Comparison of Two Combined Therapeutic Methods for Treatment of Lateral Epicondylitis

Study Overview
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Brief Summary
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To compare the effectiveness of two combined therapeutic methods including corticosteroid injections with elbow cast versus ice massage and non-steroidal anti inflammatory drugs (NSAIDs).

Detailed Description
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Design: Randomized clinical trial. Setting: Boo-Ali and Baqyiatallah Hospital in Tehran. Patients: 50 randomly selected patients, in two groups of 25 subjects. Interventions: Corticosteroid injections with elbow cast versus icing and NSAIDs. Outcome measures: Patients were evaluated for outcomes, complications and patients' satisfaction at 2nd, 4th, and 12th week after beginning of treatment. We measured the pain severity by Visual Analogue Scale (VAS).

Official Title
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Comparison of Two Combined Therapeutic Methods for Treatment of Lateral Epicondylitis: A Randomized Clinical Trial

Conditions
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Lateral Epicondylitis

Intervention / Treatment
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* Drug: Triamcinolone Acetonide- Indomethacin-Cryotherapy-Casting


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: pain at the lateral side of the elbow pain at the lateral epicondyle during resisted dorsiflexion of the wrist with the elbow in full extension, or resisted extension of middle finger at the metacarpophalangeal joint pain to be continued for longer than 6 weeks or even with recurrent pain during similar period Exclusion Criteria: previous history of receiving any treatment for lateral epicondylitis within 6 months prior to intervention patients who were unable to return for follow up patients with nerve entrapment pregnancy breast-feeding presence of systemic neuromuscular disorders such as myasthenia gravis upper limb fractures other arm/forearm pathology such as radial nerve compression known thrombocytopenia coagulopathy or bleeding diathesis history of diffuse pain syndrome history of inflammatory arthropathy intolerance/allergy to corticosteroids or NSAIDs or any contraindication for these untreated depression history of narcotic use for pain management greater than 1 month or history of narcotic abuse problem

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Intervention/Treatment |
| --- |
|Drug: Triamcinolone Acetonide- Indomethacin-Cryotherapy-Casting|nan|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| visual analogue scale (VAS) |  |  | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient's satisfaction |  |  | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Lateral Epicondylitis, Treatment, Corticosteroid, Elbow Cast, Icing, NSAIDs