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Conditions and Diseases > Orthopedics Forum > Steroid use and tennis elbow
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Q: Steroid use and tennis elbow
asked by: DoctorQuestion on April 5th, 2008
The disease is persisting for about 9 months now without any considerable improvement and reduction in pain.As I have mentioned above that I have already taken 4 injections in the arm.I am worried about the excessive use of steriods and its sideeffects.Please state what can be the sideeffects of this.Also please tell if any better method of treatment is available.Also I have mentioned that I have undergone 'Discectomy & Ligation' surgery for disc proloapse in the L5 S1 region of Spine.And also 5 other surgeries have been done on me.Now I am facing a peculier problem.I am suddenly falling down of the streets or for that matter even at home at an interval of about 5-6 months and this has become a very regular phenomena for about 4 years now.While walking on the streets when I fall down it exposes my knees to injuries and more importantly of being run over by vehicles.I have consulted many doctors on this issue but everone failed to diagonyse the problem.Please advice me on this issue


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Dr. Nikola Gjuzelov , MD
replied on April 11th, 2008
Orthopedics Hip, Knee, and Shoulder Injuries Answer A3914
Steroids have very serious side effects but only if they are used for a long time. There are certain diseases (chronic inflammatory disorders) where steroids have to be used continuously for the whole life and, in such cases. side effects can’t be avoided. Four shots of steroids shouldn’t cause any serious side effects. Tennis elbow is basically treated with medicines,, physical therapy, and surgery. Medicines include: non-opiate painkillers (NSAID), corticosteroid shots, or botulinum-toxine shots. Physical therapy includes: diathermy, ultrasound wave therapy, massage, occupational therapy, hydrotherapy, putting ice or heat on, wearing splint etc.


Surgery is the final option if other therapy methods show no improvement

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Sudden falling down on the streets could be due to losing consciousness. That can be due to a possible brain disorder (epilepsy, for example), Cardiovascular disorders that causes hypotension, endocrine disorders (hypoglycemia), and psychiatric reasons (hysteria). You may want to visit an internist and neurologist first for medical examinations.





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