Corticosteroid injections or physiotherapy were not more effective than wait and see for tennis elbow at 1 year
Q In patients with tennis elbow, what is the relative efficacy of corticosteroid injection, physiotherapy, and wait and see?
Clinical impact ratings GP/FP/Primary care ★★★★★★☆ Physical medicine & rehabilitation ★★★★★★★ Rheumatology ★★★★★★★
randomised controlled trial.
blinded (data collectors, outcome assessors, and data analysts).*
Follow up period:
community setting in Brisbane, Queensland, Australia.
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.
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 …