Vol. 5, Issue 7, Part F (2019)

Abstract
Background: Lateral epicondylitis also known as tennis elbow, is a condition characterized by pain at the lateral aspect of the elbow, referred pain into the dorsal forearm and pain on resisted dorsiflexion of the wrist, It is generally work related or sport related pain disorder of the forearm. Repetitive extension-flexion or pronation-supination activity leads to overuse injury. Myofascial trigger point may develop after an initial injury to muscle fibers. This injury may include a noticeable traumatic event or repetitive micro trauma to the muscles. A trigger point causes pain and stress in the muscle or muscle fibers. As the stress increases, the muscles become fatigued and are more susceptible to activation of additional trigger points. Integrated neuromuscular inhibition technique (INIT) is a combination of ischemic compression (IC), strain counter strain (SCS) and muscle energy technique (MET), in which IC decreases the sensitivity of painful nodules in muscle and equalizes the length of sarcomeres in the involved MTrP.