home
RSS
Shot in arm plus physical therapy doesn't help tennis elbow: Study
February 5th, 2013
04:02 PM ET

Shot in arm plus physical therapy doesn't help tennis elbow: Study

Weekend 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.
Dr. R. Amadeus Mason, who was not involved with the study, remarked that it has been standard practice for some time to use saline or lidocaine shots in place of cortisone. Mason is an assistant professor in the department of Orthopedics and Family Medicine at Emory University and advocates for physical therapy.

"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."


Filed under: Conditions • Diet and Fitness • Living Well

soundoff (826 Responses)
  1. jamaican food near me

    Way cool! Some very valid points! I appreciate you penning this post and the rest of the website is also really good.

    http://thenfljerseychinacheap.com/__media__/js/netsoltrademark.php?d=https://allbrewsupplies.com/

    June 14, 2021 at 04:03 | Report abuse | Reply
  2. laundromats near me

    http://b.grabo.bg/special/dealbox-492×73/?rnd=2019121711&affid=19825&deal=199235&cityid=1&city=Sofia&click_url=https://www.postfallsvideographer.com/

    June 14, 2021 at 04:27 | Report abuse | Reply
  3. restaurant near me

    An impressive share! I've just forwarded this onto a co-worker who has been conducting a little homework on this. And he actually bought me lunch simply because I stumbled upon it for him... lol. So allow me to reword this.... Thank YOU for the meal!! But yeah, thanks for spending the time to discuss this subject here on your web page.

    https://intranet.canadabusiness.ca/?URL=postfallsvideographer.com

    June 14, 2021 at 06:52 | Report abuse | Reply
  4. visit here

    Hello, yes this post is in fact nice and I have learned lot of things from it concerning blogging.

    thanks.

    June 14, 2021 at 10:02 | Report abuse | Reply
  5. burlington near me

    http://www.grandluxerail.com/__media__/js/netsoltrademark.php?d=https://www.bonus-books.com

    June 14, 2021 at 10:28 | Report abuse | Reply
  6. steakhouse near me

    https://www.webourgeon.com/__media__/js/netsoltrademark.php?d=http://carsonrvexperience.com/

    June 14, 2021 at 10:31 | Report abuse | Reply
  7. homes for rent near me

    Spot on with this write-up, I actually think this amazing site needs far more attention. Iíll probably be returning to see more, thanks for the advice!

    http://clients3.weblink.com.au/clients/aluminalimited/priceframe1.aspx?link=http://blowoutvapes.com/

    June 14, 2021 at 12:45 | Report abuse | Reply
  8. dq near me

    https://telemail.jp/_pcsite/?des=015660&gsn=0156603&url=http://www.zealouslifestyle.com/

    June 14, 2021 at 13:44 | Report abuse | Reply
  9. goodwill near me

    Good post. I will be facing many of these issues as well..

    http://www.bigpinkcookie.com/__media__/js/netsoltrademark.php?d=https://orangecountypondbuilders.com

    June 14, 2021 at 19:51 | Report abuse | Reply
  10. Patricia Berdy

    Have you ever heard of second life (sl for short). It is basically a game where you can do anything you want. SL is literally my second life (pun intended lol). If you would like to see more you can see these sl websites and blogs

    http://adolit.blogspot.com/2006/05/voices-of-immigration-beyond-sound.html

    June 14, 2021 at 20:09 | Report abuse | Reply
  11. RV Repair Fountain Valley

    Hi there! This blog post could not be written any better! Looking at this post reminds me of my previous roommate! He constantly kept talking about this. I'll forward this post to him. Pretty sure he's going to have a very good read. Many thanks for sharing!

    http://www.freedback.com/thank_you.php?u=www.ocrvcenter.com/safeco-rv-collision-repair-shop-near-me/

    June 14, 2021 at 21:03 | Report abuse | Reply
  12. RV Repair Shops Nearby

    This is a really good tip especially to those fresh to the blogosphere. Short but very accurate infoÖ Many thanks for sharing this one. A must read post!

    http://maps.mindelheim.de/proxies/proxytour.php?url=www.ocrvcenter.com/rv-repair-shop-brea-california/

