Study To Evaluate The Efficacy Of Steroid Injection For Tennis Elbow And To Understand The Cause Of Its Failure In Some Patients
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2018, Vol 4, Issue 1
Abstract
Aim: Tennis elbow is a very common problem with numerous treatment options. Though a self limited disease it can be very disabling for some patients and they seek early recovery. We aim to evaluate the efficacy of local steroid infiltration in the treatment of tennis elbow and try to understand the causes for its failures in unsatisfied patients. Material and methods: A prospective study done on 100 patients of tennis elbow who opted for local steroid injection after giving consent for the procedure. These patients were followed up at 2 weeks, 6 weeks and 3 months. They were evaluated with VAS pain score. At the end of 3 months the patients who were not having much relief were investigated with serum Vitamin D (25OH), Renal function test and Liver function test. Detailed history were also taken regarding the duration of symptoms before the injection and post injection physiotherapy compliance. Results: At the end of 3 months 86 patients were relieved of the disease (86 % efficacy) by a single injection of steroid. Whereas the remaining 14 patients were still having mild to moderate pain at lateral epicondyle on examination and were having trouble holding heavy object. All the 14 patients were having decreased serum Vitamin D (25OH) level. LFT and RFT were normal in all the 14 patients. Ten of the 14 patients (71.43%) were using tobacco in various forms. 12 of the 14 patients (85.71%) failed to follow the physiotherapy regime and did not do muscle stretching exercises. 8 out of 14 patients were having duration of symptoms more than 6 weeks (57.14%). Conclusion: Local steroid injection is having very good efficacy in treatment of Tennis elbow. We should supplement the treatment with Vitamin D and the patient should avoid using tobacco and should follow post injection physiotherapy protocol for better results.
Authors and Affiliations
Sanjay Upadhyay, Jeetesh Gawande, Manish Dwivedi
Keywords
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