Physiotherapy alone, in combination with corticosteroid injection or wait-and-see for acute lateral epicondylitis in general practice: a randomised, placebo-controlled study with 12 months follow-up.
- Conditions
- ateral epicondylitis of the elbowMedDRA version: 8.1Level: LLTClassification code 10024032Term: Lateral epicondylitis
- Registration Number
- EUCTR2006-002283-26-NO
- Lead Sponsor
- niversity of Oslo, Institute of General Practice and Community Medicine
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Authorised-recruitment may be ongoing or finished
- Sex
- All
- Target Recruitment
- Not specified
Age 18-70 years
Pain from the lateral part of the elbow
The pain increases on resisted dorsiflexion of the wrist with the elbow extended and the fingers flexed
or the pain increases on resisted radial deviation of the wrist
or the pain increases on resisted extension of the 3. finger
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range
Exclusion criteria
Duration of complaints less than 2 weeks or more than 3 months
The tenderness is located within the muscle body itself in the proximal part of the short radial extensor muscle of the
wrist (Cyriax type IV) 9.
Treament within the last 12 months for the same condition with corticosteroid injection or physiotherapy
Bilateral complaints
Previous surgical treatment for lateral epicondylitis
Deformities of the elbow (congenital or aquired)
Cervical radiculopathy or referred pain from neck or shoulder
Previous fractures or tendon ruptures in the elbow
Study protocol lateral epicondylitis version 18.04.2006 Page 4 of 6
Systemic musculoskeletal disease
Previous allergic reactions to corticosteroids or lidocain
Contraindications to corticosteroids or NSAIDs:
On-going or previous gastro-intestinal bleeding, previous ulcer or dyspepsia, severe asthma
on-going systemic infection, local skin-infection, recently vaccinated with live virus, coagulopathies, SLE, severe
liver- or kidney-disease, heart failure, diabetes, use of warfarin or NSAIDS
Pregnancy or breast-feeding
Fertile females not on effective birth control
Psyco-social or other reasons for not being able to participate throughout the study.
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method