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Therapeutics
Corticosteroid injections or physiotherapy were not more effective than wait and see for tennis elbow at 1 year

https://doi.org/10.1136/ebm.12.2.39

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    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.
    OpenUrlAbstract/FREE Full Text

    
 
 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 ★★★★★★★

    METHODS

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    concealed.*

    Embedded ImageBlinding:

    blinded (data collectors, outcome assessors, and data analysts).*

    Embedded ImageFollow up period:

    52 weeks.

    Embedded ImageSetting:

    community setting in Brisbane, Queensland, Australia.

    Embedded ImagePatients:

    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.

    Embedded ImageIntervention:

    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 …

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    Footnotes

    • ↵* See glossary.

    • ↵† See article on page 37–38.

    • For correspondence: Dr B Vicenzino, University of Queensland, St Lucia, Queensland, Australia. b.vicenzino{at}uq.edu.au

    • Source of funding: National Health and Medical Research Council of Australia.

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