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. RV Repair Nearby

    I'm excited to find this website. I want to to thank you for ones time due to this wonderful read!! I definitely savored every little bit of it and i also have you book-marked to look at new information on your website.

    https://www.accessribbon.de/en/FrameLinkEN/top.php?out=portal&out=https://ocrvcenter.com

    June 25, 2021 at 04:49 | Report abuse | Reply
  2. RV Air Conditioning Repair Near Me

    http://cbs6albany.com/scripts/adredir.asp?url=ocrvcenter.com

    June 25, 2021 at 05:07 | Report abuse | Reply
  3. RV Service Repair Near Me

    https://gongkong.com/db/adredir.asp?id=16757&url=http://ocrvcenter.com

    June 25, 2021 at 08:02 | Report abuse | Reply
  4. Leadership Principles Usmc

    May I simply just say what a comfort to find somebody that really knows what they are talking about on the net. You definitely know how to bring an issue to light and make it important. A lot more people really need to look at this and understand this side of your story. I can't believe you're not more popular since you most certainly have the gift.

    http://www.aarss.com/redir.php?siteref=&aarsslink=https://backboneleaders.com

    June 25, 2021 at 09:35 | Report abuse | Reply
  5. RV Sales And Repair Near Me

    /

    June 25, 2021 at 11:20 | Report abuse | Reply
  6. RV Satellite Repair Near Me

    Excellent blog post. I certainly love this website. Thanks!

    http://p113831.typo3server.info/index.php?id=34&type=0&jumpurl=https://article.rabia.co.in/114787/exactly-how-to-carry-out-study-and-locate-the-very-best-rv-body-repair-near-me

    June 25, 2021 at 11:39 | Report abuse | Reply
  7. RV Repair Shops Near Me

    http://www.canada.com/scripts/go.aspx?g=vancouversun&n=subscribe_link_header&u=http://jackpotes.net/forum/profile.php?mode=viewprofile&u=166790

    June 25, 2021 at 12:43 | Report abuse | Reply
  8. Sprinter Repair Costa Mesa

    https://clixgalore.com/NoRedirect.aspx?ID=11387&AfID=225385&BID=111815&ER=1&RU=http://waylon9q2l9.madmouseblog.com/

    June 25, 2021 at 14:05 | Report abuse | Reply
  9. RV Repair Places Near Me

    Aw, this was an extremely good post. Taking a few minutes and actual effort to make a really good articleÖ but what can I sayÖ I hesitate a lot and don't manage to get nearly anything done.

    http://register.scotland.org/Subscribe/WidgetSignup?url=http://house-cleaning06161.blogspothub.com/

    June 25, 2021 at 14:20 | Report abuse | Reply
  10. RV Repair Santa Ana

    Greetings, I do think your site could possibly be having browser compatibility issues. When I look at your web site in Safari, it looks fine but when opening in Internet Explorer, it's got some overlapping issues. I simply wanted to give you a quick heads up! Aside from that, great site!

    http://www2.ogs.state.ny.us/help/urlstatusgo.html?url=http://www.andy8h0d7.humor-blog.com/

    June 25, 2021 at 17:28 | Report abuse | Reply
  11. RV Repair Shops Near Me

    http://t.raptorsmartadvisor.com/.lty?url=https://www.www.conner1j04z.bloggazza.com/&loyalty_id=14481&member_id=b01bbee6-4592-4345-a0ee-5d71ed6f1929

    June 25, 2021 at 17:46 | Report abuse | Reply
  12. Gerardo Dayer

    This site was... how do I say it? Relevant!! Finally I have found something which helped me. Many thanks!

    http://bizsearch.jhnewsandguide.com/__media__/js/netsoltrademark.php?d=cleanuponlinereputation.com/

    June 25, 2021 at 18:52 | Report abuse | Reply
  13. RV Fiberglass Repair Near Me

    I blog often and I seriously thank you for your content. This article has truly peaked my interest. I'm going to take a note of your website and keep checking for new details about once per week. I opted in for your Feed too.

    /

    June 25, 2021 at 19:10 | Report abuse | Reply
  14. Sanford Adickes

    Where is a good place start a website for business at a very low price?

    https://www.linkedin.com/in/kmkowalsky/

    June 25, 2021 at 19:51 | Report abuse | Reply
  15. RV Repair Near Here

    I love it when individuals come together and share thoughts. Great website, stick with it!

    http://richr.wellymulia.zaxaa.com/b/6306379?s=1&redir=https://charlie8w0m0.blog-ezine.com/3489662/top-rv-service-near-me-secrets

    June 25, 2021 at 20:11 | Report abuse | Reply
  16. RV Awning Repair Near Me

    You need to be a part of a contest for one of the highest quality blogs on the web. I am going to highly recommend this site!

    http://www.nimbitmusic.com/nrp/t.php?a=1466&m=5956&c=0&l=https://www.amberandjordanburr.blogspot.com/2019/08/custom-rv-awning.html

    June 26, 2021 at 00:30 | Report abuse | Reply
  17. RV Repair Orange County

    https://www.favy.jp/trackings/redirect_to_source_url?tat=reservation_form&tid=17635&url=http://dday.com/

