Evaluation of the Effectiveness of Two Different Local Injection Types for Treatment of Patients of Chronic Tennis Elbow
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 10
Abstract
Introduction: Tennis elbow or Lateral epicondylitis is a frequently diagnosed elbow condition in orthopaedic practice characterised by pain on resisted wrist extension and tenderness on palpation of the common extensor origin i.e. lateral epicondyle of humerus. Hence, present study will evaluate the effectiveness of two different local injection types for treatment of chronic tennis elbow i.e. local steroid and peppering technique. Material and methods: This study evaluates the effectiveness of two different local injection types for treatment of chronic tennis elbow patients. 30 patients of chronic tennis elbow in ‘CL’ group were treated with combination of steroid and local anaesthetic agent using single injection technique and other 30 patients in ‘LP’ group were treated with local anaesthetic agent alone using peppered injection technique. Outcome of the treatment was measured with Visual Analogue Scale for pain and functional disability was measured with The Patientrated Tennis Elbow Evaluation (PRTEE) Questionnaire. Results: The intra group statistical analysis showed a significant reduction in mean VAS score and mean PRTEE score in both ‘CL’ and ‘LP’ groups at the 2-weeks, 6 weeks and 6-month follow-ups compared to the pre-treatment values (Baseline). The inter group statistical analysis showed a significant reduction of mean VAS score and mean PRTEE score in ‘CL’ group as compared to ‘LP’ group in short term follow up (2 weeks). No statistical difference in reduction of both the scores between two groups at intermediate term of 6 weeks and a significant reduction in both the scores in ‘LP’ Group as compared to ‘CL’ Group in long term follow up (6 months). Conclusion: A combination of steroid and local anaesthetic agent using single injection technique showed early decrease in pain and functional disability compared to local anaesthetic agent alone using peppered injection technique in short term follow up, but this short-term benefits of steroid injection were followed by high recurrence rate.
Authors and Affiliations
Nilesh Anil Ghorpade, Rupeshkumar Bhagwatji Hatwar
Keywords
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