Management of tennis elbow

被引:12
作者
Chesterton, Linda S. [1 ]
Mallen, Christian D. [1 ]
Hay, Elaine M. [1 ]
机构
[1] Keele Univ, Arthrit Res UK Primary Care Ctr, Primary Care Sci, Keele, Staffs, England
来源
OPEN ACCESS JOURNAL OF SPORTS MEDICINE | 2011年 / 2卷
关键词
tennis elbow; corticosteroids; physiotherapy; laser therapy;
D O I
10.2147/OAJSM.S10310
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
Clinical question: What is the best treatment for tennis elbow? Results: Despite a wealth of research, there is no true consensus on the most efficacious management of tennis elbow especially for effective long-term outcomes. Corticosteroid injections do show large pain-relieving effects in the short term but are associated with risks of adverse events and long-term reoccurrence. Advice with a "wait and see" approach is recommended as the first-line treatment in primary care for most cases. In the medium term physiotherapy and or low-level laser therapy may be effective. Implementation: Rule out alternative diagnosis. Onward referral may be indicated if the condition does not resolve after 12 months.
引用
收藏
页码:53 / 59
页数:7
相关论文
共 39 条
[1]   GLYCOSAMINOGLYCAN POLYSULFATE INJECTIONS IN LATERAL HUMERAL EPICONDYLALGIA - A PLACEBO-CONTROLLED DOUBLE-BLIND TRIAL [J].
AKERMARK, C ;
CRONE, H ;
ELSASSER, U ;
FORSSKAHL, B .
INTERNATIONAL JOURNAL OF SPORTS MEDICINE, 1995, 16 (03) :196-200
[2]   PREVALENCE, INCIDENCE, AND REMISSION RATES OF SOME COMMON RHEUMATIC DISEASES OR SYNDROMES [J].
ALLANDER, E .
SCANDINAVIAN JOURNAL OF RHEUMATOLOGY, 1974, 3 (03) :145-153
[3]   Effectiveness of corticosteroid injections compared with physiotherapeutic interventions for lateral epicondylitis: A systematic review [J].
Barr, Steven ;
Cerisola, Frances L. ;
Blanchard, Victoria .
PHYSIOTHERAPY, 2009, 95 (04) :251-265
[4]   A systematic review and meta-analysis of clinical trials on physical interventions for lateral epicondylalgia [J].
Bisset, L ;
Paungmali, A ;
Vicenzino, B ;
Beller, E .
BRITISH JOURNAL OF SPORTS MEDICINE, 2005, 39 (07) :411-422
[5]   Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial [J].
Bisset, Leanne ;
Beller, Elaine ;
Jull, Gwendolen ;
Brooks, Peter ;
Darnell, Ross ;
Vicenzino, Bill .
BMJ-BRITISH MEDICAL JOURNAL, 2006, 333 (7575) :939-941
[6]   A systematic review with procedural assessments and meta-analysis of Low Level Laser Therapy in lateral elbow tendinopathy (tennis elbow) [J].
Bjordal, Jan M. ;
Lopes-Martins, Rodrigo A. B. ;
Joensen, Jon ;
Couppe, Christian ;
Ljunggren, Anne E. ;
Stergioulas, Apostolos ;
Johnson, Mark I. .
BMC MUSCULOSKELETAL DISORDERS, 2008, 9 (1)
[7]   Shock wave therapy for lateral elbow pain [J].
Buchbinder, R. ;
Green, S. E. ;
Youd, J. M. ;
Assendelft, W. J. J. ;
Barnsley, L. ;
Smidt, N. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2005, (04)
[8]  
BUCHBINDER R, 2002, COCHRANE DB SYST REV, DOI DOI 10.1002/14651858.CD003525
[9]   A new integrative model of lateral epicondylalgia [J].
Coombes, B. K. ;
Bisset, L. ;
Vicenzino, B. .
BRITISH JOURNAL OF SPORTS MEDICINE, 2009, 43 (04) :252-258
[10]   Efficacy and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of randomised controlled trials [J].
Coombes, Brooke K. ;
Bisset, Leanne ;
Vicenzino, Bill .
LANCET, 2010, 376 (9754) :1751-1767