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Steroid injection therapy is the best conservative treatment for lateral epicondylitis: a prospective randomised controlled trial

PainSci » bibliography » Tonks et al 2007
updated
Tags: treatment, injections, medications, inflammation, tendinosis, medicine, self-treatment, pain problems, overuse injury, injury

Four articles on PainSci cite Tonks 2007: 1. The Complete Guide to IT Band Syndrome2. Shin Splints Treatment, The Complete Guide3. Tennis Elbow Guide4. Repetitive Strain Injuries Tutorial

PainSci notes on Tonks 2007:

“On the basis of the results of this study, the authors advocate steroid injection alone as the first line of treatment for patients presenting with tennis elbow demanding a quick return to daily activities.”

original abstract Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.

The relative merits of a watch and wait policy, physiotherapy alone, steroid injection therapy alone, and physiotherapy and steroid injection therapy combined, for the treatment of tennis elbow, were assessed using a prospective randomised controlled trial (RCT) of factorial design. Although RCTs comparing different treatment strategies for tennis elbow have previously been published, to our knowledge none of the previous studies have combined the modalities of physiotherapy and steroid injection as one of the treatment groups, as we have done in this study. Patients who received steroid injection were statistically significantly better for all outcome measures at follow up. No statistically significant effect of physiotherapy nor interaction between physiotherapy and injection was found. On the basis of the results of this study, the authors advocate steroid injection alone as the first line of treatment for patients presenting with tennis elbow demanding a quick return to daily activities.

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