Steroid injections are apparently of no use in tennis elbow and a wait and watch approach may be the best, a new study in the BMJ says. Australian researchers tested this approach in one group of volunteers, who were assured that their problem would be sorted out. A second group were given a local corticosteroid injection and advised to gradually return to normal activities. The final group received eight treatments of physiotherapy of 30 minutes over six weeks and were taught home exercises and self-manipulation. The physiotherapy group also received a resistant exercise band and exercise instruction booklet. Each group's progress was measured at six weeks, and again after a year. Initially, corticosteroid injections were the most successful treatment, with 78% of those in the group reporting improvements, followed closely by physiotherapy with a 65% success rate when compared to just 27% in the 'wait and see' group. However, after 52 weeks the injection group rates of improvement were significantly worse than those of the physiotherapy group. The injection group also had the most reported recurrences, with 72% of participants' condition deteriorating after three or six weeks - which could be due, in part, to a quicker initial recovery leading to greater use and over-taxing of the elbow. The research also found that the superior long-term effects of physiotherapy were replicated by the wait and see approach - at the end of the study participants in both the physiotherapy and wait and see group had either much improved or completely recovered. The authors say that "the...poor overall performance of corticosteroid injections should be taken under consideration by both the patient and their doctor in management of tennis elbow." The study findings also support the idea that tennis elbow is, in most cases, a self-limiting condition. They conclude that "patients with tennis elbow can be reassured that, in the majority of cases, they will improve in the long-term when given information and ergonomic advice about their condition." Source: EurekalertRAS << Chronic Diseases Rampant In Rural India MMR Vaccines on Its Way to Regain Past Glory >> Recommended Reading Anabolic Steroids Anabolic steroids can produce power- packed, adrenaline – pumping performances but they also reflect a saga of condemnation and shame. READ MORE Are Steroids Bad For You? Steroids are miracle drugs but have to be used with caution. Some steroids are illegal to use, without prescription. Most steroids have severe side effects hence, these must be taken under strict medical supervision. READ MORE Cannabis Cannabis has a long history of medicinal, recreational, and industrial use and comes from a bushy plant with thick sticky flowers called Cannabis Sativa READ MORE Drug Abuse The use of Drugs for reasons other than its prescribed recommendation, is known as Drug abuse or substance abuse. Drug abuse or substance abuse is initiated by various biological and social factors. READ MORE Tennis Elbow Encyclopedia section of medindia gives general information about Tennis Elbow READ MORE Most Popular on Medindia How to Reduce School Bag Weight - Simple Tips Post-Nasal Drip Blood - Sugar Chart More News on: Tennis ElbowCannabisDrug AbuseAnabolic SteroidsAre Steroids Bad For You?