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Lateral epicondylalgia: a structured programme better than corticosteroids and NSAID
Pia Nilsson1, Amir Baigi, Leif Swärd
1Tandemkliniken, Tvååker Primary Health Care Centre, Varberg, Sweden. pia.nilsson@lthalland.se
Scandinavian Journal of Occupational Therapy
|November 5, 2011
Summary
A structured physiotherapy program for lateral epicondylalgia significantly reduced pain and improved function compared to corticosteroid injections and NSAIDs over two years.
Area of Science:
- Orthopedics
- Rehabilitation Medicine
- Sports Medicine
Background:
- Lateral epicondylalgia, commonly known as tennis elbow, affects a significant portion of the adult population.
- Current treatments vary, with limited evidence on long-term effectiveness and recurrence rates.
Purpose of the Study:
- To compare the long-term efficacy of a structured treatment program versus usual care for lateral epicondylalgia.
- To assess differences in pain, function, episode recurrence, and sick leave days at two-year follow-up.
Main Methods:
- A cohort of 297 patients diagnosed with lateral epicondylalgia (M77.1) was studied.
- The intervention group (n=103) received a structured home-based program with ergonomic advice.
- The control group (n=194) received diverse professional treatments.
Main Results:
- After two years, 54% reported pain and 55% reported function loss.
- The intervention group showed significantly less pain and better function than those treated with corticosteroid injections or NSAIDs.
- The intervention group experienced fewer recurrences and sick leave days.
Conclusions:
- A structured treatment program is more effective than corticosteroid injections and NSAIDs for lateral epicondylalgia.
- This approach leads to reduced need for further treatment and sick leave, empowering patients with self-management skills.
