Trial reportHand (New York, N.Y.)2018
Deep Friction Massage Versus Steroid Injection in the Treatment of Lateral Epicondylitis.
Trial report in Hand (New York, N.Y.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06535594 (The Potential Efficacy Of Laser Acupuncture Combined With Physiotherapy In Managing Pain And Improve The Elbow Active Range Of Motions Improve The Elbow Active Range Of Motion In 30 Tennis Elbow Syndrome Patients), which is not on this map. Cited by 13 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Potential Efficacy Of Laser Acupuncture Combined With Physiotherapy In Managing Pain And Improve The Elbow Active Range Of Motions Improve The Elbow Active Range Of Motion In 30 Tennis Elbow Syndrome Patients: A Pre - Post Trial
Who cites it
13 citing papers in PubMed, 41 citations in OpenAlex.
- Trial
- Comparison of local massage, steroid injection, and extracorporeal shock wave therapy efficacy in the treatment of lateral epicondylitis.Joint diseases and related surgery · 2024Trial
- A Literature Review of Lateral Epicondylitis: Diagnosis, Risk Factors, Management and Treatment.Life (Basel, Switzerland) · 2026Review
- Evaluating the Effectiveness of Deep Transverse Frictional Massage Combined with Conventional Physiotherapy for Tendinopathies: A Systematic Review and Meta-analysis.International journal of therapeutic massage & bodywork · 2025Article
- Review
- Physical therapy intervention versus corticosteroid injection for lateral elbow tendinopathy. Does slow and steady win the race? - A systematic review.Shoulder & elbow · 2024Review
- Comparison of the Clinical Results of Platelet-Rich Plasma, Steroid and Autologous Blood Injections in the Treatment of Chronic Lateral Epicondylitis.Healthcare (Basel, Switzerland) · 2023Article
- Current concepts of natural course and in management of medial epicondylitis: a clinical overview.Orthopedic reviews · 2023Article
- Reply to the comments on our article comparison of radial extracorporeal shockwave therapy with ultrasound therapy in patients with lateral epicondylitis.Journal of medical ultrasonics (2001) · 2021Article
- Letter to the Editor Regarding "Deep Friction Massage Versus Steroid Injection in the Treatment of Lateral Epicondylitis".Hand (New York, N.Y.) · 2019Article
- The Beliefs and Attitudes of Cypriot Physical Therapists Regarding the Use of Deep Friction Massage.Medicina (Kaunas, Lithuania) · 2019Article
- Effect of the combined isotonic technique for proprioceptive neuromuscular facilitation and taping on pain and grip strength in patients with lateral epicondylitis: a randomized clinical trial.Journal of exercise rehabilitation · 2019Article
- Deep transverse friction massage in the management of adhesive capsulitis: A systematic review.Pakistan journal of medical sciencesReview
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of the study was to determine the efficacy of deep friction massage in the treatment of lateral epicondylitis by comparing outcomes with a control group treated with splinting and therapy and with an experimental group receiving a local steroid injection.
methodsA randomized clinical trial was conducted to compare outcomes after recruitment of consecutive patients presenting with lateral epicondylitis. Patients were randomized to receive one of 3 treatments: group 1: splinting and stretching, group 2: a cortisone injection, or group 3: a lidocaine injection with deep friction massage. Pretreatment and posttreatment parameters of visual analog scale (VAS) pain ratings, Disabilities of the Arm, Shoulder and Hand (DASH) scores, and grip strength were measured.
resultsOutcomes were measured at early follow-up (6-12 weeks) and at 6-month follow-up. There was a significant improvement in VAS pain score in all treatment groups at early follow-up. DASH score and grip strength improved in the cortisone injection group and the deep friction massage group at early follow-up; these parameters did not improve in the splinting and stretching group. At 6-month follow-up, only patients in the deep friction massage group demonstrated a significant improvement in all outcome measures, including VAS pain score, DASH score, and grip strength.
conclusionsDeep friction massage is an effective treatment for lateral epicondylitis and can be used in patients who have failed other nonoperative treatments, including cortisone injection.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.