Corticosteroid injections for tennis elbow – A hard habit to break. (September 2015)

• Record Type: Journal Article
• Authors: Inklebarger, James; Clarke, Tim
• Is Part Of: International musculoskeletal medicine. Volume 37:Number 3(2015)
• Page Start: 108
• Page End: 110
• Publication Date: 2015-09
• Subjects: Musculoskeletal system -- Diseases -- Periodicals; Musculoskeletal system -- Abnormalities -- Periodicals; Musculoskeletal system -- Wounds and injuries -- Treatment -- Periodicals; 616.705
• DOI: 10.1179/1753614615Z.000000000108
• Languages: German
• ISSNs: 1753-6146

Abstract

<abstract> <title> <x content-type="archive" xml:space="preserve">Abstract</x> </title> <sec> <title>Objectives</title> <p>In the UK, serial cortisone injections (CSI) to manage lateral epicondylitis (LE) is a routine practice. This remains so despite LE histopathological studies reporting chronic common extensor origin degenerative tendonopathy rather than inflammatory change. Several RCT studies have also demonstrated a lack of clinical efficacy for using CSI for LE, with more favourable outcomes achieved through autologous blood and platelet-rich plasma injections.</p> </sec> <sec> <title>Methods</title> <p>This case study follows a presentation in which corticosteroid injection (CSI) for LE was followed by recurrence of pain after initial relief.</p> </sec> <sec> <title>Results/Discussion</title> <p>An assessment of other options discussed in the literature led to a resolution of symptoms with a combination of enforced abatement of flaring activities and physiotherapist supervised graded forearm eccentric loading program, rather than repetition of the CSI.</p> </sec> </abstract>