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QUESTION: In adults with lateral epicondylitis (tennis elbow), which of 3 regimens (local corticosteroid injection, 2 weeks of naproxen, or simple analgesia) is most effective?
Design
Randomised {allocation concealed*}†, blinded (outcome assessor and statistician),* placebo controlled trial with 12 months follow up.
Setting
23 primary care practices in North Staffordshire and South Cheshire, England.
Patients
164 patients who were 18–70 years of age (66% ≥45 y, 52% men) and had consulted their general practitioner because they had had a new episode of lateral epicondylitis. Exclusion criteria were a history of inflam-matory arthritis or gross structural abnormality of the elbow, contraindications to non-steroidal anti-inflammatory drugs (NSAIDs) or local steroid injection, pregnancy, or breast feeding. …