One surgeon states in his review of lateral epicondylitis (LE) treatments, “non-operative therapeutic modalities…are unproven at best”. When it comes to surgery he is also concerned about a lack of surgical evidence, yet finds it proper for the surgeon to be “guided by simply our subjective viewpoint” (1). This paper asks in its title “Is there any science out there?” and that is the heart of the problem when it comes to LE treatment. Good quality randomized controlled trials (RCT) are rare. As with the surgeon, the non-surgical physician must judge what is an acceptable intervention based on “best judgment” using limited scientific evidence. The reader should note there is no treatment option that has clearly demonstrated efficacy through rigorous clinical trials.
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