Effects of heavy slow resistance training combined with corticosteroid injections or tendon needling in patients with lateral elbow tendinopathy: a 3-arm randomized double-blinded placebo-controlled study

Review written by Todd Hargrove info

Key Points

  1. Heavy slow resistance training for lateral elbow tendinopathy improved outcomes in the short and long-term.
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Lateral elbow tendinopathy (also known as tennis elbow) is a common overuse injury. Previous research has examined the effectiveness of several potential treatments, including heavy slow resistance exercise (HSR), corticosteroid injection (CSI) and tendon needling (TN).

This study was a randomized controlled trial comparing the effectiveness of three treatment regimes: (1) HSR with placebo injection; (2) HSR combined with CSI; and (3) HSR combined with TN.

Lateral elbow tendinopathy is a common overuse injury.
Clinicians should consider using heavy slow resistance training for treatment of lateral elbow tendinopathy.


  • 60 patients with chronic unilateral lateral elbow tendinopathy were randomized into three groups: HSR plus placebo injection of saline solution HSR plus corticosteroid injection HSR plus tendon needling
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