Steroid injections for tennis elbow make it worse

Genevra Pittman writing in Reuters reported that in an Australian study published in the Journal of the American Medical Association, researchers evaluated 165 adults with tennis elbow.

tennis-elbowThe participants were divided into four treatment groups: cortisone shots without physical therapy, cortisone shots with physical therapy, placebo shots without physical therapy, and placebo shots with physical therapy. After one year, 83% of the participants who received a cortisone shot reported that they had completely recovered, compared to 96% of those who received a placebo shot.

Steroid shots weaken tendons over the long haul.  A much more physiologic approach is to use ultrasound guided needle tenotomy and platelet-rich plasma (PRP).

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