Status:
COMPLETED
Treatment Study of Steroid Injection and Physical Therapy for Acute Lateral Epicondylitis
Lead Sponsor:
University of Oslo
Collaborating Sponsors:
Allmennmedisinsk forskningsfond, Norway
Conditions:
Tennis Elbow
Epicondylitis, Lateral Humeral
Eligibility:
All Genders
18-70 years
Phase:
PHASE4
Brief Summary
The purpose of this study is to compare the clinical effect of physiotherapy alone or combined with corticosteroid injection in the initial treatment of lateral epicondylitis in a primary care setting...
Detailed Description
Much has been written about lateral epicondylitis/tennis elbow reflecting the existence of many treatments for the condition. However, there is no consensus as to which treatment gives the best result...
Eligibility Criteria
Inclusion
- Age 18-70 years
- Pain from the lateral part of the elbow
- The pain increases on resisted dorsiflexion of the wrist with the elbow extended and the fingers flexed or the pain increases on resisted radial deviation of the wrist or the pain increases on resisted extension of the 3. finger
Exclusion
- Duration of complaints less than 2 weeks or more than 3 months
- The tenderness is located within the muscle body itself in the proximal part of the short radial extensors muscle of the wrist (Cyriax type IV)9.
- Treatment within the last 12 months for the same condition with corticosteroid injection or physiotherapy
- Bilateral complaints
- Previous surgical treatment for lateral epicondylitis
- Deformities of the elbow (congenital or acquired)
- Cervical radiculopathy or referred pain from neck or shoulder
- Previous fractures or tendon ruptures in the elbow
- Systemic musculoskeletal disease
- Previous allergic reactions to corticosteroids or lidocaine
- Contraindications to corticosteroids or NSAIDs:
- On-going or previous gastro-intestinal bleeding
- previous ulcer or dyspepsia, severe asthma
- on-going systemic infection
- local skin-infection
- recently vaccinated with live virus
- coagulopathies
- systemic lupus erythematodes
- severe liver- or kidney-disease
- heart failure
- diabetes
- use of warfarin or NSAIDS
- Pregnancy or breast-feeding
- Fertile females not on effective birth control
- Psycho-social or other reasons for not being able to participate throughout the study.
Key Trial Info
Start Date :
March 1 2009
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
June 1 2013
Estimated Enrollment :
177 Patients enrolled
Trial Details
Trial ID
NCT00826462
Start Date
March 1 2009
End Date
June 1 2013
Last Update
January 24 2022
Active Locations (1)
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1
Grålum legesenter
Sarpsborg, Norway, 1712