinical improvement after three physiotherapy sessions, characterized by a reduction in pain based on the VAS, increased ROM, improved muscle strength based on MMT, and a decreased PRTEE score indicating improved functional ability. The combination of ultrasound, TENS, and eccentric exercise showed positive outcomes in reducing symptoms and improving functional ability in the patient with right-sided tennis elbow. It can be concluded that the combination of ultrasound, TENS, and eccentric exercise may be considered as a conservative physiotherapy treatment option for patients with right-sided tennis elbow, particularly for reducing pain and improving functional ability. Further studies involving larger sample sizes and longer intervention periods are needed to strengthen these findings.

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Journal Info

Abbrev

ijhs

Publisher

Subject

Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

Description

Indonesian Journal of Health Science is a place for disseminating research results in the field of health, including, but not limited to topics of public health, environmental health, occupational health, pharmacy, nutrition, epidemiology, medical laboratories, physiotherapy, or other general ...