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Elbow pain usually isn’t serious, but because you use your elbow in so many ways, elbow pain can definitely affect your life.  Your elbow is a complex joint that allows you to extend and flex your forearm and rotate your hand and forearm.  Most movements are a combination of these actions, and you may sometimes find it difficult to describe what exactly brings on the pain.If tendonitis is severe and leads to the rupture of a tendon, you may need surgical repair.  But most cases of tendonitis can be successfully treated with rest, physical therapy and medications to reduce pain.

While epicondylitis (tendonitis of the elbow) is typically considered benign and self-limiting, research has noted very high health care Reutilization rates.  Patients often resort to working through pain or foregoing formerly enjoyable exercise.  Work-related upper extremity conditions that are not thoroughly rehabilitated can result in worker’s compensation claims, unemployment, and underemployment.



Both medical and lateral epicondylitis (tennis and golfer’s elbow)” usually results from cumulative trauma and overuse.  Doctors have connected epicondylitis wit golf, tennis, swimming, pitching, hammering, using a screwdriver, typing, and excessive handshaking.  When patients wish to resume repetitive stress activities, a basic return to the previous function may not be enough.To help patients return to daily activities, sports and protect patient’s jobs, physical therapy is often required.  In what seems to be the most recent study comparing corticosteroid injections to physical therapy, Tonks and colleagues declare in the title that steroid injection is the best.  Unfortunately, this study published in the International Journal of Clinical Practice only followed patients for seven weeks.

To date, the largest and longest study comparing corticosteroid injections to physical therapy for epicondylitis is one published by the Lancet in 2002.  In this study, Smidt et al. compared three treatments for lateral epicondylitis: corticosteroid injections, physical therapy, and self-management.  Injections had the greatest success rate at six weeks – 92%.  However, at a 52-week follow-up, the success for injections had dropped below physical therapy success rates.In addition, it was later demonstrated that adding spinal manipulation to traditional extremity therapies improves physical therapy results in terms of ability, grip strength, and pain.  It may be reasonable to combine analgesic treatment with rehabilitative treatment to achieve the best in both immediate and long-term success.

By Sohaila Mosaddegh PT, DPT, CEO

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Physical Therapy & Sports Medicine Center provides pre- and post-surgery orthopedics program, therapeutic modalities, sports injury rehab, fall prevention program, balance and vestibular program, and female only physical therapy program for incontinence, fibromyalgia, osteoporosis, chronic low back pain, neck pain and other conditions specific to women. Our physical therapists serve Greenbelt, Riverdale and Bowie in Prince George's County and Olney in Montgomery County, Maryland. Discover why our patients refer us to their friends and family as the Best physical therapy center in the Washington DC metro area.
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