Cortisone injections for tennis elbow should be an “avoid”, rather than a recommended procedure

• 1 University of Sydney, Sydney, NSW
• 2 University of Queensland, Brisbane, QLD

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• 1. Therapeutic Guidelines. Management of lateral and medial epicondylar tendinopathies [website]. Melbourne: Therapeutic Guidelines; 2017. https://tgldcdp.tg.org.au/viewTopic?topicfile=limb-conditions&guidelineName=Rheumatology#toc_d1e415 (accessed Sept 2017).
• 2. Smidt N, van der Windt DA, Assendelft WJ, et al. Corticosteroid injections, physiotherapy, or a wait-and-see policy for lateral epicondylitis: a randomised controlled trial. Lancet 2002; 359: 657-662.
• 3. Bisset L, Beller E, Jull G, et al. Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial. BMJ 2006; 333: 939.
• 4. Coombes BK, Bisset L, Brooks P, et al. Effect of corticosteroid injection, physiotherapy, or both on clinical outcomes in patients with unilateral lateral epicondylalgia: a randomized controlled trial. JAMA 2013; 309: 461-469.
• 5. Coombes BK, Bisset L, Vicenzino B. Efficacy and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of randomised controlled trials. Lancet 2010; 376: 1751-1767.