Will A Corticosteroid Injection Help In The Long Term?
Evidence Suggests a Rethink on Corticosteroid Injections
Tennis elbow affects 1-3% of the general population and 15% of workers in at-risk industries. Medical practitioners following an evidence based approach will find little high level evidence for treating tennis elbow.
Bissett etal (2006) investigated the short term and long term efficacy of a physiotherapy intervention (elbow joint techniques and specific exercise) compared with corticosteroid injections and “wait and see”.
Patients who received a corticosteroid injection showed significantly better effects at six weeks. However, there were very high recurrence rates after six weeks (47/65 of successes subsequently regressed). This setback persisted until at least 12 month post-injection.
Physiotherapy was significantly superior to the “wait and see” group until the six month review. Compared to the corticosteroid group, the long-term recurrence was significantly lower in the physiotherapy group. Participants who had physiotherapy also sought less additional treatment, such as non-steroidal anti-inflammatory drugs, than the other groups.
Common Physiotherapy Treatment Techniques
Physiotherapy and Exercise
#Bursitis #Physiotherapy #TennisElbow #Tens #Physio #CortisoneShot #CortisoneShots #CorticosteroidInjection #SteroidInjections #Physios
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