[Nonsurgical treatment of tennis elbow]. / Les traitements non chirurgicaux de la tendinopathie des épicondyliens.
Ann Readapt Med Phys
; 47(6): 346-55, 2004 Aug.
Article
en Fr
| MEDLINE
| ID: mdl-15297125
OBJECTIVE: To review the literature on nonsurgical treatment of tennis elbow. METHODS: We searched Medline for all randomized controlled trials (RCTs), controlled clinical trials (CCTs) and literature reviews published from 1966 to December 2003 on nonsurgical treatment of tennis elbow. We used the keys words controlled clinical trial, tennis elbow on lateral epicondylitis, and treatment. We found 46 reports of RCTs and CCTs on 14 nonsurgical treatments and 11 literature reviews. RESULTS: Corticosteroid injection is the best treatment option for the short term. However, beneficial effects persisted only for a short time, and the long-term outcome could be poor. For the long term, physiotherapy (pulsed ultrasound, deep friction massage and exercise programme) was the best option but was not significantly different from the "wait-and-see" approach. Some support is offered for the use of topical nonsteroid anti-inflammatory drugs, at least for the short term. There is insufficient evidence to support or refute the use of acupuncture, extracorporeal shock wave therapy, manipulation, orthoses, low-energy laser, glycosaminoglycan polysulfate injection, botulinum toxin injection, or topical nitric oxide application. CONCLUSION: Further trials, with use of appropriate methods and adequate sample sizes, are needed before conclusions can be drawn about the effects of many of the treatments for tennis elbow and their ability to change the condition's natural course.
Buscar en Google
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Codo de Tenista
/
Antiinflamatorios no Esteroideos
/
Modalidades de Fisioterapia
/
Corticoesteroides
Tipo de estudio:
Clinical_trials
Límite:
Humans
Idioma:
Fr
Revista:
Ann Readapt Med Phys
Asunto de la revista:
MEDICINA FISICA
Año:
2004
Tipo del documento:
Article
País de afiliación:
Francia
Pais de publicación:
Países Bajos