![]() |
|
![]()
February 5th, 2013
04:02 PM ET
Shot in arm plus physical therapy doesn't help tennis elbow: StudyWeekend sports warriors take note - that pain radiating out of your elbow may be tennis elbow. But don't be so quick to ask your doctor for a cortisone shot. Research has shown cortisone, or corticosteroid shots, can alleviate the pain in the initial weeks, but have little effectiveness in the long run, and do nothing to reduce recurrence rates. Doctors have prescribed physical therapy, also known as physiotherapy, in conjunction with the shots, hoping to increase the cortisone's long-term effectiveness, but a new study in this week's Journal of the American Medical Association finds that the physical therapy doesn't aid the cortisone shots at all.It's contrary to what Bill Vicenzino, one of the authors of the study, expected. "I was surprised to find that addition of physiotherapy did not reduce the recurrence or lift the success rate in the long term." "We were also very surprised that the addition of steroid to physiotherapy tends to diminish the effectiveness of the physiotherapy," he said. The study evaluated 165 patients who had pain from tennis elbow for more than six weeks. Patients were divided into four groups - one group given just cortisone shots, another group given placebo shots, a third group receiving both the steroid and the physical therapy, and a final group receiving a placebo shot and physical therapy. The study found that after a year, those who had the cortisone shots had the least successful outcomes and highest rates of recurrence. And the addition of physical therapy made little difference to the shots. However, physical therapy alone seems to provide the best outcome, with just under a 5% recurrence rate after a year. Almost half of all people who play racquet sports like tennis, squash, or racquetball have tennis elbow, but racquet sports aren't the only way to get it. Any sort of activity that requires a lot of twisting or gripping motion, like pulling weeds, using a screwdriver, or using a computer mouse can also inflame the tendon that connects your forearm muscles to your elbow. "The recommendation has been don’t use steroid, use either saline and mechanical treatment, and going back to physical therapy as your first line," he said. But tennis elbow is just difficult to treat, he noted. "Yes, there are a lot of treatment entities, but when you go back and look, the treatment entities aren’t consistent across the boards." |
![]() ![]() ![]() ![]() About this blog
Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love. |
|
Good article. I am experiencing many of these issues as well..
https://www.fms.treas.gov/fmsweb/disclaimer.jsp?ciURL=https://damien5e3a0.digitollblog.com/3496574/the-2-minute-rule-for-rv-repair-near-me
Good article! We will be linking to this particularly great article on our website. Keep up the good writing.
https://tieba.baidu.com/mo/q/checkurl?url=https://waylonn30e9.theideasblog.com/4635890/rumored-buzz-on-roof-trusses-near-me
I was able to find good info from your blog articles.
https://www.treasury.gov/cgi-bin/redirect.cgi/?https://www.finnv75t5.blogdon.net/the-best-side-of-rv-body-shop-17111783
Right here is the right blog for everyone who wishes to find out about this topic. You know so much its almost tough to argue with you (not that I actually will need toÖHaHa). You certainly put a fresh spin on a subject that has been discussed for a long time. Great stuff, just wonderful!
http://juliusa36e5.ttblogs.com/5412231/google-marketing-consultant-fundamentals-explained
https://contacts.google.com/url?q=http://landen7n0j8.tokka-blog.com/3497362/top-rv-service-near-me-secrets
I blog quite often and I truly appreciate your information. This article has really peaked my interest. I'm going to take a note of your blog and keep checking for new information about once a week. I subscribed to your Feed too.
Your style is so unique in comparison to other folks I've read stuff from. Thank you for posting when you've got the opportunity, Guess I will just bookmark this blog.
