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. Content Marketing Mentor

    This excellent website definitely has all of the info I wanted concerning this subject and didn’t know who to ask.

    http://dok1.odeum.com/scripts/banner.php?iBannerFileID=115040000087611&vcFile=http://affordableranking.com

    May 8, 2021 at 00:32 | Report abuse | Reply
  2. Digital Marketing Contractor

    http://www.inv8me.com/__media__/js/netsoltrademark.php?d=affordableranking.com

    May 8, 2021 at 01:43 | Report abuse | Reply
  3. Social Media Marketing Company Irvine

    https://www.burgenkunde.com/links/klixzaehler.php?url=https://affordableranking.com

    May 8, 2021 at 02:48 | Report abuse | Reply
  4. Video Marketing Companies Near Me

    An intriguing discussion is worth comment. I believe that you ought to publish more on this topic, it might not be a taboo matter but usually folks don't discuss such topics. To the next! Many thanks!!

    http://lustforlifecampaign.com/__media__/js/netsoltrademark.php?d=affordableranking.com

    May 8, 2021 at 13:56 | Report abuse | Reply
  5. rv shower repair

    Pretty! This has been an incredibly wonderful article. Many thanks for supplying this info.

    http://gomag.com/?id=73&aid=&cid=&move_to=https://ocrvcenter.com

    May 8, 2021 at 14:52 | Report abuse | Reply
  6. Social Media Marketing Pros

    https://www.voycer.org/__media__/js/netsoltrademark.php?d=affordableranking.com

    May 8, 2021 at 15:32 | Report abuse | Reply
  7. AnooEncox

    viagra efter prostatektomi http://llviagra.com/ efecto residual del viagra

    May 8, 2021 at 15:51 | Report abuse | Reply
  8. Internet Marketing Companies Near Me

    https://www.jllfamily.net/__media__/js/netsoltrademark.php?d=affordableranking.com

    May 8, 2021 at 18:11 | Report abuse | Reply
  9. RV Repair Near Me

    https://rebrand.ly/aak1jsp

    May 8, 2021 at 20:35 | Report abuse | Reply
  10. Content Marketing Irvine

    Great info. Lucky me I ran across your site by accident (stumbleupon). I have saved it for later!

    https://www.minimunchers.com/redirect/default?url=https://www.affordableranking.com

    May 9, 2021 at 00:18 | Report abuse | Reply
  11. RV Countertops Los Angeles

    Hello! I could have sworn I’ve been to this site before but after looking at some of the posts I realized it’s new to me. Anyhow, I’m certainly pleased I stumbled upon it and I’ll be book-marking it and checking back frequently!

    http://gg.gg/p0srp

    May 9, 2021 at 00:33 | Report abuse | Reply
  12. RV Toilets Near Me

    There's definately a great deal to know about this topic. I love all the points you have made.

    https://cpmlink.net/Cc5sAQ

    May 9, 2021 at 08:13 | Report abuse | Reply
  13. Social Media Marketing Company Cypress

    This blog was... how do I say it? Relevant!! Finally I've found something which helped me. Many thanks!

    http://www.independenttimeco.com/__media__/js/netsoltrademark.php?d=affordableranking.com

    May 9, 2021 at 19:55 | Report abuse | Reply
  14. Social Media Marketing Programs

    This is a very good tip particularly to those new to the blogosphere. Short but very accurate information… Appreciate your sharing this one. A must read article!

    http://www.ironhorseforestry.net/__media__/js/netsoltrademark.php?d=affordableranking.com

    May 9, 2021 at 20:47 | Report abuse | Reply
  15. RV Countertops California

    An impressive share! I've just forwarded this onto a coworker who was conducting a little homework on this. And he in fact bought me dinner due to the fact that I found it for him... lol. So let me reword this.... Thank YOU for the meal!! But yeah, thanks for spending the time to discuss this subject here on your internet site.

    http://go.dlbartar.com/index.php?url=http://ocrvcenter.com

    May 9, 2021 at 21:53 | Report abuse | Reply
  16. Internet Marketing Firm

    Saved as a favorite, I love your site!

    https://thedead.net/__media__/js/netsoltrademark.php?d=affordableranking.com

    May 9, 2021 at 21:54 | Report abuse | Reply
  17. JebgEncox

    canadian pharmacy coupon http://pharmacylo.com/ prescription without a doctor's prescription

