Tennis Elbow Managed by Corticosteroid and Platelet Rich Plasma (PRP): A Prospective Comparative Study
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 2
Abstract
Background: Platelet rich plasma (PRP) and corticosteroid injection have been suggested to treat tennis elbow patients. The aim of our study is to compare the outcome between corticosteroid and platelet rich plasma (PRP) for the management of tennis elbow. Materials and Methods: 100 patients with lateral epicondylitis were randomly divided into two groups. Group A was treated with a single injection of 2 ml of corticosteroid mixed with 1 ml of xylocaine and Group B with 2 ml of PRP mixed with 1 ml of xylocaine. Pain and functional improvements were assessed using visual analogue scale (VAS) and Nirschl’s staging at 0,2,4,8,16 and 32 weeks. Results: Baseline (pre injection) clinical and demographic characteristics showed no difference between the two groups (p>0.05). Analysis done at 2 weeks showed no difference in Nirschl staging but showed significant decrease in VAS score favoring corticosteroid group. No significant difference was noted between the groups at 4 weeks (p value >0.05). At 8 weeks VAS score was comparable but Nirschl staging was significantly low in corticosteroid group. Evaluation done at 16 and 32 weeks demonstrated a statistically significant difference between groups favoring PRP group (p<0.05). Conclusion: Both the PRP and corticosteroid are safe and effective in the management of lateral epicondylitis elbow. Steroids are effective for a short term period, whether on long term follow up; PRP seems to be more effective treatment.
Authors and Affiliations
Mukesh Kumar Sharma, Ritesh Kumar
Keywords
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- EP ID EP539184
- DOI 10.21276/ijmrp.2018.4.2.051
- Views 73
- Downloads 0
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