Overview

Corticosteroid Injection Verses High Energy Extracorporeal Shock Wave Therapy for Lateral Epicondylitis

Status:
Unknown status
Trial end date:
1969-12-31
Target enrollment:
0
Participant gender:
All
Summary
The purpose of this study is to prospectively compare the pain and functional outcomes of patients with chronic lateral epicondylitis treated with either intratendinous corticosteroid injection or high energy extracorporeal shock wave therapy (ESWT).
Phase:
Phase 4
Accepts Healthy Volunteers?
Accepts Healthy Volunteers
Details
Lead Sponsor:
Walter Reed National Military Medical Center
Treatments:
Lidocaine
Triamcinolone
Triamcinolone Acetonide
Triamcinolone diacetate
Triamcinolone hexacetonide
Criteria
Inclusion Criteria:

- All patients presenting to the WRNMMC orthopaedic hand surgery clinic for complaints
of lateral elbow pain will be evaluated for inclusion in the study. Inclusions
criteria will be:

- Clinical diagnosis of lateral epicondylitis based on primary complaint of lateral
elbow pain and either (a) tenderness over the lateral epicondyle with direct
palpation, or (b) exacerbation of pain at the lateral elbow with resisted dorsiflexion
of the wrist

- Failure of previous trial of non-operative management of at least 4wks duration (to
include rest/light duty, non steroidal anti-inflammatory drugs , physical/occupational
therapy, home stretching regimen)

Exclusion Criteria:

- Age <18yo

- Pregnant or planning to become pregnant during study period (based on verbal
questioning)

- Steroid treatment (oral or injectable) within the previous 3mo

- Diagnosis of ipsilateral compressive neuropathy

- Allergy to Kenalog, lidocaine, or conductive ultrasound gel

- Diagnosis of inflammatory arthropathy or rheumatoid conditions

- Diagnosis of fibromyalgia, chronic fatigue syndrome, complex regional pain syndrome,
or other chronic widespread pain syndromes