Local injection treatment for lateral epicondylitis

Altay T., Gunal I., Ozturk H.

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, no.398, pp.127-130, 2002 (SCI-Expanded) identifier identifier identifier


In a prospective randomized study of lateral epicondylitis, 120 patients were treated with 2 mL lidocaine (Group A, n=60) or I mL lidocaine combined with I mL triamcinolone (Group B, n=60). All injections were done using the peppering technique: after inserting the needle the tender area was peppered with 40 to 5 injections by injecting, withdrawing, redirecting, and reinserting without emerging from the skin. All patients were followed up for I year. Fifty-six patients in Group A and 57 patients in Group B had excellent results. There was statistically no difference between the groups. Both groups had excellent results and because the injection of local anesthetics is known to have no long-term effect in the treatment of lateral epicondylitis, the peppering technique seems to be a reliable method of treatment.