Long-term effectiveness of non-surgical interventions for the treatment of lateral elbow tendinopathy, with a follow-up of minimum one year. Asystematic review.
Item
- Title
- Long-term effectiveness of non-surgical interventions for the treatment of lateral elbow tendinopathy, with a follow-up of minimum one year. Asystematic review.
- Author(s)
- Rubitzsch, S
- Abstract
- BACKGROUND: Lateral elbow tendinopathy (LET) is a common musculoskeletal condition, which affects the common extensor tendon origin at the lateral humeral epicondyle, causing pain and muscular dysfunction. Numerous non-surgical interventions have been proposed for the management of LET, but there has been no evidence and conclusion which treatment approach helps and works best. The reoccurrence of symptoms after treatment is common. OBJECTIVE: The aim of this review was to compare the long-term effectiveness of nonsurgical interventions for the treatment of lateral elbow tendinopathy in improving clinical outcomes such as a pain and muscular function.DESIGN: A systematic review was chosen to collate as many relevant published studies as possible. METHODS: In November 2014 the keywords, "lateral epicondylitis" or "tennis elbow" or ‘lateral elbow tendinopathy' or ‘lateral epicondylalgia' or ‘elbow epicondylar tendinosis' were searched in following databases: Cochrane Database of Systematic Reviews and Cochrane Central Register of Controlled Trials, SciVerse Science Direct, CINAHL and Medline. Main definitions of the inclusion criteria were: RCT's within the last 10 years, human adults diagnosed with LET and a follow-up of minimum one year. Jadad and S.O.R.T. grading systems were used for quality assessment. RESULTS: 15 RTC's which met all inclusion criteria were identified, of which 13 were high quality and 2 low quality studies with limited patient-oriented evidence found. DISCUSSION: Numerous RCT's demonstrated statistically significant improvement with following interventions: _wait and see approach', primary care management, tendon rehabilitation program, eccentric exercises, MET, autologous blood injections, platelet-rich plasma injections, hyaluronic acid injections and prolotherapy injections. However, some of these outcomes have to be considered with caution and further research is needed. CONCLUSION: Strong evidence was found that LET is a self-limiting condition and resolves on its own. Furthermore, the strong evidence was found against a recommendation of corticosteroid usage in the treatment of LET.
- presented at
- European School of Osteopathy
- Date Accepted
- 2015
- Date Submitted
- 2.12.2016 16:55:00
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 15918
- Inst-Identifier
- 1229
- Keywords
- Randomized controlled trial; systematic review; tennis elbow n of corticosteroid usage in the treatment of LET.
- Recommended
- 0
- Item sets
- Thesis
Rubitzsch, S, “Long-term effectiveness of non-surgical interventions for the treatment of lateral elbow tendinopathy, with a follow-up of minimum one year. Asystematic review.”, Osteopathic Research Web, accessed May 4, 2025, https://www.osteopathicresearch.com/s/orw/item/563