Physiotherapy, Steroid Injections, or Rest for Lateral Epicondylosis? What the Evidence Suggests

Details

• Personal Author:
  Goldman R ; Nimgade, Ashok ; Sullivan M ; Goldman R ; Nimgade, Ashok ; Sullivan M
• Description:
  Objective: To identify effective lateral epicondylosis interventions and assess the quality of research over time. Methods: Relevant MEDLINE and EMBASE searches respectively yielded 226 and 187 potential studies. Additional citations were extracted from bibliographies. Thirty controlled trials met inclusion criteria. The Cochrane Collaboration guidelines "quality score" served to rate studies. Results: In the short term (<2 to 3 months) steroid injections and physiotherapy outperformed relative rest. Physiotherapy appears efficacious regardless of time frame. After 3 months, active physiotherapy outperforms injections, but does not appear significantly better than rest. Evidence was neutral or insufficient regarding ultrasound, splinting, or manipulation. Nonsignificant correlations between publication year and study quality score were found. Conclusions: Overall research quality has not improved with time. Steroid injections appear the most successful short-term intervention for pain relief. Active physiotherapy appears efficacious regardless of time frame. [Description provided by NIOSH]
• Subjects:
  Musculoskeletal Diseases Musculoskeletal System Occupational Health Pathology Safety Steroids
• Keywords:
  Arm Injuries Author Keywords: Lateral Epicondylitis MSD Musculoskeletal Disorders Musculoskeletal System Disorders Physical Therapy Physiological Function Physiology Steroid Injections Tennis Elbow Therapeutic Agents Ultra Sound

  More +
• ISSN:
  1530-7085
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article ; Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH) ; National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health ; Workplace Safety & Health
• Location:
  North America ; North America
• Pages in Document:
  203-215
• Volume:
  5
• Issue:
  3
• NIOSHTIC Number:
  nn:20058706
• Citation:
  Pain Pract 2005 Sep; 5(3):203-215
• Contact Point Address:
  Ashok Nimgade, MD, MPH, Harvard School of Public Health, 401 Park Drive, Landmark Center, PO Box 18697, Rm 3-111-11, Boston, MA 02215
• Email:
  animgade@hms.harvard.edu
• Federal Fiscal Year:
  2005
• Performing Organization:
  Harvard School of Public Health
• Peer Reviewed:
  True
• Start Date:
  20030701
• Source Full Name:
  Pain Practice
• End Date:
  20050630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:641ab4bee18e427ea7d0c4c06224ed9c1887db328d319b0f5c41b2843accec3e20b22daf361c550375ff3dbaf8dd02256f97389eb2eaff9cf2190a0c8c34af02
• Download URL:
  https://stacks.cdc.gov/view/cdc/223107/cdc_223107_DS1.pdf
• File Type:
  [PDF - 112.20 KB ]