    May 10, 2021 at 08:30 | Report abuse | Reply
  18. LbsoZisse

    rhino laboratories cialis http://ucialisdas.com/ over night cialis

    May 10, 2021 at 11:33 | Report abuse | Reply
  19. LebnEncox

    brand viagra https://xlnpharmacy.com/ antibacterial

    May 10, 2021 at 12:29 | Report abuse | Reply
  20. Digital Marketing Agency Orange County

    http://www.blufstein.com/__media__/js/netsoltrademark.php?d=affordableranking.com

    May 10, 2021 at 14:52 | Report abuse | Reply
  21. Internet Marketing Jobs Near Me

    http://www.grodno.ru/bitrix/rk.php?goto=http://www.affordableranking.com

    May 10, 2021 at 15:11 | Report abuse | Reply
  22. Digital Marketing Agency

    http://www.daofuassets.com/openlog/2618?next=http://affordableranking.com

    May 10, 2021 at 17:53 | Report abuse | Reply
  23. Internet Marketing Event

    http://pcsafer.inews24.com/log/link.asp?tid=web_log&adid=57&url=http://affordableranking.com

    May 10, 2021 at 20:03 | Report abuse | Reply
  24. FmrfEncox

    original cialis https://cialisee.com/ – cialis oline what is cialis black 800mg

    May 11, 2021 at 00:06 | Report abuse | Reply
  25. Digital Marketing Agency Irvine

    http://belfinance.ru/bitrix/redirect.php?event1=&event2=&event3=&goto=http://affordableranking.com

    May 11, 2021 at 02:15 | Report abuse | Reply
  26. Social Media Marketing La Habra

    The next time I read a blog, Hopefully it won't disappoint me just as much as this one. After all, Yes, it was my choice to read through, however I genuinely thought you would probably have something useful to say. All I hear is a bunch of moaning about something that you could possibly fix if you weren't too busy seeking attention.

    https://gooddive.com/dt/www/delivery/ck.php?ct=1&oaparams=2__bannerid=7__zoneid=189__cb=f84f91a0ae__oadest=http3A2F2Faffordableranking.com

    May 11, 2021 at 04:17 | Report abuse | Reply
  27. Seo Marketing Videos

    https://diversity-jobs.com/print_version.php?url=https://affordableranking.com

    May 11, 2021 at 04:29 | Report abuse | Reply
  28. Content Marketing Reviews

    That is a great tip especially to those fresh to the blogosphere. Short but very precise info… Thank you for sharing this one. A must read article!

    https://www.ethanmackjackson.com/__media__/js/netsoltrademark.php?d=www.affordableranking.com

    May 11, 2021 at 05:56 | Report abuse | Reply
  29. Robbie Krissie

    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 authors and blogs

    http://everydayliteracies.blogspot.com/2014/08/new-book-in-our-series-youth-community.html?showComment=1530513255301

    May 11, 2021 at 08:40 | Report abuse | Reply
  30. Local Marketing Masters

    An outstanding share! I have just forwarded this onto a coworker who was doing a little homework on this. And he in fact bought me breakfast simply because I discovered it for him... lol. So let me reword this.... Thanks for the meal!! But yeah, thanx for spending the time to discuss this matter here on your site.

    https://peerport.com/__media__/js/netsoltrademark.php?d=affordableranking.com

    May 11, 2021 at 09:19 | Report abuse | Reply
  31. Seo Marketing Companies Near Me

    An interesting discussion is worth comment. I do believe that you should publish more on this subject, it might not be a taboo matter but usually people don't discuss these subjects. To the next! Many thanks!!

    https://www.cherithbaptist.com/sermons/?show=&url=http3A2F2Faffordableranking.com

    May 11, 2021 at 10:42 | Report abuse | Reply
  32. Seo Marketing Companies

    http://jftunes.com/__media__/js/netsoltrademark.php?d=spokanevalleywebdesign.com

    May 11, 2021 at 15:20 | Report abuse | Reply
  33. Google Marketing Job

    You are so awesome! I don't suppose I've truly read through something like this before. So wonderful to find someone with some genuine thoughts on this issue. Really.. many thanks for starting this up. This web site is something that is needed on the web, someone with a little originality!

    http://habba.com/__media__/js/netsoltrademark.php?d=bestlocalnearme.com

    May 11, 2021 at 17:04 | Report abuse | Reply
  34. Content Marketing Events

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

    http://www.aquo.net/out.cgi?id=10079&url=http://internetmarketingoregon.com

    May 11, 2021 at 17:26 | Report abuse | Reply
  35. RV Mattresses Near Me

    Pretty! This has been a really wonderful post. Thank you for providing this information.