This is a topic which is near to my heart... Thank you! Where are your contact details though?
https://cruzy26c4.blogsvirals.com/4070208/a-secret-weapon-for-repair-shop
https://teacher.piano.or.jp/redirect_link?ptna_id=100017&url=http://www.luftfahrwerk-flügeltüren.de/gaestebuch.html?start=5340/
This page certainly has all of the info I needed about this subject and didnít know who to ask.
http://devinz59q0.blog-a-story.com/5522760/new-step-by-step-map-for-dodge-sprinter-repair
Howdy! I could have sworn Iíve been to this blog before but after browsing through many of the posts I realized itís new to me. Anyways, Iím definitely happy I discovered it and Iíll be book-marking it and checking back regularly!
http://gfmis.crru.ac.th/web/redirect.php?url=https://fleetvehiclerepairshop.com/
http://rondomusic.com/cgi-bin/affiliates/clickthru.cgi?id=bwcornwell&page=https://ocrv.mobi
You ought to take part in a contest for one of the highest quality blogs on the web. I most certainly will highly recommend this blog!
http://buddsblog.com/__media__/js/netsoltrademark.php?d=fleettruckrepairshop.com
I couldnít resist commenting. Very well written!
http://www.wzdq.cc/go.php?url=https://www.ocrvmotorsports.biz
I blog frequently and I really appreciate your information. The article has truly peaked my interest. I'm going to book mark your website and keep checking for new details about once a week. I subscribed to your Feed too.
http://varcss.com/__media__/js/netsoltrademark.php?d=campervanrepairshop.com
where to buy cialis in australia cialis softabs online cialis over night
goodrx cialis flomax vs cialis generic cialis
Have you ever heard of second life (sl for short). It is essentially a game where you can do anything you want. SL is literally my second life (pun intended lol). If you want to see more you can see these sl websites and blogs
http://everydayliteracies.blogspot.com/2006/04/photo-opportunities-for-aging-white.html?m=0
premium canadian pharmacy canadian pharmacy st petersburg fl pharmacy concept store
This is a topic that's close to my heart... Many thanks! Exactly where are your contact details though?
http://serbiancafe.com/lat/diskusije/new/redirect.php?url=http://reviewnearme.com/
http://www.gait-study.net/__media__/js/netsoltrademark.php?d=www.bonus-books.com/
https://www.vladinfo.ru/away.php?url=https://wholesalenearme.com/
http://www.osservamedia.net/__media__/js/netsoltrademark.php?d=bonus-books.com
This website truly has all of the info I wanted concerning this subject and didnít know who to ask.
http://emails.erieinsurance.com/ern40/c2.php?ERIN/37662445/139490/H/N/V/http://bestservicenearme.com
Greetings! Very helpful advice in this particular post! It's the little changes that produce the most important changes. Many thanks for sharing!
http://gongfuenglish.com/__media__/js/netsoltrademark.php?d=bestshopnearme.com
http://cleanstation.biz/__media__/js/netsoltrademark.php?d=www.bestshopnearme.com/
Pretty! This was an extremely wonderful article. Many thanks for supplying this information.
http://bigtimesportsohio.com/Redirect.aspx?destination=https://masternearme.com
I don't know about you all but I am obsessed with airplanes. I had a friend in highschool that loved airplanes, so here are some airplane related stuff I don't know about you guys but I love airplanes. I had a friend in highschool that loved airplanes, so here are some airplane related stuff https://www.airlinereporter.com/2009/12/why-does-the-boeing-787-matter/
http://mastersprogrambest.blogspot.com/2013/09/national-security-masters-programs_20.html
I'd like to thank you for the efforts you've put in writing this site. I'm hoping to view the same high-grade blog posts by you later on as well. In truth, your creative writing abilities has motivated me to get my very own blog now 😉
http://www.xpresstrack.eu/__media__/js/netsoltrademark.php?d=nearmyspot.com
http://wehavegrades.com/__media__/js/netsoltrademark.php?d=bonus-books.com/
cheapest generic cialis generic cialis canada cialis shop
This website was... how do I say it? Relevant!! Finally I have found something that helped me. Many thanks!
