Comparison of Intra-articular and Intra-tendinous Injections for Treatment of Lateral Epicondylitis
Stopped early
Conditions studied: Lateral Epicondylitis
In brief
Lateral epicondylitis, commonly known as "tennis elbow" is a common cause of elbow pain encountered in primary care and specialty clinics. Although lateral epicondylitis is common, little consensus exists on the best way to treat it. Historically 80% of patients will get better with non-operative treatments (rest, NSAIDS, bracing and injections). In regard to efficacy of injections, recent large, prospective, randomized studies have shown minor improvements in the short term, but no long term benefits when compared to saline injection. Consistently, intra-articular injections have not been reported. The investigators suspect that elbow joint inflammation may be an underappreciated source of pain in lateral epicondylitis. The investigators' hypothesis is that patients receiving intra-articular injections will have greater improvement compared to patients receiving either no injection or an intra-tendinous injection.
Key facts
- Study ID
- NCT02986646
- Run by
- University of Missouri, Kansas City
- People needed
- 2
- Starts
- 2017-01-01
- Expected to finish
- 2020-01-20
- Last updated by the study team
- 2021-05-13
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Confirmed diagnosis of lateral epicondylitis based on 2 or more of the following diagnostic criteria: tenderness over the lateral epicondyle; pain with resisted wrist extension; pain with resisted long finger extension.
- Symptoms lasting a minimum of 6 weeks
- Pain score of >= 3/10 using the Visual Analog Scale (VAS)
- Age >= 18 years
You may not qualify if…
- History of prior elbow surgery
- History elbow fracture within the past year
- Elbow instability on physical examination
- Elbow arthritis on radiographs
- Compressive neuropathy in the affected extremity (i.e.carpal tunnel, cubital tunnel)
- Evidence of cervical myelopathy, radiculopathy or brachial plexopathy
- History of systemic inflammatory condition (i.e. rheumatoid arthritis or systemic lupus erythematosus)
- Allergy to study administered medications (steroid or lidocaine)
- Neoplasm
- Non-English speaking patients
- Inability to comply with study protocols and follow up.
- Pregnant female
Where it is running
- Truman Medical Center — Kansas City, Missouri, United States
Full record on ClinicalTrials.gov
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