General Practice
Pragmatic randomised controlled trial of local corticosteroid injection and naproxen for treatment of lateral epicondylitis of elbow in primary care
BMJ 1999; 319 doi: https://doi.org/10.1136/bmj.319.7215.964 (Published 09 October 1999) Cite this as: BMJ 1999;319:964
Data supplement
Members of the Community Musculoskeletal Research Group
Table w1 Outcome at four weeks and six and 12 months for patients with lateral epicondylitis according to treatment group. Values are numbers (percentages) of patients*
4 weeks 6 months 12 months Injection (n=53)
Naproxen (n=53)
Placebo (n=58)
Injection (n=53)
Naproxen (n=53)
Placebo (n=58)
Injection (n=53)
Naproxen (n=53)
Placebo (n=58)
Pain Elbow pain today 27 (51)†‡ 47 (89) 51 (88) 36 (68)†‡ 21 (40) 26 (45) 24 (45) 18 (34) 20 (35) Pain every day for 1 week 22 (42)†‡ 38 (72) 43 (74) 28 (53)†‡ 16 (30) 19 (33) 17 (32) 12 (23) 12 (21) Pain for at least 1 day in past week 30 (57)†‡ 50 (94) 55 (95) 46 (87)†‡ 29 (55) 37 (64) 37 (70)†‡ 25 (47) 27 (47) Movement and strength Grip strength >300 mm Hg 20 (38)†‡ 4 (8) 8 (14) 14 (26) 13 (25) 18 (31) 17 (32) 24 (45) 23 (40) Pain on extension of middle finger 26 (49)†‡ 48 (91) 45 (78) 38 (72)† 27 (51) 32 (55) 25 (47) 24 (45) 21 (37) Pain on extension of wrist 19 (36)†‡ 45 (85) 47 (81) 39 (74)†‡ 25 (47) 32 (55) 29 (55)‡ 20 (38) 20 (35) Tenderness 31 (59)†‡ 49 (93) 53 (91) 42 (79)†‡ 32 (60) 36 (62) 35 (66) 25 (47) 34 (60) Disability Dressing 11 (21)†‡ 30 (57) 28 (52) 16 (31)† 5 (10) 10 (19) 13 (27)† 4 (8) 9 (16) Feeding 20 (38)†‡ 34 (65) 35 (64) 28 (55)†‡ 18 (35) 19 (34) 17 (34) 12 (23) 13 (23) Washing 20 (38)†‡ 33 (64) 39 (71) 24 (46) 15 (29) 22 (41) 19 (37) 12 (24) 13 (24) Household tasks 23 (44)†‡ 43 (83) 46 (81) 35 (66)‡ 25 (48) 26 (47) 29 (57)† 19 (36) 24 (43) Opening doors 12 (24)†‡ 23 (45) 23 (47) 15 (29)† 4 (8) 7 (14) 9 (18)† 1 (2)¶ 9 (17) Carrying objects 24 (47)†‡ 47 (89) 49 (86) 38 (72)† 22 (42) 34 (61) 32 (63) 24 (45) 30 (53) With work 19 (36)†‡ 35 (73) 38 (72) 28 (55) 19 (40) 24 (44) 23 (46) 14 (29) 18 (33) With sport 20 (39)†‡ 31 (74) 33 (67) 23 (46) 18 (40) 19 (38) 18 (38) 14 (33) 15 (28) *Percentages may not calculate exactly because of missing data.
†P<0.05 for injection versus naproxen.
‡P <0.05 for injection versus placebo.
¶P <0.05 for naproxen versus placebo.
Members of the Community Musculoskeletal Research Group were
Drs T Baker, J Barber, A Bartlam, S Bradbury, M Brown, G Carpenter, R Chambers, V Cooper, G Davenport, A Dent, J Dixon, H Dobson, S Fawcett, M Fisher, P Franklin, J Gray, K Haill, P Hamilton, B Hufton, A Irvine, G Kay, S Manian, G Morgans, R Muirhead, C Oleshko, J Oxtoby, N Patel, M Porcheret, R Potter, D Price, A Pritchard, A Ralphs, P Rigby, T Schur, P Scott, K Seth, M Shapley, S Somerville, P Turner, A Vaghmaria, and J Worthington.
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