Effectiveness of Mulligan Mobilization with Movement in the Management of Lateral Epicondylitis: A Case Report

Mohit Sharma

doi:10.36948/ijfmr.2026.v08i04.83933

Effectiveness of Mulligan Mobilization with Movement in the Management of Lateral Epicondylitis: A Case Report

Author(s)	Mr. Mohit Sharma
Country	India
Abstract	Background Tennis elbow, also known as lateral epicondylitis, is a common musculoskeletal issue affecting the common extensor tendon at the outer part of the elbow. The key symptoms include pain, soreness, reduced grip strength, and limitations in wrist extension and forearm supination. Manual therapy techniques such as Mulligan Mobilization with Movement (MWM) have gained popularity for their rapid pain relief and improvement in function, alongside other conservative treatments. Objective To see if Mulligan Mobilization with Movement, when combined with regular physiotherapy, can effectively reduce pain and improve function in a patient with lateral epicondylitis. Case description A 42-year-old homemaker who is right-hand dominant reported soreness on the outer side of her right elbow for three months. Activities like gripping, lifting household items, wringing clothes, carrying grocery bags, and repetitive wrist extension made the pain worse. An exam revealed decreased grip strength, painful wrist extension, discomfort over the lateral epicondyle, a positive Cozen's test, and a positive Mill's test. Intervention The patient underwent a structured four-week physiotherapy program that included Mulligan Mobilization with Movement, Cyriax Deep Transverse Friction Massage, stretching exercises, strengthening exercises, and education on activity changes. Results The Numerical Rating Scale (NRS) showed a drop in pain intensity from 7/10 to 2/10 at the end of treatment. The strength of the wrist extensor muscles improved from Grade 4/5 to Grade 5/5. The patient reported significant improvement in functional activities and grip tasks. Conclusion Mulligan Mobilization with Movement appears to be an effective method for reducing pain and restoring function in patients with lateral epicondylitis when used alongside traditional physiotherapy.
Keywords	Tennis Elbow, Lateral Epicondylitis, Mulligan Mobilization, Manual Therapy, Physiotherapy Rehabilitation
Field	Medical / Pharmacy
Published In	Volume 8, Issue 4, July-August 2026
Published On	2026-07-18
DOI	https://doi.org/10.36948/ijfmr.2026.v08i04.83933

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Effectiveness of Mulligan Mobilization with Movement in the Management of Lateral Epicondylitis: A Case Report

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