Tennis Elbow: Best Nonsurgical Options

Catherine Logan

September 7th, 2020

RESEARCH UPDATEComparative Efficacy and Safety of Nonsurgical Treatment Options for Enthesopahty of the Extensor Carpi Radialis Brevis: A Systematic Review and Meta-analysis of RCTs.
Source: The American Journal of Sports Medicine, first published October 31, 2018
Clinical Purpose:To compare the efficacy and safety of non-op management of ECRB enthesopathy in randomized placebo-controlled trials.
Bottom Line: At best, all treatments provided only small pain relief. At short-term follow up, corticosteroid injection improved pain; however, it was associated with pain worse than placebo at long-term follow up.
Points to Consider: This study was a systematic review and meta-analysis.
Takeaway: Most patients experienced pain resolution after receiving placebo within 4 weeks of follow-up. If clinicians are inclined to provide treatment for particular patients, they may consider a pain relief regimen for the first 4 weeks of symptom duration. This study was not very encouraging with regard to our current treatment methodologies.

About the Author:
Catherine A. Logan, MD, MBA, MSPT is a sports medicine Orthopaedic Surgeon and writer. Based in Denver, CO, she is an attending at Colorado Sports Medicine & Orthopaedics at Rose Medical Center. Dr. Logan is the Head League Physician for Premier Lacrosse League (PLL) member of the team physician pool for the US Ski & Snowboard teams each year. Dr. Logan completed her Orthopaedic Surgery residency at the Harvard Combined Orthopaedic Residency Program and her Sports Medicine Fellowship training at the prestigious Steadman Philippon Research Institute/The Steadman Clinic in Vail, CO. Logan is also on the board of The Chill Foundation.