Lateral elbow pain: phonophoresis and ultrasound are not recommended. Which statement is correct?

• A. They are not recommended
• B. They are recommended
• C. They are contraindicated
• D. They are sometimes used in acute cases

Answer: (A)

In lateral elbow pain, such as lateral epicondylitis, using phonophoresis or therapeutic ultrasound as treatment is not supported by solid evidence. Ultrasound can heat tissues and change blood flow, but studies and reviews have not shown consistent, meaningful improvements in pain or function for elbow tendinopathy when used as a treatment. Phonophoresis aims to push anti-inflammatory drugs through the skin with ultrasound, yet this approach has not demonstrated clear benefits in this condition and carries risks like skin irritation or drug reactions. Because the data don’t show a reliable clinical advantage, these modalities aren’t recommended as routine therapy. They aren’t strictly contraindicated, but they aren’t advised as standard treatment for this problem. Focus on evidence-based strategies such as gradual, targeted eccentric loading of the wrist extensor tendons, activity modification, and other well-supported approaches.