Non-Surgical Treatment of Lateral Epicondylitis: A Aystematic Review of Randomized Controlled Trials

Sims, Susan E. G.; Miller, Katherine; Elfar, John C.; Hammert, Warren C.

doi:10.1007/s11552-014-9642-x

Cited by 169 publications

(115 citation statements)

References 73 publications

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“…Previous studies have reported the effectiveness of therapeutic approaches such as medication, electrical and thermal modalities, cold massage, cross friction massage, and steroid transcutaneous injection on chronic lateral epicondylitis [4,5,[9][10][11]. However, these therapeutic approaches would have temporary effects and has some side effects.…”

Section: Discussionmentioning

confidence: 99%

Effect of flexion degrees in elbow joint on muscle activation of the extensor carpi radialis and biceps brachii muscles in healthy young adults

Kim

2016

PTRS

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Objective: Chronic lateral epicondylitis is a condition which becomes sore and tender on the lateral side of the elbow joint damaged from overuse and repetitive use of the extensor muscles of the forearm. The purpose of this study was to investigate the effects of flexion degrees in the elbow joint on extensor carpi radialis longus and brevis and biceps brachii muscles in individuals with healthy young adults. The main purpose of this study was to suggest the feasibility of optimal elbow angle during therapeutic eccentric exercise with resistance for strengthening of wrist extensors. Design: Cross-sectional study. o , and 90 o during eccentric exercise with weight loading in wrist extensors, extensor carpi radialis longus and brevis and biceps brachii muscles using surface electromyography. Results: The muscle activation of extensor carpi radialis showed a negative relationship with the degrees of elbow joint flexion. With increasing elbow flexion angles, the ECRL muscle activation amount was significantly lower (p<0.05). In contrast, the muscle activation of the ECRB muscle activation amount was significanlty higher (p<0.05). Conclusions: This study suggests that the eccentric exercise of wrist extension with selected activation of wrist extensor muscles according to elbow flexion positions, and suggests that the extensor carpi radialis longus and brevis will need to be strengthened for preventing and treating chronic lateral epicondylitis regardless of degrees of elbow joint flexion.

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Section: Discussionmentioning

confidence: 99%

Effect of flexion degrees in elbow joint on muscle activation of the extensor carpi radialis and biceps brachii muscles in healthy young adults

Kim

2016

PTRS

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“…Long-term follow-up, however, demonstrated that those treated with physical therapy or observation had lower rates of recurrence (9% and 17%, respectively) compared to steroid injection (48%) 14 . Other studies showed no benefit at one and six months 1,[14][15][16][17] . Common side effects of corticosteroid injection include skin color changes and the death of protective fat under the skin.…”

Section: Injectionsmentioning

confidence: 94%

Lateral Epicondylitis (Tennis Elbow)

Ialenti¹,

Buller²

2014

Rev LibrOfMed

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Lateral epicondylitis, commonly known as "Tennis Elbow," is a common condition that typically affects active individuals in their 30s to 50s. Pain on the lateral (outside) aspect of the elbow is the most common presenting symptom. The diagnosis can be made based on patient history and physical exam. The overall prognosis is excellent. Although symptoms can last up to eighteen months, the vast majority of patients don't require surgery to improve. For the small percentage of patients with persistent symptoms, despite non-operative treatment, surgery can be effective with minimal risk.Background Information

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“…Three studies ( [10] Rigby et al) were of healthy adults with no diagnosis of elbow pain. Lastly, although all but one study was randomized or experimental designs, the number of articles reviewed in this study was limited to 12 that met the inclusion criteria [22][23][24][25][26].…”

Section: /10mentioning

confidence: 99%

A Systematic Review on the Efficacy of Iontophoresis as a Treatment for Lateral Epicondylitis

McKivigan¹

2017

RISM

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Background and purpose: It is still inconclusive which method of iontophoresis delivers the most medication deepest through the skin, and therefore most effective in treating lateral epicondylitis. The purpose of this systematic review is to analyze the efficacy of treatments for lateral epicondylitis using iontophoresis. Method:The review included articles from peer-reviewed journals with sufficient data related to the purpose and focus of the study. Inclusion criteria included randomized control trials, cohort studies, case studies, systematic reviews, meta-analyses, and pilot studies published since 2000. Results:Fourteen relevant studies were identified. Twelve were experimental in vivo studies, two were review studies. All studies were published 2002 through 2015, providing a robust overview of treatments over the last 15 years. Discussion and conclusion: Among studies in this systemic review, pooled data from RCTs pointed to minimal intermediate-to long-term clinical benefit for the nonsurgical treatment of lateral epicondylitis. Of drug treatments, the most frequently used in iontophoresis are dexamethasone and lidocaine. Studies of iontophoresis with dexamethasone show evidence that the combination of treatments may be effective in reducing pain; there is evidence supporting the iontophoretic administration of dexamethasone as an alternative to other medication and oral therapy. Based on this review, it is not conclusive that iontophoresis be recommended as a treatment approach for the management of epicondylitis, however iontophoresis should not be ruled out in treating epicondylitis as it is a dose-response modality. More research and review of research is needed on the use of iontophoresis in managing epicondylitis.

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Non-Surgical Treatment of Lateral Epicondylitis: A Aystematic Review of Randomized Controlled Trials

Abstract: Therapeutic Level II. See Instructions to Authors for a complete description of level of evidence.

Cited by 169 publications

References 73 publications

Effect of flexion degrees in elbow joint on muscle activation of the extensor carpi radialis and biceps brachii muscles in healthy young adults

Effect of flexion degrees in elbow joint on muscle activation of the extensor carpi radialis and biceps brachii muscles in healthy young adults

Lateral Epicondylitis (Tennis Elbow)

A Systematic Review on the Efficacy of Iontophoresis as a Treatment for Lateral Epicondylitis

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