PT  - JOURNAL ARTICLE
AU  - Peter Lapner
AU  - Ana Alfonso
AU  - Jonah Herbert-Davies
AU  - JW Pollock
AU  - Jonathan Marsh
AU  - Graham King
ED  - ,
TI  - Position statement: nonoperative management of lateral epicondylitis in adults
AID  - 10.1503/cjs.019221
DP  - 2022 Sep 21
TA  - Canadian Journal of Surgery
PG  - E625--E629
VI  - 65
IP  - 5
4099  - http://canjsurg.ca/content/65/5/E625.short
4100  - http://canjsurg.ca/content/65/5/E625.full
SO  - CAN J SURG2022 Sep 21; 65
AB  - We sought to compare methods of nonsurgical treatment of lateral epicondylitis in men and women older than 18 years to develop a guideline intended for orthopedic surgeons and other health care providers who assess, counsel and care for these patients. We searched Medline, Embase and Cochrane through to Mar. 9, 2021, and included all English-language studies comparing nonsurgical approaches. We compared physiotherapy versus no active treatment, corticosteroids versus placebo, platelet-rich plasma (PRP) versus placebo, and autologous blood injection versus placebo. Outcomes of interest were pain outcomes (visual analogue scale scores) and functional outcomes. We rated the quality of the evidence and strength of recommendations using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. This guideline will benefit patients seeking nonsurgical intervention for lateral epicondylitis by improving counselling on nonsurgical treatment options and possible outcomes. It will also benefit surgical providers by improving their knowledge of various nonsurgical approaches. Data presented could be used to develop frameworks and tools for shared decision-making.