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afya Tennis elbow

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20160425222547 Ben  
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Lateral epicondylitis - degenerative overuse
pain with pronation and wrist flexion

''Mx'' 
Rest - ice, splint, avoid action that inflames - as good long term as other but slower than physio
NSAID - topical or oral - PPI
appropriate excersizes and USS
steroid injections - good short term response but long term (8/52) not maintained and long term risks of repeat
surgery - consider after 1yr (89% already recovered)
new treatments (including GTN patch)