Comparison of Two Combined Therapeutic Methods for Treatment of Lateral Epicondylitis
Information source: Azad University of Medical Sciences
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.
Condition(s) targeted: Lateral Epicondylitis
Intervention: Triamcinolone Acetonide- Indomethacin-Cryotherapy-Casting (Drug)
Phase: Phase 4
Status: Terminated
Sponsored by: Azad University of Medical Sciences Official(s) and/or principal investigator(s):
Jaleh Hassanloo, MD, Principal Investigator, Affiliation: Department of Orthopedics, Boo-Ali Hospital
Summary
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).
Clinical Details
Official title: Comparison of Two Combined Therapeutic Methods for Treatment of Lateral Epicondylitis: A Randomized Clinical Trial
Study design: Treatment, Randomized, Open Label, Uncontrolled, Parallel Assignment, Efficacy Study
Primary outcome: visual analogue scale (VAS)
Secondary outcome: Patient's satisfaction
Detailed description:
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).
Eligibility
Minimum age: 18 Years.
Maximum age: 70 Years.
Gender(s): Both.
Criteria:
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
Locations and Contacts
Azad University of Medical Sciences, Boo-Ali Hospital, Tehran 13456/7889, Iran, Islamic Republic of
Additional Information
Starting date: January 2003
Ending date: April 2006
Last updated: November 5, 2007
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