title: Transcutaneous electrical nerve stimulation as adjunct to primary care management for tennis elbow: pragmatic randomised controlled trial (TATE trial).
abstract: OBJECTIVE
  Can transcutaneous electrical nerve stimulation (TENS), as a patient controlled adjunct to primary care management for tennis elbow, provide superior pain relief to primary care management alone.
  
  
  CONCLUSIONS
  TENS conferred no additional clinical benefit over primary care management consisting of information and advice on analgesia and exercise for patients with tennis elbow, probably partly owing to poor adherence to treatment recommendations.
  
  
  BACKGROUND
  A need exists for safe, self administered interventions to provide pain relief for patients with tennis elbow. TENS as an adjunct to primary care management failed to show any additional pain relief compared with primary care management alone.
authors.affiliation: Arthritis Research UK Primary Care Centre, Keele University, Keele, Staffordshire, ST5 5BG, UK.
authors.forename: Linda S
authors.initials: LS
authors.lastname: Chesterton
authors.affiliation: Arthritis Research UK Primary Care Centre, Keele University, Keele, Staffordshire, ST5 5BG, UK.
authors.forename: A Martyn
authors.initials: AM
authors.lastname: Lewis
authors.affiliation: Arthritis Research UK Primary Care Centre, Keele University, Keele, Staffordshire, ST5 5BG, UK School of Health and Rehabilitation, Keele University, UK.
authors.forename: Julius
authors.initials: J
authors.lastname: Sim
authors.affiliation: Arthritis Research UK Primary Care Centre, Keele University, Keele, Staffordshire, ST5 5BG, UK.
authors.forename: Christian D
authors.initials: CD
authors.lastname: Mallen
authors.affiliation: Arthritis Research UK Primary Care Centre, Keele University, Keele, Staffordshire, ST5 5BG, UK.
authors.forename: Elizabeth E
authors.initials: EE
authors.lastname: Mason
authors.affiliation: Arthritis Research UK Primary Care Centre, Keele University, Keele, Staffordshire, ST5 5BG, UK.
authors.forename: Elaine M
authors.initials: EM
authors.lastname: Hay
authors.affiliation: Arthritis Research UK Primary Care Centre, Keele University, Keele, Staffordshire, ST5 5BG, UK.
authors.forename: Daniëlle A
authors.initials: DA
authors.lastname: van der Windt