Optimisating corticosteroid injection for lateral epicondylalgia with the addition of physiotherapy: A randomised control trial with placebo comparison.

Phase 4

Recruiting

• Conditions: Tennis Elbow; Lateral Epicondylalgia; Musculoskeletal - Other muscular and skeletal disorders; Physical Medicine / Rehabilitation - Physiotherapy

• Registration Number: ACTRN12609000051246
• Lead Sponsor: Professor Bill Vicenzino

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2009-01-22
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 132

Inclusion Criteria

Lateral elbow pain of greater than 6 weeks duration and satisfying widely accepted
diagnostic criteria for tennis elbow: (a) pain over the lateral humeral epicondylar region, (b) pain that is provoked by gripping activities, (c) reduced grip strength, and (d) increased sensitivity to manual palpation over the lateral epicondylar region. Reproduction of pain with stretching of the forearm extensor muscles or with specific resisted static contraction of extensor carpi radialis brevis is also usually present.

Exclusion Criteria

i.Bilateral elbow symptoms
ii.Received an injection for lateral epicondylalgia (LE) within the preceding 6 months
iii.Received a course of physiotherapy, acupuncture or massage for their LE, within the preceding 3 months
iv.Concomitant neck or arm pain, other than LE, that has prevented participation in usual work or recreational activities or necessitated treatment within the last 6 months.
v.Evidence of other primary sources of lateral elbow pain including: pain over the radiohumeral joint; exacerbation of elbow pain with neck movements or manual examination; or sensory disturbance in the affected hand
vi.History of other specific elbow pathology including: fractures within the preceding 10years; surgery; malignancy or inflammatory or arthritic disorder
vii.Any medical condition which may contraindicate injection or exercise prescription
viii.Pregnant or breastfeeding

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
General improvement (6-point scale: completely recovered, much improved, improved, no change, worse, much worse)[4, 8, 12, 26 and 52 weeks];Pain-free Grip Force[0, 4, 8, 12, 26 and 52 weeks]