Comparison of Two Combined Therapeutic Methods for Treatment of Lateral Epicondylitis

Azad University of Medical Sciences

Status and phase

Terminated

Phase 4

Conditions

Lateral Epicondylitis

Treatments

Drug: Triamcinolone Acetonide- Indomethacin-Cryotherapy-Casting

Study type

Interventional

Funder types

Other

Identifiers

NCT00554476

RCT-246910-06

Details and patient eligibility

About

To compare the effectiveness of two combined therapeutic methods including corticosteroid injections with elbow cast versus ice massage and non-steroidal anti inflammatory drugs (NSAIDs).

Full description

Design: Randomized clinical trial. Setting: Boo-Ali and Baqyiatallah Hospital in Tehran. Patients: 50 randomly selected patients, in two groups of 25 subjects. Interventions: Corticosteroid injections with elbow cast versus icing and NSAIDs.

Outcome measures: Patients were evaluated for outcomes, complications and patients' satisfaction at 2nd, 4th, and 12th week after beginning of treatment. We measured the pain severity by Visual Analogue Scale (VAS).

Sex

All

Ages

18 to 70 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

pain at the lateral side of the elbow
pain at the lateral epicondyle during resisted dorsiflexion of the wrist with the elbow in full extension, or resisted extension of middle finger at the metacarpophalangeal joint
pain to be continued for longer than 6 weeks or even with recurrent pain during similar period

Exclusion criteria

previous history of receiving any treatment for lateral epicondylitis within 6 months prior to intervention
patients who were unable to return for follow up
patients with nerve entrapment
pregnancy
breast-feeding
presence of systemic neuromuscular disorders such as myasthenia gravis
upper limb fractures
other arm/forearm pathology such as radial nerve compression
known thrombocytopenia
coagulopathy or bleeding diathesis
history of diffuse pain syndrome
history of inflammatory arthropathy
intolerance/allergy to corticosteroids or NSAIDs or any contraindication for these
untreated depression
history of narcotic use for pain management greater than 1 month or history of narcotic abuse problem