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Corticosteroid injection reduces short-term (less than six weeks) symptoms from lateral epicondylitis, but physical therapy is superior to steroid injection after six weeksand improves functional outcomes in patients with chronic tibial plateau in addition to improving functional outcomes in those with functional improvement following an ACL reconstruction. To determine the efficacy and safety of corticosteroid injection to treat patients with chronic lateral epicondylitis following reconstruction, 19 patients with lateral epicondylitis, 22 with anterolateral epicondylitis, and 19 healthy controls underwent ACL reconstruction with or without corticosteroid injection by the team at The University of Cincinnati Medical Center. After the first week of grafting, patients were random selected at baseline to one of the following 2 groups: (1) steroids or (2) steroids plus physical therapy. RESULTS: During the first weeks of grafting and rehabilitation, 11 patients in the physical therapy group and eight in the steroid group received corticosteroid injection. Of these 11 patients, six received steroids and six received physical therapy. Of those who received steroids, only two (one patient in the physical therapy group and one patient in the steroid group) did not experience improvements in their symptoms of lateral epicondylitis during rehab. CONCLUSION: Physical therapy is more effective than steroid injection. © 2011 John Wiley & Sons A/S. A medical journal publication. Related Article:

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