Tennis elbow medical therapy: Difference between revisions
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Created page with "__NOTOC__ {{Tennis elbow}} {{CMG}} ==Overview== ==Medical Therapy== ===Local steroid injections=== Intra-articular glucocorticoid steroid injections can resolve epis..." |
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{{CMG}} | {{CMG}} | ||
==Medical Therapy== | ==Medical Therapy== | ||
===Local steroid injections=== | ===Local steroid injections=== | ||
Intra-articular [[glucocorticoid]] [[steroid]] injections can resolve episodes for several months, but there is a risk of later recurrence. Following an injection, the patient normally experiences increased pain over the subsequent day before the steroid starts to settle the condition over the next few days<ref name="ClinJPain2005-Lewis">{{cite journal | author=Lewis M, Hay EM, Paterson SM, Croft P | title=Local steroid injections for tennis elbow: does the pain get worse before it gets better?: Results from a randomized controlled trial | journal=Clin J Pain | year=2005 | pages=330-4 | volume=21 | issue=4 | id=PMID 15951651}}</ref>. As with any steroid injection, there is a small risk of local infection and tendon rupture. Most doctors will restrict giving further courses after two injections, as there is less likelihood of effectiveness but increased risk of side-effects. | Intra-articular [[glucocorticoid]] [[steroid]] injections can resolve episodes for several months, but there is a risk of later recurrence. Following an injection, the patient normally experiences increased pain over the subsequent day before the steroid starts to settle the condition over the next few days<ref name="ClinJPain2005-Lewis">{{cite journal | author=Lewis M, Hay EM, Paterson SM, Croft P | title=Local steroid injections for tennis elbow: does the pain get worse before it gets better?: Results from a randomized controlled trial | journal=Clin J Pain | year=2005 | pages=330-4 | volume=21 | issue=4 | id=PMID 15951651}}</ref>. As with any steroid injection, there is a small risk of local infection and tendon rupture. Most doctors will restrict giving further courses after two injections, as there is less likelihood of effectiveness but increased risk of side-effects. | ||
As opposed to short-term effect<ref name="Cochrane2002-Green">{{cite journal | author=Green S, Buchbinder R, Barnsley L, Hall S, White M, Smidt N, Assendelft W | title=Non-steroidal anti-inflammatory drugs (NSAIDs) for treating lateral elbow pain in adults | journal=Cochrane Database Syst Rev | year=2002 | pages=CD003686 | volume= | issue=2 | id=PMID 12076503}}</ref> | As opposed to short-term effect<ref name="Cochrane2002-Green">{{cite journal | author=Green S, Buchbinder R, Barnsley L, Hall S, White M, Smidt N, Assendelft W | title=Non-steroidal anti-inflammatory drugs (NSAIDs) for treating lateral elbow pain in adults | journal=Cochrane Database Syst Rev | year=2002 | pages=CD003686 | volume= | issue=2 | id=PMID 12076503}}</ref> | ||
, the longterm benefits of local steroid injection are less clearly established.<ref name="ClinOrthopRelatRes2002-Altay">{{cite journal | author=Altay T, Gunal I, Ozturk H | title=Local injection treatment for lateral epicondylitis | journal=Clin Orthop Relat Res | year=2002 | pages=127-30 | volume= | issue=398 | id=PMID 11964641}}</ref> | , the longterm benefits of local steroid injection are less clearly established.<ref name="ClinOrthopRelatRes2002-Altay">{{cite journal | author=Altay T, Gunal I, Ozturk H | title=Local injection treatment for lateral epicondylitis | journal=Clin Orthop Relat Res | year=2002 | pages=127-30 | volume= | issue=398 | id=PMID 11964641}}</ref> | ||
==References== | ==References== | ||
{{ | {{Reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category:Inflammations]] | [[Category:Inflammations]] | ||
[[Category:Overuse injuries]] | [[Category:Overuse injuries]] | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
[[Category:Rheumatology]] | [[Category:Rheumatology]] | ||
[[Category: | [[Category:Needs overview]] | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Medical Therapy
Local steroid injections
Intra-articular glucocorticoid steroid injections can resolve episodes for several months, but there is a risk of later recurrence. Following an injection, the patient normally experiences increased pain over the subsequent day before the steroid starts to settle the condition over the next few days[1]. As with any steroid injection, there is a small risk of local infection and tendon rupture. Most doctors will restrict giving further courses after two injections, as there is less likelihood of effectiveness but increased risk of side-effects.
As opposed to short-term effect[2] , the longterm benefits of local steroid injection are less clearly established.[3]
References
- ↑ Lewis M, Hay EM, Paterson SM, Croft P (2005). "Local steroid injections for tennis elbow: does the pain get worse before it gets better?: Results from a randomized controlled trial". Clin J Pain. 21 (4): 330–4. PMID 15951651.
- ↑ Green S, Buchbinder R, Barnsley L, Hall S, White M, Smidt N, Assendelft W (2002). "Non-steroidal anti-inflammatory drugs (NSAIDs) for treating lateral elbow pain in adults". Cochrane Database Syst Rev (2): CD003686. PMID 12076503.
- ↑ Altay T, Gunal I, Ozturk H (2002). "Local injection treatment for lateral epicondylitis". Clin Orthop Relat Res (398): 127–30. PMID 11964641.