Physical therapy, corticosteroid injection, and extracorporeal shock wave treatment in lateral epicondylitis

@article{Gndz2012PhysicalTC,
  title={Physical therapy, corticosteroid injection, and extracorporeal shock wave treatment in lateral epicondylitis},
  author={Rukiye G{\"u}nd{\"u}z and Fevziye {\"U}nsal Malas and Pınar Borman and Seher Kocaoğlu and Levent {\"O}zçakar},
  journal={Clinical Rheumatology},
  year={2012},
  volume={31},
  pages={807-812}
}
The aim of this study was to compare—clinically and ultrasonographically—the therapeutic effects of physical therapy modalities (hot pack, ultrasound therapy, and friction massage), local corticosteroid injection, and extracorporeal shock wave treatment (ESWT) in lateral epicondylitis (LE). Fifty-nine elbows of 59 patients with LE were randomized into three treatment groups receiving either physical therapy, a single corticosteroid injection, or ESWT. Visual analogue scale (VAS) was used to… 
Comparison of the effectiveness of local corticosteroid injection and extracorporeal shock wave therapy in patients with lateral epicondylitis
TLDR
Both the extracorporeal shock wave therapy and steroid injection were safe and effective in the treatment of lateral epicondylitis, however, extacorporealshock wave therapy demonstrated better outcomes than steroid injection at the long-term follow-up.
Efficacy of extracorporeal shock wave therapy in the treatment of lateral epicondylitis
TLDR
ESWT utilization in conservative treatment of lateral epicondyilitis was found to be effective on reducing pain, and improving functional activities and quality of life.
Extracorporeal Shock Wave Therapy for Lateral Epicondylitis, Lonely or in Combination with Topical Corticosteroid; Which Approach is Superior?
TLDR
The findings of this study are in favor of ESWT use either merely or in combination with topical steroids for the treatment of LE, while the comparison of the two techniques revealed insignificant differences.
Efficacy of Radial Extracorporeal Shock Wave Therapy on Lateral Epicondylosis, and Changes in the Common Extensor Tendon Stiffness with Pretherapy and Posttherapy in Real-Time Sonoelastography: A Randomized Controlled Study
TLDR
Patients with lateral epicondylosis had better and faster pain reduction, grip strength increase, and functional improvement after receiving rESWT in addition to physical therapy than those who received physical therapy only.
Effectiveness of high-intensity laser therapy and splinting in lateral epicondylitis; a prospective, randomized, controlled study
TLDR
HILT and splinting are effective physical therapy modalities for patients with LE in reducing pain and improving disability, quality of life, and grip strength.
The Effect of Radial Extracorporeal Shock Wave Therapy in the Treatment of Trigger Finger
TLDR
It is concluded that the treatment of rESWT might be a non-invasive option to treat the trigger finger, however, randomized controlled trials are needed to provide more evidence of this treatment.
Comparison of the clinical and sonographic effects of ultrasound therapy, extracorporeal shock wave therapy, and Kinesio taping in lateral epicondylitis
TLDR
The US therapy, KT, and ESWT are effective in reducing pain and improving functionality, however, none of these treatment methods were found to be superior to others in reducing the pain andimproving functionality.
Comparison of radial extracorporeal shockwave therapy with ultrasound therapy in patients with lateral epicondylitis
TLDR
Both radial shockwave and ultrasound therapies were significantly effective in patients with lateral epicondylitis, however, ultrasound therapy was less effective than shockwave therapy.
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References

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TLDR
Extracorporeal shock wave therapy is an alternative method for patients who do not benefit from conservative treatment and refuse surgical treatment for lateral epicondylitis and achieves at least 85% of grip strength of the normal side.
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TLDR
Extracorporeal shock wave therapy as applied in the present study was ineffective in the treatment of lateral epicondylitis and should be applied only in high-quality clinical trials until it is proved to be effective.
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TLDR
Extracorporeal shock wave therapy as applied in the present study was ineffective in the treatment of lateral epicondylitis and should be applied only in high-quality clinical trials until it is proved to be effective.
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TLDR
Despite improvement in pain scores and pain-free maximum grip strength within groups, there does not appear to be a meaningful difference between treating lateral epicondylitis with extracorporeal shock wave therapy combined with forearm-stretching program and treating with forearm’s stretching program alone, with respect to resolving pain within an 8-week period of commencing treatment.
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TLDR
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TLDR
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TLDR
Manipulation of the wrist appeared to be more effective than ultrasound, friction massage, and muscle stretching and strengthening exercises for the management of lateral epicondylitis when there was a short-term follow-up.
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