For a very long time, the initial treatment chosen for a patient with severe pain due to tennis elbow was a cortisone injection. Cortisone is a steroid and a strong anti-inflammatory. Initially most of these injected patients were very satisfied , but many patients note that when the injection wears off, they feel worse than they did prior to the injection.
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The author, Gretchen Reynolds cites a recent Lancet-published review of over 40 more recent clinical trials involving people with tendon injuries, mostly Tennis Elbow. The review showed that in the short term it was clear that Cortisone shots did provide quick and significant pain relief – No surprise there.
Lateral epicondylitis or tennis elbow is a painful and functionally limiting entity affecting the upperextremity and is frequently treated by hand surgeons. Corticosteroid injection is one of the most common interventions for lateral epicondylitis or tennis elbow. Here, a review of the medical literature on this treatment is presented.
“The traditional treatment for lateral epicondylitis, or tennis elbow, is to use physical therapy followed by a cortisone injection to relieve pain,” Dr. Scofield explains. “Cortisone injections are popular because they’ve been used for decades, they are affordable, and insurance covers them.
Objectives: To compare the early effects of local corticosteroid injection, naproxen, and placebo as treatments for tennis elbow in primary care. Specifically, to find out whether the extra pain reduction experienced by patients who are given the steroid injection in the short-term would be realized within the first 5 days of treatment and to attempt to assess how much extra pain may be associated with the injection initially.
If symptoms persist, your clinician may recommend a corticosteroid injection. This often provides immediate relief, but don't take that as a go-ahead to return to activities that aggravate tennis elbow. After the injection, you'll be given a program to follow that includes rest, ice, and acetaminophen, followed by physical therapy.
Go to the doctor with an aching elbow, and the prescription may well be a cortisone shot. Ah, relief! But that short-term gain may make for long-term pain. There's mounting evidence that cortisone...
Oct. 21, 2010 -- Corticosteroid injections, better known as cortisone shots, provide short-term pain relief for tendon problems such as tennis elbow but may be worse than other treatments later on...
Ultrasonic tenotomy (TENEX procedure). In this procedure, under ultrasound guidance, a doctor inserts a special needle through your skin and into the damaged portion of the tendon. Ultrasonic energy vibrates the needle so swiftly that the damaged tissue liquefies and can be suctioned out. Surgery.
The injections usually contain a corticosteroid medication and a local anesthetic. Often, you can receive one at your doctor's office. Because of potential side effects, the number of shots you can get in a year generally is limited.