Does Nonsurgical Treatment Improve Longitudinal Outcomes of Lateral Epicondylitis Over No Treatment? A Meta-analysis

Sayegh, E. T., & Strauch, R. J. (2015). Does Nonsurgical Treatment Improve Longitudinal Outcomes of Lateral Epicondylitis Over No Treatment? A Meta-analysis. Clinical Orthopaedics and Related Research®, 473(3), 1093–1107Access full text online at: http://link.springer.com/article/10.1007/s11999-014-4022-y#page-1.

This systematic review and meta analysis evaluates the effect of non-surgical treatment for lateral epicondylitis. Evaluated non-surgical treatments include: injections, physiotherapy, shock wave therapy, laser, ultrasound, corticosteroid iontophoresis, topical glyceryl trinitrate, or oral naproxen. 22 randomized controlled trials, encompassing 2280 patients, are included in the review. Findings indicate that there was no benefit to non-surgical treatment verses no treatment for overall improvement, escape treatment, outcome scores, or grip strength. The authors recommend watchful waiting for management of short-term symptoms.

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