Minimally invasive treatment of lateral epicondylitis

Ivan Urits; Michael Markel; Paula Choi; Neeraj Vij; Aaron Tran; Daniel An; Amnon A Berger; Elyse Cornett; Alan D Kaye; Omar Viswanath

doi:10.1016/j.bpa.2020.08.004

Minimally invasive treatment of lateral epicondylitis

Best Pract Res Clin Anaesthesiol. 2020 Sep;34(3):583-602. doi: 10.1016/j.bpa.2020.08.004. Epub 2020 Aug 8.

Authors

Ivan Urits¹, Michael Markel², Paula Choi³, Neeraj Vij⁴, Aaron Tran⁴, Daniel An², Amnon A Berger⁵, Elyse Cornett⁶, Alan D Kaye⁶, Omar Viswanath⁷

Affiliations

¹ Beth Israel Deaconess Medical Center, Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Boston, MA, USA. Electronic address: ivanurits@gmail.com.
² Georgetown University School of Medicine, Washington, DC, USA.
³ Creighton University School of Medicine, Department of Anesthesiology, Omaha, NE, USA.
⁴ University of Arizona College of Medicine-Phoenix, Department of Anesthesiology, Phoenix, AZ, USA.
⁵ Beth Israel Deaconess Medical Center, Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Boston, MA, USA.
⁶ Louisiana State University Health Shreveport, Department of Anesthesiology, Shreveport, LA, USA.
⁷ Creighton University School of Medicine, Department of Anesthesiology, Omaha, NE, USA; University of Arizona College of Medicine-Phoenix, Department of Anesthesiology, Phoenix, AZ, USA; Louisiana State University Health Shreveport, Department of Anesthesiology, Shreveport, LA, USA; Valley Pain Consultants - Envision Physician Services, Phoenix, AZ, USA.

PMID: 33004169
DOI: 10.1016/j.bpa.2020.08.004

Abstract

Lateral epicondylitis (LE), also known as tennis elbow, is the most common cause of elbow pain in adults, with approximately 1-3% of the general population being afflicted. Although the condition is usually self-limiting, pain can be a major hindrance, limiting daily activity and the work capacity of patients. As a result, many treatment options have become available with the aim to shorten the duration of the disease and increase the quality of life. Steroid injections, NSAIDs, topical creams, platelet-rich plasma, physical therapy, and kinesiotaping are considered conservative treatments, while surgical options are last-resort treatments reserved for refractory LE. In this review, we will provide a brief summary of LE and focus on addressing conservative and minimally invasive interventional options for the treatment of LE.

Keywords: kinesiotaping; lateral epicondylitis; physical therapy; platelet rich plasma; steroid injections.

Publication types

Review

MeSH terms

Adrenal Cortex Hormones / administration & dosage
Analgesics / administration & dosage*
Anti-Inflammatory Agents, Non-Steroidal / administration & dosage
Athletic Tape*
Conservative Treatment / methods*
Drug Administration Routes
Humans
Physical Therapy Modalities*
Platelet-Rich Plasma*
Tennis Elbow / diagnosis
Tennis Elbow / physiopathology
Tennis Elbow / therapy*
Treatment Outcome

Substances

Adrenal Cortex Hormones
Analgesics
Anti-Inflammatory Agents, Non-Steroidal