Evidence Based Data for Management of Lateral Epicondylitis: Review

Ölmez, Neşe; Memiş, Asuman

doi:10.5336/medsci.2009-12604

Cited by 5 publications

(3 citation statements)

References 40 publications

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“…Stratford et al evaluated the effectiveness of US alone or in combination with friction massage for decreasing pain in LE and indicated similar results for each group [9,27]. Studies with US, alone or combined with other modalities, concluded more functional and pain improvement than in placebo groups [5,8,9,14]. Also a systematic review showed beneficial effects of US alone or in combination with other treatments with regard to decreasing pain in the treatment of patients with LE [9].…”

Section: Discussionmentioning

confidence: 95%

“…ESWT group 8 (0-14) 9 (2-14) 9 (2-14) 9 (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14) BT before treatment, AT after treatment Table 5 The changes in the VAS pain scores of the patients at first, third, and sixth months according to the treatment groups BT before treatment, AT after treatment Table 7 The changes in pinch strength scores of the patients at first, third, and sixth months according to the treatment groups BT before treatment, AT after treatment Table 6 The changes in the grip strength scores of the patients at first, third, and sixth months according to the treatment groups BT before treatment, AT after treatment the use of ESWT due to the lack of convincing evidence in regard to its effectiveness [20,21]. In our study, ESWT treatment was applied every other day without any local anesthesia for ten sessions and any side effect was not observed.…”

Section: Discussionmentioning

confidence: 99%

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Physical therapy, corticosteroid injection, and extracorporeal shock wave treatment in lateral epicondylitis

et al. 2012

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The aim of this study was to compare--clinically and ultrasonographically--the therapeutic effects of physical therapy modalities (hot pack, ultrasound therapy, and friction massage), local corticosteroid injection, and extracorporeal shock wave treatment (ESWT) in lateral epicondylitis (LE). Fifty-nine elbows of 59 patients with LE were randomized into three treatment groups receiving either physical therapy, a single corticosteroid injection, or ESWT. Visual analogue scale (VAS) was used to assess pain intensity, Jamar hydraulic dynamometer for grip strength, finger dynamometer for pinch strength (before treatment, on the first, third, and sixth months of treatment). All subjects were also evaluated with ultrasonography before and 6 months after treatment. In all groups, VAS scores of the patients were found to decrease significantly on the first, third, and sixth months of treatment. With respect to grip strength evaluations, the increase after treatment was significant only on the first month in group II; on the first and third months in group I; and on the first, third, and sixth months of treatment in group III. Pinch strength and ultrasonographical findings did not change during follow-up in any group. We imply that physical therapy modalities, corticosteroid injection, and ESWT have favorable effects on pain and grip strength in the early period of LE treatment. The increase in grip strength lasts longer with ESWT. On the other hand, ultrasonographic findings do not change in the first six months of these treatment methods.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Physical therapy, corticosteroid injection, and extracorporeal shock wave treatment in lateral epicondylitis

et al. 2012

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“…In LE treatment, it is crucial to avoid repeated wrist movements, heavy lifting, and activities that increase the pain. [ 16 ] Therefore, wrist splints and elbow orthoses are frequently used. Altan and Kanat[ 17 ] reported that, in LE treatment, both lateral epicondyle straps and wrist splints reduce pain, and there was no difference between the two splints for long-term efficacy.…”

Section: Discussionmentioning

confidence: 99%

Effects of splinting and three injection therapies (corticosteroid, autologous blood and prolotherapy) on pain, grip strength, and functionality in patients with lateral epicondylitis

Kaya¹,

Yardımcı²,

Göksu³

et al. 2022

Turk J Phys Med Rehab

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Objectives: This study aims to compare the efficacy of the wrist splint and the injection of corticosteroid, autologous blood, and hypertonic dextrose in the treatment of lateral epicondylitis (LE). Patients and methods: A total of 120 patients (43 males, 77 females; mean age: 45.7±7.7 years; range, 18 to 65 years) diagnosed with LE between December 2013 and June 2015 were included in the study and randomized into four groups. The first group was administered 20 mg methylprednisolone acetate + 2 mL 2% prilocaine, the second group 2 mL venous blood + 0.5 mL prilocaine, and the third group 2 mL 30% dextrose + 0.5 mL prilocaine injections. A second injection was administered to the third group one month later. The fourth group was recommended to use only a wrist splint. Pre-treatment and post-treatment evaluations of the patients were carried out at one and six months by the Visual Analog Scale (VAS) in terms of pain, by Patient-Rated Tennis Elbow Evaluation (PRTEE) questionnaire in terms of functional level, and by the Jamar dynamometer in terms of grip strength. Results: In all groups, VAS values at one and six months after treatment were found to be lower in comparison to baseline. Except for the splint group, a significant improvement was observed in all three injection groups in terms of grip strength and PRTEE values at six months compared to the baseline values. In the comparison of the groups, no significant difference was observed in terms of improvement in VAS scores and grip strength. While corticosteroid injection was significantly effective in terms of PRTEE pain, function, and total scores only at one month, the autologous injection was effective in terms of PRTEE function and total scores at only six months after treatment. There were no significant differences for splint and prolotherapy groups in terms of PRTEE scores. Conclusion: Corticosteroid injection, autologous blood injection, and prolotherapy are effective and safe long-term methods in LE treatment.

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Comparison of the efficiency of peloidotherapy and extracorporeal shock wave therapies in patients diagnosed with lateral epicondylitis: a prospective, randomized, controlled study

Koru,

Yilmaz,

Yilmaz

et al. 2023

Int J Biometeorol

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Evidence Based Data for Management of Lateral Epicondylitis: Review

Cited by 5 publications

References 40 publications

Physical therapy, corticosteroid injection, and extracorporeal shock wave treatment in lateral epicondylitis

Physical therapy, corticosteroid injection, and extracorporeal shock wave treatment in lateral epicondylitis

Effects of splinting and three injection therapies (corticosteroid, autologous blood and prolotherapy) on pain, grip strength, and functionality in patients with lateral epicondylitis

Comparison of the efficiency of peloidotherapy and extracorporeal shock wave therapies in patients diagnosed with lateral epicondylitis: a prospective, randomized, controlled study

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