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. JvcxCrulk

    chewing viagra buy generic viagra with mastercard viagra in south africa best place to buy viagra in sydney generic viagra canadian free viagra samples online price of viagra which pharmacy can i buy viagra in london best prices on viagra ordering viagra gold online female viagra shopping generic viagra canada pharmacy viagra viagra cheap overnight shippimg generic viagra chewable

    January 17, 2021 at 05:17 | Report abuse | Reply
  2. FgnhZisse

    cheap viagra fast shipping buy viagra with paypal no prescription viagra vipp where can i buy viagra cheap viagrasales best price viagra no presription brand viagra no prescription generic viagra 100mg Г— 30 pills online pharmacy viagra dapoxetine pay pal viagra viagra sale online viagra, no prescription canadian pharmacy generic viagra buy viagra online viagra gold bestellen

    January 17, 2021 at 07:34 | Report abuse | Reply
  3. LcxEncox

    cvs viagra generic viagra online us 100mg viagra for sale http://genqpviag.com/ – viagra australia ’

    January 19, 2021 at 18:59 | Report abuse | Reply
  4. JbdcEncox

    best viagra prices viagra trial pack overnight sydney viagra http://llviabest.com/ – viagra in sydney ’

    January 20, 2021 at 00:22 | Report abuse | Reply
  5. NlbxZisse

    do i need prescription for cialis in usa cialis supplier uk cialis male enhancement http://cialijomen.com/ – cialis 200 mg price ’

    January 20, 2021 at 01:44 | Report abuse | Reply
  6. AqbvEncox

    viagra for sale generic viagra best price buying viagra using paypal http://acialaarx.com/ – generic viagra next day ’

    January 20, 2021 at 08:35 | Report abuse | Reply
  7. KbctMile

    200 mg cialis deals online to buy cialis generic cialis 10mg ireland http://mycialedst.com/ – cialis professionals ’

    January 21, 2021 at 15:17 | Report abuse | Reply
  8. JvcbxCrulk

    cialis quick ship cialis inr cialis usa http://phrcialiled.com/ – cialis 20 mg from canada ’

    January 22, 2021 at 01:08 | Report abuse | Reply
  9. FbdhZisse

    cialis black 800 to buy in the uk one pill cheap tablet cialis ebay cialis http://21cialismen.com/ – buy cialis with prescription australia ’

    January 22, 2021 at 07:33 | Report abuse | Reply
  10. FmfvEncox

    where to buy cialis cheap cialis 10mg cialis debit card http://sjcialis.com/ – best price for cialis 20 mg ’

    January 23, 2021 at 06:31 | Report abuse | Reply
  11. NmilZisse

    viagra dealers in malaysia viagra without presciption walmart viagra prescriptions http://xz-pharmacyonline.com/en/career-opportunities.html – quick delivery on viagra ’

    January 24, 2021 at 20:57 | Report abuse | Reply
  12. AhmdEncox

    cialis paypale wallmart cialis typical cialis prescription strength http://cialmenshoprx.com/ – cialis w/o perscription ’

    January 25, 2021 at 02:47 | Report abuse | Reply
  13. KbbtMile

    grapefruit cialis compare rx prices ed. trusted medstore in cialis https://xz-pharmacyonline.com – Ampicillin ’

    January 25, 2021 at 23:11 | Report abuse | Reply
  14. JnhCrulk

    cialis prices at walmart list cialis free sample of cialis http://loncialis.com/ – over the counter viagra cialis ’

    January 26, 2021 at 09:24 | Report abuse | Reply
  15. FbgZisse

    viagra australia delivery paypal generic viagra prescription free viagra free sample pack https://canadianpharmacy-usx.com/organic.htm – viagra vs cialis ’

    January 27, 2021 at 03:49 | Report abuse | Reply
  16. froleprotrem

    My developer is trying to persuade me to move to .net from PHP. I have always disliked the idea because of the costs. But he's tryiong none the less. I've been using Movable-type on several websites for about a year and am worried about switching to another platform. I have heard fantastic things about blogengine.net. Is there a way I can import all my wordpress posts into it? Any kind of help would be really appreciated!


    January 27, 2021 at 13:01 | Report abuse | Reply
  17. FmnfEncox

    cialis super active 20mg cialis no prescription uk cialis 20 mg online usa https://impotencecdny.com/info/history.php – cialis with dapoxitine ’

    January 28, 2021 at 12:45 | Report abuse | Reply
  18. NgscZisse

    cialis generic levitra viagra generic viagra soft tablets generic viagra 30 http://canadianpharmacy-yy.com/Fitness/how-to-get-a-six-pack.html – 20 mg sildenafil 30 tablets cost ’

    January 30, 2021 at 03:10 | Report abuse | Reply
  19. AhmdEncox

    cialis hk Arcoxia cialis side effects women https://impotencecdny.com/ – Cytotec ’

    January 30, 2021 at 09:53 | Report abuse | Reply
  20. KbbgMile

    viagra 10 mg humana online pharmacy viagrae without perscription http://erectilejyzd.com/ – Biltricide ’

    January 31, 2021 at 05:20 | Report abuse | Reply
  21. JnscCrulk

    viagra professional 20 mg where to buy viagra in canada wallmart viagra http://erectilejyzd.com/index.php?called=terms – mex rx viagra ’

