Tennis Elbow:
Tennis elbow is generally considered an overload injury of the common extensor muscles at the lateral humeral epicondyle. Despite the common view that it represents an inflammatory tendinitis (and is frequently referred to as lateral epicondylitis), experts now agree it is mostly a degenerative tendinopathy, or tendinosis.
Most common treatments for lateral elbow pain lack scientific support.
There is some evidence of short-term benefit from steroid injections and topical nonsteroidal anti-inflammatory drugs. The evidence in favor of manipulation and exercise appears weaker.
For long-term benefit, there is evidence that a physical therapy regimen combining ultrasound, deep-friction massage, and exercise is beneficial.
A wait-and-see approach (relative rest with ergonomic advice and analgesics as needed) provides long-term benefits comparable to a combination physical therapy regimen and will often suffice.
There is insufficient or conflicting evidence to support the efficacy of oral NSAIDs, iontophoresis, orthotic devices, taping, ultrasound, acupuncture, or surgery.
There is evidence that extracorporeal shock wave therapy is not effective.
Most common treatments for lateral elbow pain lack scientific support.
There is some evidence of short-term benefit from steroid injections and topical nonsteroidal anti-inflammatory drugs. The evidence in favor of manipulation and exercise appears weaker.
For long-term benefit, there is evidence that a physical therapy regimen combining ultrasound, deep-friction massage, and exercise is beneficial.
A wait-and-see approach (relative rest with ergonomic advice and analgesics as needed) provides long-term benefits comparable to a combination physical therapy regimen and will often suffice.
There is insufficient or conflicting evidence to support the efficacy of oral NSAIDs, iontophoresis, orthotic devices, taping, ultrasound, acupuncture, or surgery.
There is evidence that extracorporeal shock wave therapy is not effective.
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