Tennis elbow
Abstract
Introduction: Lateral pain in the elbow affects up to 3% of the population, and is considered an overload injury of the extensor tendons of the forearm where they attach at the lateral epicondyle. Although usually self-limiting, symptoms may persist for over 1 year in up to 20% of people.
Methods and outcomes: We conducted a systematic review and aimed to answer the following clinical question: What are the effects of treatments for tennis elbow? We searched: Medline, Embase, The Cochrane Library, and other important databases up to November 2009 (Clinical Evidence reviews are updated periodically, please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA).
Results: We found 80 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions.
Conclusions: In this systematic review we present information relating to the effectiveness and safety of the following interventions: acupuncture, autologous whole blood injections, corticosteroid injections, combination physical therapies, exercise, extracorporeal shock wave therapy, iontophoresis, low-level laser therapy, manipulation, non-steroidal anti-inflammatory drugs (oral and topical), orthoses (bracing), platelet-rich plasma injections, pulsed electromagnetic field treatment, surgery, and ultrasound.
Similar articles
-
Tennis elbow.BMJ Clin Evid. 2008 May 28;2008:1117. BMJ Clin Evid. 2008. PMID: 19450309 Free PMC article. Review.
-
Shoulder pain.BMJ Clin Evid. 2010 Jul 22;2010:1107. BMJ Clin Evid. 2010. PMID: 21418673 Free PMC article. Review.
-
Low back pain (acute).BMJ Clin Evid. 2008 Oct 3;2008:1102. BMJ Clin Evid. 2008. PMID: 19445792 Free PMC article. Review.
-
Plantar heel pain and fasciitis.BMJ Clin Evid. 2008 Feb 5;2008:1111. BMJ Clin Evid. 2008. PMID: 19450330 Free PMC article. Review.
-
Neck pain.BMJ Clin Evid. 2008 Aug 4;2008:1103. BMJ Clin Evid. 2008. PMID: 19445809 Free PMC article. Review.
Cited by
-
The Effects of Ultrasound-Guided Percutaneous Tenotomy on Patients' Pain and Satisfaction Levels.Cureus. 2024 Apr 5;16(4):e57679. doi: 10.7759/cureus.57679. eCollection 2024 Apr. Cureus. 2024. PMID: 38711726 Free PMC article.
-
The power of light - From dental materials processing to diagnostics and therapeutics.Biomater Investig Dent. 2024 Mar 18;11:40308. doi: 10.2340/biid.v11.40308. eCollection 2024. Biomater Investig Dent. 2024. PMID: 38645925 Free PMC article. Review.
-
Whole-Body Photobiomodulation Therapy for Fibromyalgia: A Feasibility Trial.Behav Sci (Basel). 2023 Aug 29;13(9):717. doi: 10.3390/bs13090717. Behav Sci (Basel). 2023. PMID: 37753995 Free PMC article.
-
Whole-body photobiomodulation therapy for chronic pain: a protocol for a feasibility trial.BMJ Open. 2022 Jun 29;12(6):e060058. doi: 10.1136/bmjopen-2021-060058. BMJ Open. 2022. PMID: 35768101 Free PMC article.
-
Lateral epicondylitis: New trends and challenges in treatment.World J Orthop. 2022 Apr 18;13(4):354-364. doi: 10.5312/wjo.v13.i4.354. eCollection 2022 Apr 18. World J Orthop. 2022. PMID: 35582153 Free PMC article. Review.
References
-
- Allander E. Prevalence, incidence and remission rates of some common rheumatic diseases and syndromes. Scand J Rheumatol 1974;3:145–153. - PubMed
-
- Chard MD, Hazleman BL. Tennis elbow — a reappraisal. Br J Rheumatol 1989;28:186–190. - PubMed
-
- Verhaar J. Tennis elbow: anatomical, epidemiological and therapeutic aspects. Int Orthop 1994;18:263–267. - PubMed
-
- Kivi P. The etiology and conservative treatment of lateral epicondylitis. Scand J Rehabil Med 1983;15:37–41. - PubMed
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous