Lateral Epicondyle Tendinopathy Toolkit: Appendix G - Medical and Surgical Interventions: Difference between revisions
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== Pharmacological Approaches == | == Pharmacological Approaches == | ||
==== NSAIDs ==== | ==== NSAIDs<ref>Green et al. Non-steroidal anti-inflammatory drugs (NSAIDs) for treating lateral elbow pain in adults. Cochrane Database Syst Rev. 2002; (2):CD003686.</ref> ==== | ||
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==== Corticosteroid (Injection) ==== | ==== Corticosteroid (Injection)<ref>Coombes B et al. Efficiency and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of RCTs. LANCET. 376(9754): 1751-67. Nov 2010.</ref><ref>Snyder K, Evans T. Effectiveness of corticosteroids in treatment of lateral epicondylosis. Jour Sports Rehab. 21(1): 83-88. Feb 2012.</ref><ref>Coombes B et al. Effect of corticosteroid injection, physiotherapy, or both on clinical outcomes in patients with unilateral lateral epicondylalgia: a randomized controlled trial. JAMA. 2013 Feb 6;309(5):461-9.</ref><ref>Krogh et al. Treatment of Lateral Epicondylitis With Platelet-Rich Plasma, Glucocorticoid, or Saline: A Randomized, Double-Blind, Placebo-Controlled Trial. AJSM e-pub. March 4, 2013.</ref> ==== | ||
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==== Glycerol Trinitrate (GTN )==== | ==== Glycerol Trinitrate (GTN)<ref>Paoloni et al. Randomised, double-blind, placebo-controlled clinical trial of a new topical glyceryl trinitrate patch for chronic lateral epicondylosis. Br J Sports Med. 2009;43:299-302.</ref><ref>Paoloni et al. Topical nitric oxide application in the treatment of chronic extensor tendinosis at the elbow: a randomized double-blinded placebo controlled trail. Am J Sports Med. 2003; 31: 915-20.</ref> ==== | ||
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Revision as of 14:47, 16 August 2013
Pharmacological Approaches[edit | edit source]
NSAIDs[1][edit | edit source]
| Method | AAA | |
| Proposed Mechanism | BBB | |
| Benefit: Pros/Cons |
Pros: |
|
| Cons: |
| |
| Evidence | EEE | |
|
Take Home Message |
FFF | |
Corticosteroid (Injection)[2][3][4][5][edit | edit source]
| Method | AAA | |
| Proposed Mechanism | BBB | |
| Benefit: Pros/Cons |
Pros: |
|
| Cons: |
| |
| Evidence | EEE | |
|
Take Home Message |
FFF | |
Glycerol Trinitrate (GTN)[6][7][edit | edit source]
| Method | AAA | |
| Proposed Mechanism | BBB | |
| Benefit: Pros/Cons |
Pros: |
|
| Cons: |
| |
| Evidence | EEE | |
|
Take Home Message |
FFF | |
Injection Therapies[edit | edit source]
Polidocanol[edit | edit source]
| Method | AAA | |
| Proposed Mechanism | BBB | |
| Benefit: Pros/Cons |
Pros: |
|
| Cons: |
| |
| Evidence | EEE | |
|
Take Home Message |
FFF | |
Prolotherapy[edit | edit source]
| Method | AAA | |
| Proposed Mechanism | BBB | |
| Benefit: Pros/Cons |
Pros: |
|
| Cons: |
| |
| Evidence | EEE | |
|
Take Home Message |
FFF | |
Platelet Rich Plasma (PRP)[edit | edit source]
| Method | AAA | |
| Proposed Mechanism | BBB | |
| Benefit: Pros/Cons |
Pros: |
|
| Cons: |
| |
| Evidence | EEE | |
|
Take Home Message |
FFF | |
Botox (Botulinum Toxin A)[edit | edit source]
| Method | AAA | |
| Proposed Mechanism | BBB | |
| Benefit: Pros/Cons |
Pros: |
|
| Cons: |
| |
| Evidence | EEE | |
|
Take Home Message |
FFF | |
Surgical Approaches[edit | edit source]
Denervation[edit | edit source]
| Method | AAA | |
| Proposed Mechanism | BBB | |
| Benefit: Pros/Cons |
Pros: |
|
| Cons: |
| |
| Evidence | EEE | |
|
Take Home Message |
FFF | |
Surgical Debridement[edit | edit source]
| Method | AAA | |
| Proposed Mechanism | BBB | |
| Benefit: Pros/Cons |
Pros: |
|
| Cons: |
| |
| Evidence | EEE | |
|
Take Home Message |
FFF | |
References[edit | edit source]
- ↑ Green et al. Non-steroidal anti-inflammatory drugs (NSAIDs) for treating lateral elbow pain in adults. Cochrane Database Syst Rev. 2002; (2):CD003686.
- ↑ Coombes B et al. Efficiency and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of RCTs. LANCET. 376(9754): 1751-67. Nov 2010.
- ↑ Snyder K, Evans T. Effectiveness of corticosteroids in treatment of lateral epicondylosis. Jour Sports Rehab. 21(1): 83-88. Feb 2012.
- ↑ Coombes B et al. Effect of corticosteroid injection, physiotherapy, or both on clinical outcomes in patients with unilateral lateral epicondylalgia: a randomized controlled trial. JAMA. 2013 Feb 6;309(5):461-9.
- ↑ Krogh et al. Treatment of Lateral Epicondylitis With Platelet-Rich Plasma, Glucocorticoid, or Saline: A Randomized, Double-Blind, Placebo-Controlled Trial. AJSM e-pub. March 4, 2013.
- ↑ Paoloni et al. Randomised, double-blind, placebo-controlled clinical trial of a new topical glyceryl trinitrate patch for chronic lateral epicondylosis. Br J Sports Med. 2009;43:299-302.
- ↑ Paoloni et al. Topical nitric oxide application in the treatment of chronic extensor tendinosis at the elbow: a randomized double-blinded placebo controlled trail. Am J Sports Med. 2003; 31: 915-20.