    June 26, 2021 at 00:44 | Report abuse | Reply
  18. Barbra Gregorio

    http://translate.itsc.cuhk.edu.hk/gb/lifeboosterpack.com

    June 26, 2021 at 02:45 | Report abuse | Reply
  19. RV Exhaust Repair Near Me

    That is a good tip particularly to those fresh to the blogosphere. Short but very accurate informationÖ Appreciate your sharing this one. A must read article!

    http://old.nepalimmigration.gov.np/site/languages/languageA/3?url=https://mobileimg.com/mypictures/index.php?/guestbook&start=281010

    June 26, 2021 at 03:18 | Report abuse | Reply
  20. RV Repair Orange County California

    I used to be able to find good information from your blog posts.

    https://ovatu.com/e/c?url=http://aliaffleck.com/

    June 26, 2021 at 03:53 | Report abuse | Reply
  21. what is a podcast

    After looking over a number of the articles on your web site, I seriously appreciate your technique of blogging. I book-marked it to my bookmark website list and will be checking back in the near future. Please check out my web site as well and tell me your opinion.

    http://emails.erieinsurance.com/ern40/c2.php?ERIN/37662445/139490/H/N/V/http://backbonehunters.com

    June 26, 2021 at 20:59 | Report abuse | Reply
  22. bill simmons podcast

    This site was... how do you say it? Relevant!! Finally I've found something that helped me. Appreciate it!

    http://home.putclub.com/link.php?url=https://backbonehunters.com

    June 26, 2021 at 21:37 | Report abuse | Reply
  23. spitballers podcast

    https://it.paltalk.com/client/webapp/client/External.wmt?url=http://backbonehunters.com

    June 26, 2021 at 22:35 | Report abuse | Reply
  24. Situational Leadership Theory

    http://cdn.embedded.com/common/jumplink.php?target=https://backboneleaders.com

    June 26, 2021 at 23:34 | Report abuse | Reply
  25. Theories Of Leadership

    https://foaf-visualizer.gnu.org.ua/?url=http://www.backboneleaders.com/

    June 27, 2021 at 02:05 | Report abuse | Reply
  26. Thought Leadership Definition

    http://privatelink.de/?http://backboneleaders.com

    June 27, 2021 at 06:39 | Report abuse | Reply
  27. kevin sheehan podcast

    After looking over a number of the articles on your web page, I truly appreciate your technique of writing a blog. I saved as a favorite it to my bookmark site list and will be checking back in the near future. Please check out my website too and let me know how you feel.

    https://www.attaka.or.jp/cgi-bin/click3/click3.cgi?cnt=05&url=http://backbonehunters.com/

    June 27, 2021 at 11:08 | Report abuse | Reply
  28. Leadership In Nursing

    https://barbados.org/al/?event=ad.logClickampadvert=DC6FF007FAD78E23C54A673E3258DDC0EE638CB31CFE6FB9D0F4E0C53EF6B1276EC9DDCA3D10A7EA5E5F52955053E7F2A0C5D4D51F5050E21EC0B7F8CDCDA1EB3BBEEEDAB3EBDC25114C276741BA028E&webAddress=https://www.backboneleaders.com

    June 27, 2021 at 11:52 | Report abuse | Reply
  29. Sprinter Repair Shop Near Me

    Hi there! I simply would like to offer you a huge thumbs up for your excellent information you've got here on this post. I will be returning to your website for more soon.

    http://salsa.wiredforchange.com/dia/track.jsp?key=-1&url_num=2&url=https://ocrv.guru

    June 27, 2021 at 14:49 | Report abuse | Reply
  30. Sprinter Repair Orange County

    Hello there! I could have sworn Iíve visited this web site before but after browsing through some of the posts I realized itís new to me. Nonetheless, Iím certainly pleased I came across it and Iíll be book-marking it and checking back regularly!

    http://www.automationzone.com/__media__/js/netsoltrademark.php?d=ocrvmotorsports.com

    June 27, 2021 at 15:08 | Report abuse | Reply
  31. RV Repair Orange County California

    http://qnrwz.com/__media__/js/netsoltrademark.php?d=rvcollisionrepairpaintshop.com

    June 27, 2021 at 19:52 | Report abuse | Reply
  32. RV Repair Near Me Now

    https://www.smsproducts.com/site/email-a-friend.aspx?pg=http://ocrvmotorcoaches.com/

    June 27, 2021 at 23:10 | Report abuse | Reply
  33. RV Repair Huntington Beach

    http://m.shopinchicago.com/redirect.aspx?url=https://ocrvandtrucks.com/

    June 27, 2021 at 23:54 | Report abuse | Reply
  34. RV Repair Around Me

    I like it whenever people come together and share opinions. Great blog, stick with it!

    http://www.sagafrontier.com/__media__/js/netsoltrademark.php?d=ocrv.world

    June 28, 2021 at 00:20 | Report abuse | Reply
  35. Sprinter Repair Shops Near Me

    Nice post. I learn something totally new and challenging on websites I stumbleupon every day. It will always be helpful to read through content from other writers and practice a little something from their websites.

