Lateral epicondylitis is a common overuse syndrome of the extensor tendons of the forearm. It is sometimes called tennis elbow, although it can occur with many activities. The condition affects men and women equally and is more common in persons 40 years or older. Despite the prevalence of lateral epicondylitis and the numerous treatment strategies available, relatively few high-quality clinical trials support many of these treatment options; watchful waiting is a reasonable option. Topical nonsteroidal anti-inflammatory drugs, corticosteroid injections, ultrasonography, and iontophoresis with nonsteroidal anti-inflammatory drugs appear to provide short-term benefits. Use of an inelastic, nonarticular, proximal forearm strap (tennis elbow brace) may improve function during daily activities. Progressive resistance exercises may confer modest intermediate-term results. Evidence is mixed on oral nonsteroidal antiinflammatory drugs, mobilization, and acupuncture. Patients with refractory symptoms may benefit from surgical intervention. Extracorporeal shock wave therapy, laser treatment, and electromagnetic field therapy do not appear to be effective. (+info)
Overuse injuries in female athletes.
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The last three decades have witnessed a tremendous increase in female sports participation at all levels. However, increased sports participation of female athletes has also increased the incidence of sport-related injuries, which can be either acute trauma or overuse injuries. Overuse injuries may be defined as an imbalance caused by overly intensive training and inadequate recovery, which subsequently leads to a breakdown in tissue reparative mechanisms. This article will review the most frequent overuse injuries in female athletes in the context of anatomical, physiological, and psychological differences between genders. (+info)
The efficacy of prolotherapy for lateral epicondylosis: a pilot study.
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Cross-cultural adaptation and determination of the reliability and validity of PRTEE-S (Patientskattad Utvardering av Tennisarmbage), a questionnaire for patients with lateral epicondylalgia, in a Swedish population.
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Steroid injection in lateral epicondylar pain.
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What is the evidence for using steroid injection to treat lateral epicondylar pain in the general practice setting? In reviewing four randomised controlled trials, this article concludes that steroid injection is indicated if rapid pain relief is desired in the short term. The evidence for steroid injection in the long term is less clear. (+info)
Motor unit potential morphology differences in individuals with non-specific arm pain and lateral epicondylitis.
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