How Long to Wait After Steroid Injection Before Acupuncture for Tennis Elbow? - Traditional Chinese Medicine

Share to:

Tennis Elbow Treatment


I was diagnosed with tennis elbow in May.
During this time, I have been receiving acupuncture and tui na from a traditional Chinese medicine practitioner.
However, one day the pain worsened, so I consulted an orthopedic doctor and received a corticosteroid injection.
I would like to know how long I should wait before returning to acupuncture and tui na to avoid affecting the injured area.
Thank you.

Liu Lin, 40~49 year old female. Ask Date: 2023/07/20

Dr. Lü Bingcheng reply Traditional Chinese Medicine


After receiving a corticosteroid injection, the affected area should rest for at least one week before undergoing an evaluation by a qualified practitioner of traditional Chinese medicine to determine the appropriate treatment method, in order to avoid the risk of tendon rupture or weakening of the joints and soft tissues.

Reply Date: 2023/07/20

More Info


When dealing with tennis elbow, or lateral epicondylitis, it's essential to approach treatment options carefully, especially when combining different modalities like steroid injections and acupuncture. After receiving a steroid injection, it is generally advisable to wait at least 1 to 2 weeks before undergoing acupuncture. This waiting period allows the steroid to take effect and reduces the risk of exacerbating any inflammation or discomfort in the affected area.

Steroid injections are commonly used to reduce inflammation and pain in conditions like tennis elbow. They work by delivering a concentrated dose of corticosteroids directly into the inflamed area, which can provide significant relief. However, while steroids can effectively reduce inflammation, they can also temporarily weaken the surrounding tissues, including tendons and ligaments. This is particularly important in the context of tennis elbow, where the tendons are already under stress.

Acupuncture, on the other hand, is a traditional Chinese medicine technique that involves inserting thin needles into specific points on the body to promote healing and alleviate pain. It can be beneficial for managing pain and improving function in cases of tennis elbow. However, if acupuncture is performed too soon after a steroid injection, there is a risk that the needles could irritate the already sensitive tissues, potentially leading to increased pain or inflammation.

In addition to the waiting period, it’s also crucial to consider the overall treatment plan for your tennis elbow. Here are some additional points to keep in mind:
1. Monitor Symptoms: After receiving a steroid injection, pay attention to how your symptoms evolve. If you experience significant pain relief, it may be a good time to start acupuncture. However, if you still feel discomfort, it might be wise to wait longer.

2. Consult Your Healthcare Providers: Always communicate with both your orthopedic specialist and your acupuncturist. They can provide personalized advice based on your specific condition and treatment history. Your orthopedic doctor may have insights into how your elbow is healing and whether it’s safe to proceed with acupuncture.

3. Gradual Return to Activity: After the steroid injection and once you start acupuncture, gradually return to activities that involve the elbow. Avoid any movements that cause pain, and consider physical therapy to strengthen the muscles around the elbow and improve flexibility.

4. Consider Other Treatments: In addition to acupuncture, other treatments such as physical therapy, ultrasound therapy, or even bracing may be beneficial in managing tennis elbow. These can help in rehabilitation and prevent future flare-ups.

5. Lifestyle Modifications: Alongside treatment, consider making lifestyle changes that can help alleviate strain on your elbow. This may include modifying your activities, using ergonomic tools, and incorporating stretching and strengthening exercises into your routine.

In summary, waiting at least 1 to 2 weeks after a steroid injection before proceeding with acupuncture is generally recommended. This approach helps ensure that you maximize the benefits of both treatments while minimizing the risk of complications. Always consult with your healthcare providers to tailor a treatment plan that best suits your needs and promotes optimal recovery.

Similar Q&A

Understanding Tennis Elbow: Steroid Injection Side Effects Explained

After being diagnosed with tennis elbow at a rehabilitation clinic, I underwent therapy for about three months. I then switched to an orthopedic specialist, who also diagnosed me with tennis elbow and administered a corticosteroid injection at the pain site. Initially, there was ...


Dr. Wang Zhaomin reply Rehabilitation
Corticosteroid injections are one of the treatment options for tennis elbow. A small number of individuals may experience discomfort after the injection, which can be alleviated with ice or heat therapy to reduce post-injection pain. If there is no improvement after one week, it ...

[Read More] Understanding Tennis Elbow: Steroid Injection Side Effects Explained


Optimal Intervals for Systemic Steroid Injections in Rehabilitation

How long should I wait between systemic steroid injections (not topical)? Is a dosage of Mepron 40ml/vial considered a high dose? Currently, I have injections scheduled for this Thursday, next Wednesday, and next Friday. Is this schedule too frequent? My symptoms include pain in ...


Dr. Wang Zhaomin reply Rehabilitation
Generally, intravenous steroid injections are not used to treat common shoulder and neck pain or mild nerve injuries; however, each individual's condition is different, and it is not possible to make a blanket statement. Please discuss your condition with your treating physi...

[Read More] Optimal Intervals for Systemic Steroid Injections in Rehabilitation


Understanding Trigger Finger: Post-Steroid Injection Pain and Recovery

Hello, doctor. I visited the orthopedic outpatient clinic on April 21, and the doctor diagnosed me with trigger finger. I received a steroid injection around 8 PM, but immediately after the injection, I experienced swelling and pain. It is now 3 AM, and I am still in pain. Is thi...


Dr. Lin Ruixiang reply Rehabilitation
Hello, regarding steroid injections, about 2%-5% of patients may experience increased pain. The reasons include: 1. Crystallization of the steroid, and 2. Additives in the anesthetic can cause inflammatory reactions. The usual management is to apply cold compresses, and improveme...

[Read More] Understanding Trigger Finger: Post-Steroid Injection Pain and Recovery


Managing Tendonitis: Is Corticosteroid Injection Right for Young Athletes?

I hit the ball while playing, which caused pain in my right index finger when it is straightened or extended backward. The pain is located about one centimeter past the first joint and has been present for about a month. I visited an orthopedic specialist who confirmed it as tend...


Dr. Shi Guozheng reply Orthopedics
Typically, bruises take about four to six weeks to heal, and medication is sufficient; there is no need for corticosteroid injections.

[Read More] Managing Tendonitis: Is Corticosteroid Injection Right for Young Athletes?


Related FAQ

Acupuncture

(Traditional Chinese Medicine)

Wrist Injury

(Traditional Chinese Medicine)

Allergic Rhinitis

(Traditional Chinese Medicine)

Knee

(Traditional Chinese Medicine)

Masturbation

(Traditional Chinese Medicine)

Shingles

(Traditional Chinese Medicine)

Acne

(Traditional Chinese Medicine)

Medication Consultation

(Traditional Chinese Medicine)

Hemorrhoids

(Traditional Chinese Medicine)

Traditional Chinese Medicine

(Rehabilitation)