Treatment Study of Steroid Injection and Physical Therapy for Acute Lateral Epicondylitis
Summary
The purpose of this study is to compare the clinical effect of physiotherapy alone or combined with corticosteroid injection in the initial treatment of lateral epicondylitis in a primary care setting. To find the short and long term effect of physiotherapy with Mill's manipulation, deep friction massage and exercise therapy. To ascertain wether the outcome is influenced by corticosteroid injection, which has been shown to be of benefit alone in the short term?
Timeline
- Start
- 2009-03
- Primary completion
- 2013-06
- Completion
- 2013-06
Outcome
Mixed primary results
paper The main outcome measure was treatment success defined as patients rating themselves completely recovered or much better on a six-point scale. PMID 25989985 ↗
paper Corticosteroid injection with physiotherapy had a 10.6 times larger odds for success at six weeks (odds ratio 10.60, p < 0.01) compared to control PMID 25989985 ↗
paper at 26 weeks the odds for success were 91 % lower (OR 0.09, p < 0.01) compared to control PMID 25989985 ↗
Publications
- Results Olaussen M, Holmedal O, Mdala I, Brage S, Lindbaek M. Corticosteroid or placebo injection combined with deep transverse friction massage, Mills manipulation, stretching and eccentric exercise for acute lateral epicondylitis: a randomised, controlled trial. BMC Musculoskelet Disord. 2015 May 20;16:122. doi: 10.1186/s12891-015-0582-6.
- Holmedal O, Olaussen M, Mdala I, Natvig B, Lindbaek M. Predictors for outcome in acute lateral epicondylitis. BMC Musculoskelet Disord. 2019 Aug 17;20(1):375. doi: 10.1186/s12891-019-2758-y.
- Olaussen M, Holmedal O, Lindbaek M, Brage S. Physiotherapy alone or in combination with corticosteroid injection for acute lateral epicondylitis in general practice: a protocol for a randomised, placebo-controlled study. BMC Musculoskelet Disord. 2009 Dec 4;10:152. doi: 10.1186/1471-2474-10-152.
Drugs
| Evaluation | Drug | Modality | Dose | Route |
|---|---|---|---|---|
| Subject | Triamcinolone | Other / unclassified | 10 mg | Other |
| Background | Lidocaine | Other / unclassified | 10 mg | Other |
| Background | Naproxen | Small molecule | 500 mg | — |