    http://minibuggy.net/forum/redirect-to/?redirect=http://yelp.com/biz/ocrv-center-yorba-linda

    May 11, 2021 at 21:21 | Report abuse | Reply
  36. oranges for sale near me

    http://yumi.rgr.jp/puku-board/kboard.cgi?mode=res_html&owner=proscar&url=ocrv.club/motorhome-fabrication-repair-near-me

    May 11, 2021 at 21:28 | Report abuse | Reply
  37. nearest trailer repair

    https://www.vans.com/webapp/wcs/stores/servlet/LinkShareGateway?siteID=IFCTyuu33gI-HmTv1Co9oM2RT1QCkYxD_Q&source=LSA&storeId=10153&url=https://ocrvmotorcoaches.com/rv-repair-shop-cathedral-city-california

    May 11, 2021 at 22:42 | Report abuse | Reply
  38. oc ac repair

    https://schoo.jp/redirect?url=https://ocrvluxurycoaches.com/rv-repair-shop-cathedral-city-california

    May 12, 2021 at 03:03 | Report abuse | Reply
  39. FmrfEncox

    cialis cheap over night http://cialisee.com/ cialis generic

    May 12, 2021 at 04:10 | Report abuse | Reply
  40. rv air conditioner service near me

    https://www.dbta.com/Events/updateStats.aspx?id=1598&lnk=https://ocrvexperts.com/semi-truck-collision-repair-shop-near-me

    May 12, 2021 at 05:16 | Report abuse | Reply
  41. Caroll Sita

    This was great! I would like you to clean up all this spam though

    https://www.linkedin.com/in/yusuf-hanafy-82493b183

    May 12, 2021 at 05:50 | Report abuse | Reply
  42. videos stores near me

    It’s nearly impossible to find experienced people for this subject, however, you seem like you know what you’re talking about! Thanks

    http://ad.sxp.smartclip.net/optout?url=https://youtube.com/watch?v=Z3NPaOGaKlM

    May 12, 2021 at 06:06 | Report abuse | Reply
  43. mobile rv repair orange county ca

    http://www.canada.com/scripts/go.aspx?g=vancouversun&n=subscribe_link_relatedlinks&u=https://youtube.com/watch?v=4EI8pQetwp8

    May 12, 2021 at 08:20 | Report abuse | Reply
  44. mobile home supplies orange county ca

    Pretty! This was an incredibly wonderful article. Thank you for providing this info.

    &count=1&ie=1

    May 12, 2021 at 09:08 | Report abuse | Reply
  45. AnooEncox

    vardenafil and viagra https://llviagra.com/ – taking viagra to dubai does pom act like viagra

    May 12, 2021 at 11:56 | Report abuse | Reply
  46. RV Center Near Me

    Greetings! Very useful advice in this particular article! It is the little changes which will make the biggest changes. Thanks for sharing!

    http://www.earthlyvistas.com/__media__/js/netsoltrademark.php?d=yelp.com/biz/ocrv-center-yorba-linda-2

    May 12, 2021 at 12:33 | Report abuse | Reply
  47. RV Paint Shop California

    I was pretty pleased to discover this website. I need to to thank you for your time for this particularly fantastic read!! I definitely liked every part of it and i also have you saved to fav to see new stuff in your website.

    http://www.wefinancefun.biz/__media__/js/netsoltrademark.php?d=youtube.com/channel/UChUH5GdtSzHx6V02C90mnfQ/videos

    May 12, 2021 at 13:24 | Report abuse | Reply
  48. Sprinter Van Repair Fountain Valley

    Greetings! Very helpful advice in this particular post! It's the little changes that will make the most important changes. Thanks a lot for sharing!

    http://sherlock.scribblelive.com/r?u=sprintervanrepairshop.com/uhaul-truck-repair-shop-near-me

    May 12, 2021 at 14:24 | Report abuse | Reply
  49. LebnEncox

    Brand Levitra http://xlnpharmacy.com/ Lamivudin (Cipla Ltd)

    May 12, 2021 at 15:24 | Report abuse | Reply
  50. RV Couches Los Angeles

    http://www.mercedarias.com/santander/modules/mod_jw_srfr/redir.php?url=http://www.goo.gl/maps/iCzoZ1dDPjhG6Dsh6

    May 12, 2021 at 16:28 | 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 Repair California


 

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.

Archive
February 2013
M T W T F S S
 123
45678910
11121314151617
18192021222324
25262728  
  • An error has occurred, which probably means the feed is down. Try again later.