    June 14, 2021 at 21:41 | Report abuse | Reply
  13. RV Repair Seal Beach

    http://www.sv.paltalk.com/client/webapp/client/External.wmt?url=https://www.ocrvcenter.com/rv-repair-shop-duarte-california/

    June 14, 2021 at 22:42 | Report abuse | Reply
  14. RV Repair Shop

    http://slides.virtualpathology.leeds.ac.uk/research_4/slide_library/r_bishop_collection/card_index_set/soft_tissue/33959.svs/view.apml?returnurl=ocrvcenter.com/rv-repair-shop-palm-springs-california/

    June 15, 2021 at 00:08 | Report abuse | Reply
  15. RV Repairs Near My Location

    https://www.dmca.com/Protection/Status.aspx?ID=edc817fd-d796-4c84-abb8-d1cb5b2e3719&refurl=https://game-mun.com/forum/index.php?topic=7379.msg109275

    June 15, 2021 at 02:28 | Report abuse | Reply
  16. RV Repair Shops Nearby

    Aw, this was an incredibly good post. Finding the time and actual effort to create a top notch articleÖ but what can I sayÖ I procrastinate a whole lot and never seem to get anything done.

    https://splash.hume.vic.gov.au/analytics/outbound?url=ocrvcenter.com/toy-hauler-repair-near-me/

    June 15, 2021 at 02:44 | Report abuse | Reply
  17. RV Repair Near Me Now

    Spot on with this write-up, I actually think this web site needs a lot more attention. Iíll probably be back again to read through more, thanks for the advice!

    https://www.wsiefusion.net/Redirect.aspx?destination=http://www.ocrvcenter.com/motorhome-paint-shop-near-me/

    June 15, 2021 at 03:01 | Report abuse | Reply
  18. Camper Repair Places Near Me

    I must thank you for the efforts you have put in writing this blog. I'm hoping to see the same high-grade content from you in the future as well. In fact, your creative writing abilities has motivated me to get my very own site now 😉

    https://localbusiness.houmatoday.com/__media__/js/netsoltrademark.php?d=https://ocrvcenter.com/motorhome-body-repair-near-me/

    June 15, 2021 at 03:31 | Report abuse | Reply
  19. Camper Repair Shop Near Me

    https://rspcb.safety.fhwa.dot.gov/pageRedirect.aspx?RedirectedURL=https://namnewsnetwork.org/es/?p=5351

    June 15, 2021 at 05:43 | Report abuse | Reply
  20. RV Repair California

    Pretty! This has been an incredibly wonderful article. Thank you for providing these details.

    http://www.infotiger.com/addurl.html?url=https://ocrvcenter.com/fleetstar-collision-repair-shop-near-me/

    June 15, 2021 at 06:48 | Report abuse | Reply
  21. RV Repair Near Me

    Hi, I do think this is a great website. I stumbledupon it 😉 I may come back once again since I bookmarked it. Money and freedom is the best way to change, may you be rich and continue to help other people.

    http://mydoterra.com/Application/index.cfm?EnrollerID=458046&Theme=DefaultTheme&Returnurl=www.ocrvcenter.com/tour-bus-collision-repair-shop-near-me/&LNG=en_dot&iact=1

    June 15, 2021 at 08:19 | Report abuse | Reply
  22. RV Repair Shop Near Me

    I was pretty pleased to uncover this website. I want to to thank you for ones time due to this fantastic read!! I definitely appreciated every little bit of it and I have you saved as a favorite to check out new stuff in your blog.

    https://local.kxlf.com/__media__/js/netsoltrademark.php?d=http://ocrvcenter.com/rv-shower-repair-near-me/

    June 15, 2021 at 08:22 | Report abuse | Reply
  23. Eloy Mateiro

    Have you ever heard of second life (sl for short). It is basically a game where you can do anything you want. sl is literally my second life (pun intended lol). If you would like to see more you can see these second life authors and blogs

    http://myvedana.blogspot.com/2008/10/learning-space.html?m=0

    June 15, 2021 at 09:08 | Report abuse | Reply
  24. RV Repair Shop Near My Location

    http://biz.timesfreepress.com/__media__/js/netsoltrademark.php?d=http://www.ocrvcenter.com/rv-repair-shop-la-puente-california

