Efficacy of corticosteroid injection vs deep friction massage in lateral epicondylitis

Author(s): Dr. Arun Kumar, Dr. P Krishna Sandeep, Dr. Sai Deiv Ramkumar, Dr. Alagurswamy Ravi and Dr. Yeshwanth Subash

Abstract: Background: Lateral epicondylitis affects people mainly in middle-aged groups. Despite numerous studies, it is still a poorly understood illness with no clear treatment guidelines. The goal of the study was to compare deep friction massage vs corticosteroid injection for the management of lateral epicondylitis. Methods: To compare outcomes, a randomised controlled trial was conducted. The patients were divided into 2 different groups. The first group was given a corticosteroid injection, while the second was given a deep friction massage. Disabilities of the Arm, Shoulder, and Hand (DASH) scores, visual analogue scale (VAS), and grip strength were measured before and after treatment. Results: The results were expected in 6-12 weeks, with a 6-month follow-up. At the 6- to 12-week follow-up, both groups showed significant improvements in VAS pain score, DASH score, and grip strength. At the 6-month follow-up, all three end measures, VAS pain score, grip strength, and DASH score, indicated a substantial improvement in group 2 deep friction massage. Conclusion: For lateral epicondylitis, deep friction massage is the best line of management and can be utilized in patients for whom various treatment options have failed. This form of treatment gives good functional outcomes without any complications as compared to a corticosteroid injection.

DOI: https://doi.org/10.22271/ortho.2023.v9.i1b.3285