{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:32:58Z","timestamp":1782603178491,"version":"3.54.5"},"reference-count":20,"publisher":"BMJ","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Sports Med"],"accepted":{"date-parts":[[2008,1,12]]},"published-print":{"date-parts":[[2008,4]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p>\u201cTennis elbow\u201d is a difficult condition to treat. Ultrasonography (US) and colour Doppler (CD) guided injections with polidocanol targeting the area with increased blood flow in the extensor origin have shown promising clinical results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective:<\/jats:title><jats:p>To evaluate and compare effects of US and CD guided intratendinous injections with sclerosing polidocanol and a local anaesthetic (lidocaine + epinephrine), in patients with tennis elbow.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design:<\/jats:title><jats:p>Prospective, randomised, controlled, double-blind, crossover study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting:<\/jats:title><jats:p>Sports Medicine Unit, Ume\u00e5 University.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients:<\/jats:title><jats:p>32 patients (36 elbows), age range 27 to 66 years, with a long duration of elbow pain diagnosed as tennis elbow, were included in the study. All patients were followed up 3 and 12 months after treatment. Two patients were excluded due to other interventions during the study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interventions:<\/jats:title><jats:p>One US and CD guided injection with the sclerosing agent polidocanol (group 1) or the local anaesthetic lidocaine plus epinephrine (group 2). At the 3 month follow-up, additional injections with polidocanol were offered to both groups (crossover for group 2).<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures:<\/jats:title><jats:p>Satisfaction with treatment (Yes\/No), elbow pain during activity (visual analogue scale), and maximum voluntary grip strength.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>There were no significant (p&lt;0.05) differences in the outcome between group 1 and group 2. In both groups, there was a significantly lower VAS at the 3-month and 12-month follow-ups, and grip strength was significantly higher at the 12-month follow-up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p>US and CD guided intratendinous injections gave pain relief in patients with tennis elbow. Polidocanol and lidocaine plus epinephrine injections gave similar results.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bjsm.2007.042762","type":"journal-article","created":{"date-parts":[[2008,1,24]],"date-time":"2008-01-24T01:37:28Z","timestamp":1201138648000},"page":"267-271","source":"Crossref","is-referenced-by-count":58,"title":["Pain relief after intratendinous injections in patients with tennis elbow: results of a randomised study"],"prefix":"10.1136","volume":"42","author":[{"given":"E","family":"Zeisig","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Fahlstr\u00f6m","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"\u00d6hberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Alfredson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2008,1,23]]},"reference":[{"key":"2024051313224190000_42.4.267.1","doi-asserted-by":"crossref","unstructured":"Ljung BO Lieber RL Friden J . 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