    June 15, 2021 at 11:40 | Report abuse | Reply
  25. RV Repair Mission Viejo

    https://cloudsso.hikvision.com/logout?service=http://guenterreiter.eu/index.php?option=com_phocaguestbook&view=phocaguestbook&id=1&Itemid=4&limitstart=85920

    June 15, 2021 at 13:09 | Report abuse | Reply
  26. RV Repair Shops Near Me Now

    I'm excited to find this great site. I need to to thank you for your time due to this wonderful read!! I definitely liked every part of it and I have you bookmarked to see new information on your web site.

    http://www.oliverhume.com.au/enquiry/thank-you/?redirectTo=http://ocrvcenter.com/rv-repair-shop-tustin-california/

    June 15, 2021 at 14:52 | Report abuse | Reply
  27. RV Repair California

    http://www.astro.wisc.edu/?URL=https://favorites.co.in/profile/WilliamsBu/

    June 15, 2021 at 15:57 | Report abuse | Reply
  28. Sprinter Repair Orange County

    http://www.dauntless-soft.com/products/android/beforeyougo.asp?U=http://ocrvcenter.com/motorhome-shades-repair-near-me

    June 15, 2021 at 20:04 | Report abuse | Reply
  29. Sprinter Repair Orange County

    https://freedback.com/thank_you.php?u=ocrvcenter.com/rv-repair-shop-tustin-california

    June 16, 2021 at 04:01 | Report abuse | Reply
  30. RV Repair Mission Viejo

    Your style is really unique compared to other folks I've read stuff from. Thank you for posting when you have the opportunity, Guess I will just book mark this page.

    http://herna.net/cgi/redir.cgi?https://ocrvcenter.com/motorhome-paint-shop-near-me/

    June 16, 2021 at 05:11 | Report abuse | Reply
  31. RV Repair Nearby

    This excellent website truly has all of the information and facts I wanted concerning this subject and didnít know who to ask.

    http://www2.golflink.com.au/out.aspx?frm=gglcmicrosite&target=www.ocrvcenter.com/rv-sound-system-repair-near-me

    June 16, 2021 at 07:20 | Report abuse | Reply
  32. RV Repair Around Me

    I blog quite often and I genuinely thank you for your content. This article has really peaked my interest. I'm going to book mark your website and keep checking for new information about once per week. I opted in for your Feed too.

    http://www.treasury.gov/cgi-bin/redirect.cgi/?http://www.1222bets.com/viewtopic.php?id=15701

    June 16, 2021 at 08:38 | Report abuse | Reply
  33. RV Repair Near Me

    https://www.freecenter.com/db/review.cgi?category=pda&url=http://ocrvcenter.com/fleet-truck-repair-near-me/

    June 16, 2021 at 10:43 | Report abuse | Reply
  34. chili's near me

    https://www.kdrowe.com/__media__/js/netsoltrademark.php?d=https://ocrvcenter.com

    June 16, 2021 at 14:16 | Report abuse | Reply
  35. used car dealers near me

    You're so cool! I do not suppose I've truly read a single thing like this before. So nice to find someone with a few unique thoughts on this topic. Really.. thanks for starting this up. This web site is one thing that is needed on the web, someone with a little originality!

    http://www.kimchipowder.com/__media__/js/netsoltrademark.php?d=https://www.ocrvcenter.com

    June 16, 2021 at 15:31 | Report abuse | Reply
  36. medical supply store near me

    https://jacobigroup.com/__media__/js/netsoltrademark.php?d=www.ocrvcenter.com/

    June 16, 2021 at 17:54 | Report abuse | Reply
  37. fast food near me

    This website certainly has all the information and facts I wanted about this subject and didnít know who to ask.

    https://www.photostore.com/__media__/js/netsoltrademark.php?d=ocrvcenter.com

    June 16, 2021 at 18:36 | Report abuse | Reply
  38. Nearby RV Repair

    There is certainly a great deal to find out about this topic. I like all of the points you made.

