Tennis elbow medical therapy
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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.