Duloxetine in treatment of refractory chronic tennis elbow: Two case reportsReport as inadecuate




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Journal of Medical Case Reports

, 2:305

First Online: 17 September 2008Received: 01 March 2008Accepted: 17 September 2008DOI: 10.1186-1752-1947-2-305

Cite this article as: Wani, Z.A., Dhar, S.A., Butt, M.F. et al. J Med Case Reports 2008 2: 305. doi:10.1186-1752-1947-2-305

Abstract

IntroductionTennis elbow is a common musculoskeletal disorder; management options include physiotherapeutic, medical, surgical, and other forms of intervention. Some patients remain symptomatic despite best efforts. We present two patients who did not respond to medical and surgical treatments, and whose symptoms were relieved with duloxetine. This is the first report on the use of duloxetine to treat tennis elbow.

Case presentationTwo mentally healthy young Asian women aged 32 and 27 years, each with tennis elbow of about 18 months duration continued to suffer pain despite treatment with analgesics, local steroid injections, physiotherapy, cryotherapy, ultrasound, and surgical release, among other interventions. Both showed substantial improvement within 4 to 6 weeks of receiving monotherapy with duloxetine 60 mg-day. Both were pain-free with continued treatment at a 6-month follow-up.

ConclusionDuloxetine may be a useful treatment option in patients with chronic tennis elbow, even those who have failed conventional medical, physiotherapeutic, surgical, and other forms of management.

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Author: Zaid Ahmad Wani - Shabir Ahmad Dhar - Mohammad Farooq Butt - Yasir Hassan Rather - Shano Sheikh

Source: https://link.springer.com/







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