Tennis elbow in primary care

This paper has many flaws and is misguiding to practitioners that are
looking for the best management of tennis elbow. First of all,the
diagnosis requires diagnostic ultrasound to be confirmed. Differtial
diagnosis could be amongst others forearm supinator strain or elbow joint
capsulitis with a similar clinical picture on clinical assessment.
Secondly, I have seen many patients treated by injection up to 5-8 times,
unfortunately injected inaccurately and in the wrong place. These two
important factors (correct diagnosis and injection site/technique)need to
be taken into account in order to take this paper seriously. But most
important of all is the misconception that patients should have one form
of treatment only in order to get better.Patients should never be treated
with only injections but require functional rehabilitation at the same
time to prevent recurrence. Also looking at ergonomics and leisure activiy
(eg tennis,golf)technique is required to correct any inappropriate
recurring repetitive biomechanical mistakes. Last but not least, if you
leave anything long enough, be it with or without treatment, most will get
better in the long run regardless of what treatment option was chosen.

Competing interests:
None declared