Effect of Scapular Stabilization Exercises and ESWT in Patients With Lateral Epicondylitis

Inclusion Criteria: * Aged between 18 and 65 years. * Diagnosed with lateral epicondylitis by a physician, with positive Mill's, Cozen's, or Thomsen tests. * Experiencing pain and tenderness over and around the lateral epicondyle for at least 3 months, with symptoms exacerbated by resisted elbow extension, wrist extension, gripping, and supination. * Willing to voluntarily participate in the study. Exclusion Criteria: * • Individuals with serious systemic or cardiovascular diseases that contraindicate exercise of the hand and upper extremity. * Those diagnosed with upper extremity entrapment neuropathies. * Patients with a diagnosis of malignancy. * Individuals with open wounds on the hand or upper extremity. * Pregnant women or those suspected of being pregnant. * Patients who have received physiotherapy and/or injection treatments within the last 6 weeks. * Patients with diabetes mellitus, rheumatologic diseases, or neurological disorders. * Individuals who have undergone upper extremity surgery or had an upper extremity fracture within the last 6 months. * Patients with coagulation disorders or those receiving anticoagulant therapy. * Individuals with conditions causing degenerative changes in the hand and upper extremity. * Patients diagnosed with carpal tunnel syndrome, cubital tunnel syndrome, thoracic outlet syndrome, medial epicondylitis, radiohumeral bursitis, or cervical disc pathology. * Patients using analgesic or anti-inflammatory medications other than acetaminophen (paracetamol).