    January 31, 2021 at 15:30 | Report abuse | Reply
  22. FhnhZisse

    Benemid Uroxatral reputable canadian mail order pharmacies https://canadianpharmacy-yy.com/ – Brand Levitra ’

    February 1, 2021 at 10:08 | Report abuse | Reply
  23. JbnbCrulk

    online pharmacies of canada best canadian prescription prices meds online without doctor prescription

    February 3, 2021 at 18:19 | Report abuse | Reply
  24. KbcxMile

    canada drugs direct Super ED Trial Pack walgreens pharmacy online

    February 4, 2021 at 06:49 | Report abuse | Reply
  25. JbbvEncox

    canadia online pharmacy north west pharmacy canada men's health

    February 4, 2021 at 12:06 | Report abuse | Reply
  26. froleprotrem

    Fantastic website. A lot of helpful info here. I am sending it to several friends ans also sharing in delicious. And obviously, thank you to your sweat!


    February 5, 2021 at 08:21 | Report abuse | Reply
  27. zortilo nrel

    Hi there! I could have sworn I've been to this blog before but after checking through some of the post I realized it's new to me. Anyways, I'm definitely delighted I found it and I'll be book-marking and checking back often!


    February 5, 2021 at 08:40 | Report abuse | Reply
  28. Kuikseelt

    what drugstore can i buy viagra in hong kong viagra melbourne victoria viagra on sale

    February 5, 2021 at 10:45 | Report abuse | Reply
  29. NncsZisse

    viagra paypal in australia best price viagra 100mg buy viagra on discover card

    February 5, 2021 at 22:26 | Report abuse | Reply
  30. AqcfTeneseelt

    cialis 10mg ireland cialis ireland canadian pharmacy for cialis for sale

    February 6, 2021 at 11:22 | Report abuse | Reply
  31. FqhhEncox

    pharmacy northwest canada pharmacy online store best canadian online pharmacies

    February 6, 2021 at 21:37 | Report abuse | Reply
  32. FvfcZisse

    viagra professional vs viagra viagra for cheap on line discount pharmaceuticals

    February 8, 2021 at 02:16 | Report abuse | Reply
  33. LbsxEncox

    canadian pharmacy kingcanadian viagra viagra buy through paypal prescription drug price comparison

    February 8, 2021 at 10:50 | Report abuse | Reply
  34. AhkdEncox

    canadadrugsonline canadian pharmacy uk delivery compound pharmacy

    February 8, 2021 at 19:43 | Report abuse | Reply
  35. https://g.page/fokuszpalyazat

    Merely wanna say that this is extremely helpful, Thanks for taking your time to write this.


    February 9, 2021 at 04:15 | Report abuse | Reply
  36. Dr. Gőz Péter ügyvéd

    Very interesting info!Perfect just what I was searching for!


    February 9, 2021 at 04:20 | Report abuse | Reply
  37. Cardiff House Clearance

    Thanks for the sensible critique. Me and my neighbor were just preparing to do a little research about this. We got a grab a book from our area library but I think I learned more from this post. I am very glad to see such fantastic information being shared freely out there.


    February 9, 2021 at 07:57 | Report abuse | Reply
  38. JbnvCrulk

    cash advance international speedway visa debit cash advance fee direct lender payday loans list

    February 10, 2021 at 16:48 | Report abuse | Reply
  39. KvaxMile

    payday loan 32226 can you be arrested for outstanding payday loan cash advance magnum

    February 11, 2021 at 03:22 | Report abuse | Reply
  40. JbbnEncox

    what is better viagra or cialis cialis turkki cialis lilly online

    February 11, 2021 at 12:42 | Report abuse | Reply
  41. Kbbfseelt

    pfizer viagra accepts visa cards viagra cana viagra cheap xm advertising

    February 12, 2021 at 11:46 | Report abuse | Reply
  42. AbcfTeneseelt

    online viagra ships to canada using paypal before and after viagra buy viagra online australia no prescription

    February 13, 2021 at 10:26 | Report abuse | Reply
  43. NbnhZisse

    viagra capsules in india http://vigedon.com/ sildenafil 100 mg tablet

    February 13, 2021 at 15:39 | Report abuse | Reply
  44. Quincy Tow Truck

    746456 498886It shows how you comprehend this subject. Added this page, is for far more. 772576

    February 15, 2021 at 10:18 | Report abuse | Reply
  45. FbsgZisse

    cialis shop in australia how can i buy cialis online cialis professional legitimate

    February 16, 2021 at 05:11 | Report abuse | Reply
  46. LabxEncox

    cialis cold medicine cialis 5 mg precio melange viagra cialis

    February 16, 2021 at 05:45 | Report abuse | Reply
  47. AhbzEncox

    payday loans old national hwy cash advance places in lexington ky get cash fast loan

    February 17, 2021 at 01:23 | Report abuse | Reply
  48. hydroxychloroquine generic name

    what is hcq covid raoult hydroxchloroquin

    February 19, 2021 at 01:29 | Report abuse | Reply
  49. lupus medications plaquenil

    erectile booster method reviews plaquenil blurry vision erectile coffee

    February 22, 2021 at 04:55 | Report abuse | Reply
  50. KndnMile

    viagra how it works female viagra cvs canada pharmacy viagra

    February 27, 2021 at 02:05 | Report abuse | Reply
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Leave a Reply to Social Media Marketing Specialist


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.

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.