http://ctrl0.com/__media__/js/netsoltrademark.php?d=www.wholesalenearme.com/
Itís difficult to find knowledgeable people on this subject, but you seem like you know what youíre talking about! Thanks
http://jkg.legapro.com/__media__/js/netsoltrademark.php?d=bonus-books.com
Iím impressed, I must say. Rarely do I encounter a blog thatís both educative and engaging, and let me tell you, you have hit the nail on the head. The problem is something too few men and women are speaking intelligently about. Now i'm very happy I came across this during my search for something relating to this.
http://www.childcareusa.biz/__media__/js/netsoltrademark.php?d=quotenearme.com/
https://www.rma.ru/bitrix/rk.php?id=465&site_id=ru&event1=banner&event2=click&event3=4+2F+5B4655D+5B778x1545D+D098D181D182D0BED180D0B8D0B8+D183D181D0BFD0B5D185D0B0+-+D181D0BFD0BED180D182&goto=http3A2F2Fbestshopnearme.com&af=11c97d6959afb1f6c827a2fb0b98b941
http://lexingtonlaw.de/__media__/js/netsoltrademark.php?d=bestservicenearme.com
After I originally commented I seem to have clicked the -Notify me when new comments are added- checkbox and from now on each time a comment is added I receive 4 emails with the exact same comment. Perhaps there is a means you can remove me from that service? Thanks a lot!
https://naniwa-search.com/search/rank.cgi?mode=link&id=23&url=https://masternearme.com
I really love your blog.. Pleasant colors & theme. Did you create this website yourself? Please reply back as Iím wanting to create my own site and would love to know where you got this from or what the theme is named. Many thanks!
http://nonohide.com/__media__/js/netsoltrademark.php?d=masternearme.com
http://judythornell.com/__media__/js/netsoltrademark.php?d=bjsnearme.com
I blog often and I really thank you for your information. This great article has really peaked my interest. I am going to book mark your blog and keep checking for new details about once per week. I opted in for your Feed too.
http://www.laminateprofiles.com/__media__/js/netsoltrademark.php?d=immigrants.co/
http://kitaalps.com/club/syau-link/rank.cgi?mode=link&id=40&url=http3A2F2Fbettersightovernight.com
cialis in ireland originial cialis brand cialis online pharmacy
Greetings! Very useful advice in this particular article! It is the little changes which will make the greatest changes. Thanks for sharing!
http://www.voidstar.com/opml/?url=https://www.eyedoctorphoenixaz.com/
An outstanding share! I have just forwarded this onto a coworker who had been doing a little research on this. And he actually bought me dinner because I stumbled upon it for him... lol. So allow me to reword this.... Thank YOU for the meal!! But yeah, thanks for spending some time to discuss this topic here on your web site.
https://www.efilmcritic.com/ads/adclick.php?bannerid=6&zoneid=2&source=feature&dest=https://bulknearme.com/
http://secure.duoservers.com/?lang=en&s_id=123179&rdomain=http://www.seopostfalls.com&action=order&popup=1
When I originally left a comment I appear to have clicked on the -Notify me when new comments are added- checkbox and from now on every time a comment is added I get four emails with the exact same comment. Is there an easy method you can remove me from that service? Thank you!
https://www.htcdev.com/?URL=http://shelbydaniellephotography.com
https://genki365.net/gnka01/common/redirect.php?url=https://customcampervans.com/
Howdy! I could have sworn Iíve been to this site before but after going through many of the articles I realized itís new to me. Anyhow, Iím definitely pleased I stumbled upon it and Iíll be book-marking it and checking back often!
http://urm.org/n/november-splash/?redirect_to=https://www.fleetrepairshops.com
Hi there! I could have sworn Iíve visited this blog before but after browsing through a few of the articles I realized itís new to me. Nonetheless, Iím definitely pleased I came across it and Iíll be bookmarking it and checking back often!
http://thenfljerseychinacheap.com/__media__/js/netsoltrademark.php?d=ocrvcenter.biz