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
Related Articles
- EP ID EP539184
- DOI 10.21276/ijmrp.2018.4.2.051
- Views 57
- Downloads 0
Evaluation of Clinical Profile and Etiology of Pancytopenia in Adults Above 18 Years
Background: Pancytopenia is an important challenge in our routine clinical practice by hematological entity. There are different swing in its pattern, treatment procedures, and outcome. The aim of this study to evaluated...
Association of HbA1c and Lipid Profile in Type 2 Diabetes Mellitus Patients: A Retrospective Study in the Region of Arar, Saudi Arabia
Association of HbA1c and Lipid Profile in Type 2 Diabetes Mellitus Patients: A Retrospective Study in the Region of Arar, Saudi Arabia
Prevalence and Risk Factors of Diabetic Foot among Type 2 Diabetic Patients Attending Diabetic Center in Al-Noor Specialist Hospital in Makkah Al-Mukarramah, Saudi Arabia
Background: Diabetic foot complications remain a major problem among patients with diabetes and the health care system. Identification of the risk factors related to the development of diabetic foot is essential in order...
Trauma Related ARDS Biomarkers: Rapid Review
Introduction: The major reasons behind death after severe traumas are multiple organ dysfunction syndrome (MODS) and systemic inflammatory response syndrome (SIRS). Acute respiratory distress syndrome (ARDS) is one compl...
A Prospective Study to Assess Placental Location by Ultrasonography at 18-24 Weeks of Pregnancy and it’s Relationship with Development of Hypertensive Disease of Pregnancy
Background: Preeclampsia is best described as a pregnancy specific syndrome that can affect virtually every organ system. In this light of these observations we designed a prospective study to find out whether the latera...