Weaver, J; University of Findlay, Findlay, OH. jweaver@findlay.edu.

PURPOSE: The purpose of this economic evaluation is to determine the most cost effective of three alternatives in the treatment of lateral epicondylitis pain as described in the literature from the perspective of the third party payer. METHODS: A decision tree model was used to determine the most cost effective alternative. Effectiveness was measured through percent pain reduction on a visual analog scale determined from literature review. Costs were determined through the review of provider charge lists. ANALYSES: Sensitivity analysis along with a comparison of incremental cost per effectiveness ratio were utilized in the economic evaluation. RESULTS: The results of this economic evaluation revealed topical 2% diclofenac was more cost effective than triamcinolone with lignocaine injection or iontophoresis with dexa-methasone. CONCLUSIONS: It is concluded diclofenac as a topical treatment applied by a patient should be used in the treatment of lateral epicondylitis pain before the other two alternatives unless the patient has a history of peptic ulcers. If diclofenac does not reduce pain, injection with triamcinolone may be considered. Iontophoresis with dexamethasone is not recommended for use in lateral epicondylitis due to its inhibitive costs. FUNDING SOURCE: None.

Reprint Information
Requests for reprints should be directed to the corresponding author of the article. Students and other academic customers may receive permission to reprint copyrighted material from Physical Therapy by contacting the Copyright Clearance Center Inc, 222 Rosewood Dr, Danvers, MA 01923. Similar inquiries by all others should be made to the APTA Editorial Office, Attn: Physical Therapy.