A new study in the BMJ has suggested that steroid injections are apparently of no use for individuals suffering with tennis elbow and the best treatment option revolves around the practice of wait-and-watch.

This finding was disclosed after researchers from Australia tested the approach on group of volunteers, who were assured that their problem would be sorted out.

From Bio-medicine.org:

Initially, corticosteroid injections were the most successful treatment, with 78% of those in the group reporting improvements, followed closely by physiotherapy with a 65% success rate when compared to just 27% in the ‘wait and see’ group.

However, after 52 weeks the injection group rates of improvement were significantly worse than those of the physiotherapy group. The injection group also had the most reported recurrences, with 72% of participants’ condition deteriorating after three or six weeks – which could be due, in part, to a quicker initial recovery leading to greater use and over-taxing of the elbow.

The research also found that the superior long-term effects of physiotherapy were replicated by the wait and see approach – at the end of the study participants in both the physiotherapy and wait and see group had either much improved or completely recovered.

The authors say that “the…poor overall performance of corticosteroid injections should be taken under consideration by both the patient and their doctor in management of tennis elbow.”

Tennis elbow, in most cases, is a self-limiting condition, which can be treated in the long run by passing information and ergonomic advice to patients about their condition.

Tags: corticosteroid injections, physiotherapy, steroid injections, tennis elbow

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