    http://nwelitere.com/__media__/js/netsoltrademark.php?d=ocrvmotorsports.com

    June 28, 2021 at 00:41 | Report abuse | Reply
  36. RV Repair San Clemente California

    A motivating discussion is definitely worth comment. There's no doubt that that you ought to write more about this topic, it might not be a taboo subject but usually folks don't speak about these issues. To the next! All the best!!

    http://www.jachta.lt/mecstats/index.php?page=reffer_detail&dom=www.ocrvluxurycoaches.com

    June 28, 2021 at 05:27 | Report abuse | Reply
  37. RV Repair Mission Viejo

    Everything is very open with a clear clarification of the challenges. It was really informative. Your site is extremely helpful. Many thanks for sharing!

    https://www.camping.fi/govisit.asp?os=www.ocrvcenter.com

    June 28, 2021 at 16:00 | Report abuse | Reply
  38. RV Repair Shops Near My Location

    Pretty! This was an extremely wonderful post. Many thanks for supplying this info.

    http://halloweenhorrornightsorlando.com/__media__/js/netsoltrademark.php?d=www.ocrvmotorsports.us

    June 28, 2021 at 16:12 | Report abuse | Reply
  39. RV Repair Near Me

    Great site you have got here.. Itís difficult to find high-quality writing like yours these days. I seriously appreciate individuals like you! Take care!!

    http://janeyleegrace.worldsecuresystems.com/redirect.aspx?destination=http://rvcollisionrepairpaintshop.com/

    June 28, 2021 at 17:05 | Report abuse | Reply
  40. Dodge Sprinter Service Centers

    I quite like looking through a post that can make men and women think. Also, thank you for permitting me to comment!

    http://ipsnoticias.net/portuguese/?wptouch_switch=desktop&redirect=https://www.ocrvexperts.com/

    June 28, 2021 at 18:00 | Report abuse | Reply
  41. RV Repair Near My Location

    http://calculator-credit.ru/articles/credit-news.php?l=http://www.ocrv.vip

    June 28, 2021 at 20:59 | Report abuse | Reply
  42. RV Repair Shops Nearby

    Pretty! This has been an incredibly wonderful post. Thanks for providing this info.

    http://water.soundprint.org/link.php?link=http://www.ocrvpaintandservice.com

    June 28, 2021 at 22:02 | Report abuse | Reply
  43. Mercedes Sprinter 3.0 Intake Runner Repair

    Oh my goodness! Amazing article dude! Thank you, However I am encountering troubles with your RSS. I donít understand the reason why I can't join it. Is there anyone else getting identical RSS problems? Anybody who knows the solution will you kindly respond? Thanx!!

    http://www.okayama-tbox.jp/kosodate/topics/344/logging?url=https://www.ocrvmotorsports.life

    June 28, 2021 at 22:08 | Report abuse | Reply
  44. Sprinter Van Rooftop A/C Leak Repair

    Hi, I think your website may be having web browser compatibility problems. Whenever I take a look at your website in Safari, it looks fine however, if opening in I.E., it has some overlapping issues. I just wanted to provide you with a quick heads up! Other than that, fantastic site!

    https://wine-pages.com/adserve/www/delivery/ck.php?oaparams=2__bannerid=55__zoneid=19__cb=4258f112ba__oadest=https://www.www.theocrv.com

    June 28, 2021 at 22:15 | Report abuse | Reply
  45. Airport Van Repair

    You ought to take part in a contest for one of the highest quality sites online. I will recommend this site!

    http://cs.condenastdigital.com/to/?h1=to,cntelligence,2014-10-27,cta_pdf,Bain:GlobalLuxuryMarketShowsSteadyGrowth&url=https://ocrvmotorsports.life/

    June 28, 2021 at 22:57 | Report abuse | Reply
  46. RV Repair Shops Near Me Now

    http://www.hkpca.org/redirecturl.asp?b_id=153&loc=2&url=http://ocrvmotorsports.info

    June 29, 2021 at 00:08 | Report abuse | Reply
  47. Sprinter Repair Orange County

    http://www.bytecheck.com/results?resource=https://ocrv.world/

    June 29, 2021 at 01:07 | Report abuse | Reply
  48. Mercedes Sprinter Service Near Me

    An outstanding share! I have just forwarded this onto a coworker who has been conducting a little homework on this. And he in fact ordered me lunch due to the fact that 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 talk about this subject here on your site.

    https://baza.akcjademokracja.pl/clicks/link/2547/2609bb9f-c4df-455f-8d8d-635a458e71de?url=http://www.ocrv.art

    June 29, 2021 at 02:30 | Report abuse | Reply
  49. RV Repairs Near Me

    http://georgewbushlibrary.smu.edu/exit.aspx?url=http://www.ocrv.org/

    June 29, 2021 at 02:32 | Report abuse | Reply
  50. luxusreisen

    I am no longer positive where you're getting your information, however great topic.
    I needs to spend a while learning much more or
    working out more. Thanks for excellent information I was searching for
    this info for my mission.

    June 29, 2021 at 03:24 | Report abuse | Reply
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Leave a Reply to RV Repairs Near Me


 

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.