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  • Local injection, naproxen, and simple analgesia led to similar 1 year rates of symptom relief in lateral epicondylitis

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Therapeutics
Local injection, naproxen, and simple analgesia led to similar 1 year rates of symptom relief in lateral epicondylitis

http://dx.doi.org/10.1136/ebm.5.4.120

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    (1999) BMJ 319, 964. Hay EM, Paterson SM, Lewis M, et al.. Pragmatic randomised controlled trial of local corticosteroid injection and naproxen for treatment of lateral epicondylitis of elbow in primary care.. Oct 9;. :. –8.
    OpenUrlAbstract/FREE Full Text

    
 
 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. …

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    Footnotes

    • Sources of funding: Arthritis Research Campaign. UpJohn provided methylprednisolone injections; Syntex provided enteric coated naproxen.

    • For correspondence: Dr E M Hay, Staffordshire Rheumatology Centre, The Haywood, Burslem, Stoke-on-Trent ST6 7AG, UK. Fax +44 (0)1782 412236.

    • ↵* See glossary.

    • ↵† Information provided by author.