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© 1994 British Society for Rheumatology

research-article

ABNORMAL MICROVASCULAR RESPONSES IN LATERAL EPICONDYLITIS

R. W. SMITH*, E. PAPADOPOLOUS{dagger}, R. MANI{dagger}, and M. I. D. CAWLEY*

*Department of Rheumatology, Southampton University Hospitals, Southampton General Hospital Tremona Road, Southampton SO9 4XY
{dagger}Department of Medical Physics, Southampton University Hospitals, Southampton General Hospital Tremona Road, Southampton SO9 4XY

Correspondence to: Correspondence to R. Mani

The laser Doppler flowmeter, an instrument highly sensitive to changes in blood flow velocity in the dermal microvascular bed, was used to examine a sympathetic vasomotor response (SVR) in 40 patients with lateral epicondylitis. There was a significant association between the absence of a normal SVR in the skin overlying the affected enthesis compared with the unaffected contralateral epicondyle (P<0.01). These results suggest that local dysfunction of the sympathetic nervous system may be associated with the pathogenesis of anatomically discrete pain in the enthesopathy of epicondylitis.

KEY WORDS: Tennis elbow, Sympathetic vasomotor responses laser Doppler flowmeter


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