Therapeutics
Corticosteroid injections or physiotherapy were not more effective than wait and see for tennis elbow at 1 year
Bisset L, Beller E, Jull G, et al. Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial. BMJ 2006;333:939–41.
Q In patients with tennis elbow, what is the relative efficacy of corticosteroid injection, physiotherapy, and wait and see?
Physical medicine & rehabilitation Rheumatology
Key Words: adrenal cortex hormones • exercise therapy • tennis elbow
| The first 150 words of the full text of this article appear below. |
Design:
randomised controlled trial.
Allocation:
concealed.*
Blinding:
blinded (data collectors, outcome assessors, and data analysts).*
Follow up period:
52 weeks.
Setting:
community setting in Brisbane, Queensland, Australia.
Patients:
198 patients 18–65 years of age (mean age 48 y, 65% men) with symptoms of tennis elbow lasting 
6 weeks. Exclusion criteria included bilateral elbow symptoms, elbow surgery or injury, and nerve involvement.
Intervention:
corticosteroid injection delivered to painful elbow points (with a second injection 2 wk later, if necessary) (n = 65); physiotherapy consisting of elbow manipulation and therapeutic exercise
(8 treatments over 6 wk, plus home exercises) (n = 66); or wait and see (advice to avoid aggravating the pain and to use heat, cold, or braces) (n = 67). All patients were allowed analgesics as needed and received advice on ergonomics.
Outcomes:
subjective global improvement (6 point Likert scale) ("completely recovered" or "much improved" on this scale was considered
McMaster University, Hamilton, Ontario, Canada
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Relevant Articles
- Physiotherapy for tennis elbow
- Bill Vicenzino
Evid. Based Med. 2007 12: 37-38. (in EBM notebook)[Extract] [Full Text] [PDF]
- Methods in research: key principles of graph construction
- Rafael Perera
Evid. Based Med. 2007 12: 38. (in EBM notebook)[Extract] [Full Text] [PDF]
-
Other articles noted
Evid. Based Med. 2007 12: 63-64. (in )[Extract] [Full Text] [PDF]
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
-
Pain (anaesthesia)
-
Musculoskeletal syndromes
-
Injury
-
Sports and exercise medicine
-
Rehabilitation medicine
- Relevant Articles
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