    https://www.livedocs.my-retail-store.com/__media__/js/netsoltrademark.php?d=ocrvcenter.com/rv-repair-shop-toluca-lake-california/

    June 16, 2021 at 22:33 | Report abuse | Reply
  39. Sprinter Repair Near Me

    http://www.otohits.net/home/redirectto?url=http://ocrvcenter.com/rv-repair-shop-studio-city-california/

    June 16, 2021 at 23:49 | Report abuse | Reply
  40. RV Repairs Near Me

    http://www.fms.treas.gov/fmsweb/disclaimer.jsp?ciURL=https://ocrvcenter.com/rv-repair-shop-laguna-woods-california/

    June 17, 2021 at 02:10 | Report abuse | Reply
  41. escape rooms near me

    http://800-lawfact.com/__media__/js/netsoltrademark.php?d=http://ocrvcenter.com/

    June 17, 2021 at 03:18 | Report abuse | Reply
  42. cars for sale near me

    An outstanding share! I've just forwarded this onto a co-worker who has been conducting a little homework on this. And he actually bought me dinner because I discovered it for him... lol. So let me reword this.... Thank YOU for the meal!! But yeah, thanks for spending some time to discuss this issue here on your website.

    https://entercom-intranet.com/__media__/js/netsoltrademark.php?d=http://ocrvcenter.com

    June 17, 2021 at 06:30 | Report abuse | Reply
  43. RV Repair Orange County

    I needed to thank you for this excellent read!! I definitely loved every little bit of it. I've got you bookmarked to check out new things you postÖ

    http://southampton.ac.uk/~drn1e09/foaf/visualizer.php?url=http://www.ocrvcenter.com/rv-repair-shop-santa-ana-california/

    June 17, 2021 at 07:29 | Report abuse | Reply
  44. Sprinter Repair Near Me

    Can I just say what a relief to discover someone that really understands what they're talking about online. You definitely realize how to bring an issue to light and make it important. More people must look at this and understand this side of your story. I was surprised you're not more popular since you most certainly have the gift.

    https://www.mitsui-shopping-park.com/lalaport/iwata/redirect.html?url=http://ocrvcenter.com/rv-repair-shop-chula-vista-california/

    June 17, 2021 at 11:27 | Report abuse | Reply
  45. restaurants near me open now

    Hi, I do believe this is an excellent site. I stumbledupon it 😉 I may return once again since I book marked it. Money and freedom is the best way to change, may you be rich and continue to help other people.

    http://www.eautorepair.com/__media__/js/netsoltrademark.php?d=bestservicenearme.com/

    June 17, 2021 at 16:12 | Report abuse | Reply
  46. winn dixie near me

    Hi, I do think this is an excellent site. I stumbledupon it 😉 I will come back yet again since I saved as a favorite it. Money and freedom is the greatest way to change, may you be rich and continue to guide other people.

    https://www.los-angeles-theatre.com/common/discount.php?utc=1525546800&url=http://nearmyspot.com/

    June 17, 2021 at 16:22 | Report abuse | Reply
  47. breakfast restaurants near me

    http://www.thevideosense.com/__media__/js/netsoltrademark.php?d=nearmyspot.com/

    June 17, 2021 at 18:10 | Report abuse | Reply
  48. hospitals near me

    http://www.windsurfingnz.org/rssfeeders/wnzrss.php?url=https://www.bestshopnearme.com/

    June 17, 2021 at 18:19 | Report abuse | Reply
  49. bars open near me

    http://us-israel.org/__media__/js/netsoltrademark.php?d=www.quotenearme.com

    June 17, 2021 at 21:39 | Report abuse | Reply
  50. chicken wings near me

    You made some good points there. I looked on the internet to find out more about the issue and found most people will go along with your views on this web site.

    http://clients3.weblink.com.au/clients/aluminalimited/priceframe1.aspx?link=//nearmyspot.com/

    June 17, 2021 at 22:40 | Report abuse | Reply
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Post a comment


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
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.