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Effectiveness of pulsed electromagnetic field therapy in lateral epicondylitis

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Abstract

We aimed to investigate the efficacy of pulsed electromagnetic field (PEMF) in lateral epicondylitis comparing the modality with sham PEMF and local steroid injection. Sixty patients with lateral epicondylitis were randomly and equally distributed into three groups as follows: Group I received PEMF, Group II sham PEMF, and Group III a corticosteroid + anesthetic agent injection. Pain levels during rest, activity, nighttime, resisted wrist dorsiflexion, and forearm supination were investigated with visual analog scale (VAS). Pain threshold on elbow was determined with algometer. All patients were evaluated before treatment at the third week and the third month. VAS values during activity and pain levels during resisted wrist dorsiflexion were significantly lower in Group III than Group I at the third week. Group I patients had lower pain during rest, activity and nighttime than Group III at third month. PEMF seems to reduce lateral epicondylitis pain better than sham PEMF. Corticosteroid and anesthetic agent injections can be used in patients for rapid return to activities.

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References

  1. Lintner SA, Feagin JA, Boland AL (2001) Sports medicine. In: Ruddy S, Harris ED, Sledge CB (eds) Kelley’s textbook of rheumatology, 6th edn. WB Saunders, Philedelphia, pp 439–456

    Google Scholar 

  2. Whaley AL, Baker CL (2004) Lateral epicondylitis. Clin Sports Med 23:677–691

    Article  PubMed  Google Scholar 

  3. Briggs CA, Elliott BG (1985) Lateral epicondylitis. A review of structures associated with tennis elbow. Anat Clin 7:149–153

    Article  PubMed  CAS  Google Scholar 

  4. Erak S, Day R, Wang A (2004) The role of supinator in the pathogenesis of chronic lateral elbow pain: a biomechanical study. J Hand Surg [Br] 29:461–464

    Article  CAS  Google Scholar 

  5. Verhaar JA (1994) Tennis elbow. Anatomical, epidemiological and therapeutic aspects. Int Orthop 18:263–267

    Article  PubMed  CAS  Google Scholar 

  6. Hong QN, Durand MJ, Loisel P (2004) Treatment of lateral epicondylitis: where is the evidence? J Bone Spine 71:369–373

    Article  Google Scholar 

  7. Labelle H, Guibert R, Joncas J, Newman N, Fallaha M, Rivard CH (1992) Lack of scientific evidence for the treatment of lateral epicondylitis of the elbow. An attempted meta-analysis. J Bone Jt Surg Br 74:646–651

    CAS  Google Scholar 

  8. Smidt N, van der Windt DA, Assendelft WJ, Deville WL, Korthal-de Bos IB, Bouter LM (2002) Corticosteroid injections, physiotherapy, or a wait-and-see policy for lateral epicondylitis: a randomised controlled trial. Lancet 359:657–662

    Article  PubMed  CAS  Google Scholar 

  9. Smidt N, Assendelft WJ, Arola H, Malmivaara A, Greens S, Buchbinder R (2003) Effectiveness of physiotherapy for lateral epicondylitis: a systematic review. Ann Med 35:51–62

    Article  PubMed  Google Scholar 

  10. Nirschl RP, Rodin DM, Ochiai DH, Maartmann-Moe C (2003) Iontophoretic administration of dexamethasone sodium phosphate for acute epicondylitis. A randomized, double-blinded, placebo-controlled study. Am J Sports Med 31:189–195

    PubMed  Google Scholar 

  11. Rompe JD, Riedel C, Betz U, Fink C (2001) Chronic lateral epicondylitis of the elbow: a prospective study of low-energy shockwave therapy and low-energy shockwave therapy plus manual therapy of the cervical spine. Arch Phys Med Rehabil 82:578–582

    Article  PubMed  CAS  Google Scholar 

  12. Simunovic Z, Trobonjaca T, Trobonjaca Z (1998) Treatment of medial and lateral epicondylitis-tennis and golfer’s elbow-with low level laser therapy: a multicenter double blind, placebo-controlled clinical study on 324 patients. J Clin Laser Med Surg 16:145–151

    PubMed  CAS  Google Scholar 

  13. Fink M, Wolkenstein E, Karst M, Gehrke A (2002) Acupuncture in chronic epicondylitis: a randomized controlled trial. Rheumatology (Oxford) 41:205–209

    Article  CAS  Google Scholar 

  14. Newcomer KL, Laskowski ER, Idank DM, McLean TJ, Egan KS (2001) Corticosteroid injection in early treatment of lateral epicondylitis. Clin J Sport Med 11:214–222

    Article  PubMed  CAS  Google Scholar 

  15. Hay EM, Paterson SM, Lewis M, Hosie G, Croft P (1999) Pragmatic randomised controlled trial of local corticosteroid injection and naproxen for treatment of lateral epicondylitis of elbow in primary care. BMJ 319:964–968

    PubMed  CAS  Google Scholar 

  16. Trudel D, Duley J, Zastrow I, Kerr EW, Davidson R, MacDermid JC (2004) Rehabilitation for patients with lateral epicondylitis: a systematic review. J Hand Ther 17:243–266

