>Has anyone out there experience with treating long standing, chronic, lateral tendinitis (epicondylitis), which has proved resistant to the normal modes of approach?? Andy< Andy. Have a look at Mill's manipulation as described in Cyriax's textbooks. It can be effective under the right conditions, but be certain of the indications! (I presume you have exhausted all other modalities including referred pain from the cervical spine) Torje Eike, MCSP, PT Chartered Physiotherapist London, England %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%