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
Related Articles
- EP ID EP424226
- DOI -
- Views 113
- Downloads 0
Study of EEG Abnormalities in Migraine
Introduction: Migraine is common disease with recurrent headache usually associated with nausea, vomiting, sensitivity to light sound or smell. Migraine without aura is common than migraine with aura. Aim: To determine a...
Profile of Patients Admitted to ICU with Heat Related Illnesses - A Clinical Study
Introduction: Heat-related illness (HRI) is a spectrum of disorders ranging from minor heat cramps, heat exhaustion to life-threatening heat stroke. This study was performed to assess the profile of patients admitted to...
Screening of Cervical Cancer by Artificial Intelligence based Analysis of Digitized Papanicolaou-Smear Images
Introduction: Cervical cancer is one of the main causes of female mortality due to cancer in the world. Researchers have suggested that by regular cervical cancer screening its incidence and mortality a can be reduced by...
Fluid Resuscitation: Ringer Lactate Versus Normal Saline-A clinical Study
Introductuion: Field of trauma care has evolved tremendously, generally blood products are recommended for fluid resuscitation however in situations where the blood products are not available there may be a need for repl...
Role of Intrapleural Streptokinase in Children with Empyema - Randomised Controlled Trial
Introduction: Collection of pus like material in the pleural space is known as empyema and it generally occurs as a serious complication of pneumonia. Empyema generally occurs in children after pneumonia of acute bacteri...