    PubMed  Google Scholar 

  17. Trock DH (2000) Electromagnetic fields and magnets. Investigational treatment for musculoskeletal disorders. Rheum Dis Clin North Am 26:51–62

    Article  PubMed  CAS  Google Scholar 

  18. Bassett CA (1985) The development and application of pulsed electromagnetic fields (PEMFs) for ununited fractures and arthrodeses. Clin Plast Surg 12:259–277

    PubMed  CAS  Google Scholar 

  19. Ibiwoye MO, Powell KA, Grabiner MD, Patterson TE, Sakai Y, Zborowski M (2004) Bone mass is preserved in a critical-sized osteotomy by low energy pulsed electromagnetic fields as quantitated by in vivo micro-computed tomography. Orthop Res 22:1086–1093

    Article  Google Scholar 

  20. Trock DH, Bollet AJ, Markoll R (1994) The effect of pulsed electromagnetic fields in the treatment of osteoarthritis of the knee and cervical spine. Report of randomized, double blind, placebo controlled trials. J Rheumatol 21:1903–1911

    PubMed  CAS  Google Scholar 

  21. Leclaire R, Bourgouin J (1991) Electromagnetic treatment of shoulder periarthritis: a randomized controlled trial of the efficiency and tolerance of magnetotherapy. Arch Phys Med Rehabil 72:284–287

    PubMed  CAS  Google Scholar 

  22. Binder A, Parr G, Hazleman B, Fitton-Jackson S (1984) Pulsed electromagnetic field therapy of persistent rotator cuff tendinitis. A double-blind controlled assessment. Lancet 1:695–698

    Article  PubMed  CAS  Google Scholar 

  23. Devereaux MD, Hazleman BL, Thomas PP (1985) Chronic lateral humeral epicondylitis-a double-blind controlled assessment of pulsed electromagnetic field therapy. Clin Exp Rheumatol 3:333–336

    PubMed  CAS  Google Scholar 

  24. Pfahler M, Jessel C, Steinborn M, Refior HJ (1998) Magnetic resonance imaging in lateral epicondylitis of the elbow. Arch Orthop Trauma Surg 118:121–125

    Article  PubMed  CAS  Google Scholar 

  25. Wetzel BJ, Nindl G, Swez JA, Johnson MT (2002) Quantitative characterization of rat tendinitis to evaluate the efficacy of therapeutic interventions. Biomed Sci Instrum 38:157–162

    PubMed  Google Scholar 

  26. Lee EW, Maffulli N, Li CK, Chan KM (1997) Pulsed magnetic and electromagnetic fields in experimental Achilles tendonitis in the rat: a prospective randomized study. Arch Phys Med Rehabil 78:399–404

    Article  PubMed  CAS  Google Scholar 

  27. Guerkov HH, Lohmann CH, Liu Y, Dean DD, Simon BJ, Heckman JD (2001) Pulsed electromagnetic fields increase growth factor release by nonunion cells. Clin Orthop Relat Res 384:265–279

    Article  PubMed  Google Scholar 

  28. Robotti E, Zimbler AG, Kenna D, Grossman JA (1999) The effect of pulsed electromagnetic fields on flexor tendon healing in chickens. J Hand Surg [Br] 24:56–58

    Article  CAS  Google Scholar 

  29. Vasseljen O Jr, Hoeg N, Kjeldstad B, Johnsson A, Larsen S (1992) Low level laser versus placebo in the treatment of tennis elbow. Scand J Rehabil Med 24:37–42

    PubMed  Google Scholar 

  30. Haake M, Konig IR, Decker T, Riedel C, Buch M, Muller HH (2002) Extracorporeal shock wave therapy in the treatment of lateral epicondylitis : a randomized multicenter trial. J Bone Jt Surg Am 84:1982–1991

    Google Scholar 

  31. Krasheninnikoff M, Ellitsgaard N, Rogvi-Hansen B, Zeuthen A, Harder K, Larsen R, Gaarbo H (1994) No effect of low power laser in lateral epicondylitis. Scand J Rheumatol 23:260–263

    PubMed  CAS  Google Scholar 

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Author notes

  1. Kaan Uzunca

    Present address: , Fatih Mah. Tahsin Sıpka Cad., İzzet Arseven Apt. A Blok D.8, Edirne, 22030, Turkey

Authors and Affiliations

  1. Trakya University Medical Faculty Physical Medicine and Rehabilitation Department, Edirne, Turkey

    Kaan Uzunca, Murat Birtane & Nurettin Taştekin

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  1. Kaan Uzunca
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  2. Murat Birtane
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  3. Nurettin Taştekin
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Correspondence to Kaan Uzunca.

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Uzunca, K., Birtane, M. & Taştekin, N. Effectiveness of pulsed electromagnetic field therapy in lateral epicondylitis. Clin Rheumatol 26, 69–74 (2007). https://doi.org/10.1007/s10067-006-0247-9

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  • DOI: https://doi.org/10.1007/s10067-006-0247-9

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