Lateral Epicondylitis Clinical Trial
Official title:
Clinical Comparative Effect of Physiotherapy or Acupuncture Treatment of Lateral Epicondylitis; a Randomized Controlled Pilot Trial
Work-related upper extremity disorders are common problems in working populations in western
countries. Lateral epicondylitis (LE) or tennis elbow is the most frequent type of soft
tissue syndrome of the elbow, with an annual incidence of four to seven cases per 1000
patients in general practice, and as high as 15 % of workers in highly repetitive hand task
industries.
LE is a painful condition, leading to loss of function of the affected limb. Therefore it can
have a major impact on the patient's work and personal life. If untreated, it persists for an
average of six to 24 months and associated with significant sickness absence in 5 % of
affected working-aged adults. The cost is therefore high, both in terms of loss of
productivity and health care utilization.
Many treatments have been advocated in the management of LE, possibly implying that much is
unknown about its etiology and how it best should be treated. Systematic reviews have failed
to draw any firm conclusions as to what treatment is most effective in managing this
condition.
Over the past 10 years acupuncture has gained wider acceptance for treating pain, by both
clinicians and consumers of health, and there is some evidence suggesting that acupuncture
treatment is effective in of acute symptoms in LE. A recent study supports that also elbow
manipulation have a short-term relief of acute symptoms in LE, especially when combined with
eccentric exercise. Our study will therefore explore the clinical effectiveness of
physiotherapy versus acupuncture treatment of LE, compared with watchful waiting.
The study design is three armed and randomized, single blinded. The study aims, in a pilot stydy, to test if physiotherapy or acupuncture treatment of lateral epicondylitis, compared with watchful waiting, is useful means in pain relief for patients with lateral epicondylitis. ;
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