Steroid injections, physiotherapy, or a wait-&-see policy for lateral epicondylitis
This article really strikes home because I see a lot of elbow and carpal tunnel cases. In general, these conditions are very easy to treat with trigger point therapy. This article compares physiotherapy and cortisone injections. Unfortunately, manual therapies are not included. A note about cortisone injections–cortisone inhibits the ability of cartilage to heal itself, potentially creating a worse condition in the long run. There is even evidence that it is not the substance injected but rather the injection itself that works by injuring the tissue, increasing blood flow through this injury, and creating an inflammatory response. This method is similar to what happens with many advanced soft tissue techniques.
The Journal : Back Issues