Article:
Diagnosis and management pattern of lateral epicondylitis in a tertiary care center

creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorDhakal, Sita
dc.contributor.authorAcharya, Trishna
dc.contributor.authorGautam, Savyata
dc.contributor.authorUpadhyay, Nijan
dc.contributor.authorDhakal, Sujan
dc.creator.affiliationDepartment of Pharmacy, National Model College for Advanced Learning, Tribhuvan University, Nayabazar, Kathmandu, Nepal.
dc.creator.affiliationDepartment of Pharmacy, National Model College for Advanced Learning, Tribhuvan University, Nayabazar, Kathmandu, Nepal, Nepal Health Research Council (NHRC), Ramshah Path, Kathmandu, Nepal,
dc.creator.affiliationDepartment of Pharmacy, National Model College for Advanced Learning, Tribhuvan University, Nayabazar, Kathmandu, Nepal.
dc.creator.affiliationDepartment of Pharmacy, National Model College for Advanced Learning, Tribhuvan University, Nayabazar, Kathmandu, Nepal.
dc.creator.affiliationManmohan Cardiothoracic, Vascular and Transplant Center, TUTH, IOM, Maharajgung, Kathmandu, Nepal.
dc.date.accessioned2026-09-29T07:12:18Z
dc.date.available2026-09-29T07:12:18Z
dc.date.issued2015
dc.description.abstractAbstract Introduction: Lateral Epicondylitis has been found to be the second most frequently diagnosed musculoskeletal disorder. A wide range of symptomatic treatments are available such as use of anti-inflammatory analgesic drugs, steroids, physiotherapy. This study aims to know about the diagnosis, prescription pattern and current practice on management of tennis elbow in Nepal. Methods: This is a hospital based observational study carried out at Bir Hospital, Kathmandu, Nepal. Patients diagnosed with tennis elbow were purposively selected through prospective sampling technique from Orthopedic Department. Questionnaire and patient medication files were used as tools for data collection. Results: A total of 97 patients were found to be suffering from tennis elbow affecting mostly 41-50 years of age group and seen mostly in female (62%). Further, it was found that housewives (31%) were mostly affected. Diagnosis of tennis elbow was done commonly by clinical evaluation (61%) and X-ray (39%). Both Pharmacological and Non-Pharmacological approaches were in practice. Pharmacological treatment include NSAIDS (59% Aceclofenac, 19% Naproxen, 18% Indomethacin, 16% Diclofenac, 6% Piroxicam) and Steroids (23% methylprednisolone acetate and 21% oral prednisolone). Non-Pharmacological treatment was done by lifestyle modification (100%), 78% application of heat, 63% use of tennis elbow band, 29% exercise and 28% physiotherapy. Surgical intervention (3%) was also done when the conservative management failed. Conclusions: There is professional risk of tennis elbow for housewives, farmers and shopkeepers in context of Nepal. Only one treatment approach is not effective in management of tennis elbow for long term effect. Keywords: Lateral epicondylitis; NSAIDs; Physiotherapy; Steroid; Tennis elbow.
dc.identifier.doihttps://doi.org/10.31729/jnma.2736
dc.identifier.urihttps://hdl.handle.net/20.500.14572/7889
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.subjectLateral epicondylitis
dc.subjectNSAIDs
dc.subjectPhysiotherapy
dc.subjectSteroid
dc.subjectTennis elbow
dc.titleDiagnosis and management pattern of lateral epicondylitis in a tertiary care center
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage234
oaire.citation.startPage231
relation.isJournalIssueOfPublication2a1229dd-664e-4292-aac7-5d4fb3f950ee
relation.isJournalIssueOfPublication.latestForDiscovery2a1229dd-664e-4292-aac7-5d4fb3f950ee
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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