Click here to send us your inquires or call (852) 36130518

Tennis elbow injections do ‘more harm than good’ | elbow injection

Tennis Elbow Injections do ‘more harm than good’

elbow injection

Corticosteroid injections for tennis elbow could do more harm than good, reports the BBC News summarising a study in The Lancet published October 2010.

The BBC story continued “It found that injections reduced pain for the first few weeks, but made the condition worse in the long term.”
Brooke K. Coombes of the University of Queensland and his researchers analysed the treatment of tendinopathy in more than 2,600 patients from 41 previous studies.
Writing in The Lancet, the authors concluded: “Our systematic review challenges continued use of corticosteroid injections by providing strong evidence that they are worse in the long term than are most conservative interventions for tendinopathy.”

This was particularly true for the treatment of lateral epicondylitis, known as tennis elbow.

The research found that in treating tennis elbow, corticosteroid injection had a large effect on reduction of pain compared with placebo in the short term, from three to six weeks.
But treatment with injections over a longer period, from four to six months up to 12 months, was not found to be beneficial.
In fact, researchers found that it made the pain from tennis elbow worse.
See Tennis Elbow Lateral Epicondylitis Therapy – Injection for Tennis Elbow? for other types of injections.

Tennis Elbow Injections do No Harm

These conclusions are disputed on NHS Website
The research demonstrates a short-term benefit of corticosteroids compared with doing nothing for pain related to tennis elbow, but that this particular treatment has no effect in the longer term. There is no conclusive evidence that the steroid injections ‘do more harm than good’ as suggested by the BBC News headline. Some of the studies favoured the treatments that the corticosteroids were being compared against. However, this was often in single-study results (not pooled results) and was not the case for all comparators.
An editorial that accompanies this article suggests, “today’s review might discourage clinicians from using corticosteroids in patients who are seeking medium-term and long-term cures”. It says the clinical implication here is that one corticosteroid injection is not helpful for elbow pain at 6 to 12 months, and that multiple injections do not improve outcomes. However, given the shortage of studies for some of these analyses, especially of alternatives to corticosteroid injections for tennis elbow, the short-term benefits may still be better than nothing for many patients. The editorial says that “there is no compelling evidence that any injection for tendinopathy is a magic bullet”.

Tennis Elbow / Lateral Epicondylitis Exercises are Best

Experts say exercising the affected area is preferable.

Writing about the findings in The Lancet, Dr Alexander Scott and Dr Karim Khan from the University of British Columbia in Canada, recommend exercise as the best way to cure tendinopathies.

“Specific exercise therapy might produce more cures at six and 12 months than one or more corticosteroid injections.”
Dr Khan said: “It sounds old-fashioned but specific exercise programmes are better than rest.”
“Exercise stimulates the tendon to repair by stimulating the tendon cells to make new proteins.”
“Tennis elbow and other tendinopathies have been shown to be a failure of tissue, not a result of inflammation, so exercise is the right thing to do.”


Draw your own conclusions if you will.

If you want mine :
I think that the injections are useful for a few months
BUT they have to be given to patients who are going to work at their stretching and strengthening programmes.

I think this is the best approach.
I would go as far as to say that the patient should demonstrate that they are doing stretching etc before they are given the injection!
I believe this would greatly improve the results….

Please Share your Comments Below

This video show some basic exercises to get you started. Take my Tennis Elbow Video Assessment for a full assessment of your problem for FREE

6 Responses to “Tennis elbow injections do ‘more harm than good’ | elbow injection”

  1. Evancho Says:

    Well, that’s interesting! I appreciate to read such things!

  2. Britteny Chua Says:

    Hey there. I wanted to drop you a rapid note in order to convey my thanks. I’ve also been following your blog for a month or so and have picked out up a load of good facts as well as enjoyed the way you’ve organised your own website. I am trying to run my personal webpage however I consider it is way too standard and also I would like to focus more on smaller matters. Being all things to all people is not all that its cracked up to be.

  3. Hugo Starratt Says:

    I am an student and i am willing to write some part of this post to my university blog,can i do so.Also just require your permit just mail me if you are happy about it. i believe this post will be helpful for the info i am wanting to publish.

  4. draw people Says:

    This wasn’t what I was initially wanting for but it was still valuable so thank you.

  5. exercises to lose weight Says:

    Thank you……

    I absolutely agree. That is precisely how I see it. Excellent!…

  6. Benjamin Bodrick Says:

    Very Imformative!

Leave a Reply

Login with Facebook:
SEO Powered By SEOPressor

Addmotor Electric Bike| Electric bike shop / electric bicycle shop Electric bike review| Electric trike| Fat tire electric bike| Best electric bike| Electric bicycle/E bike| Electric bikes for sale| Folding electric bike| Electric mountain bike| Electric tricycle Mid drive electric bike| Juiced Bikes Pedego Rad-Power

Tomtop| Online shop| Online Einkaufen

地產代理/物業投資| 租辦公室/租寫字樓| 地產新聞| 甲級寫字樓/頂手| Grade A Office| Commercial Building / Office building| Hong Kong Office Rental| Rent Office| Office for lease / office leasing| Office for sale| Office relocation

DecorCollection European design furniture| sofa hk| sofas| beds| coffee tables| dining tables| dining chairs| sideboards| furniture hk| Cattelan Italia| Koinor

International schools hong kong| Wycombe Abbey| private school hong kong| English primary school Hong Kong| primary education| boarding school Hong Kong| Wycombe Abbey School

邮件营销| 電郵推廣| 邮件群发软件| Email Marketing| 搜尋引擎優化 SEO