CHRONIC TENNIS ELBOW

Objectives: To evaluate the results of autologous blood injection as a treatment for chronic tennis elbow (Lateral Epicondylitis). Study Design: Descriptive case- series. Setting and Duration: Orthopaedic Surgery Unit Mardan Medical Complex Teaching hospital Bacha Khan Medical College Mardan KPK, from April 2010 to June 2011. Methodology: A total of 22 patients with tennis elbow (lateral epicondylitis) were injected with 2 mL of autologous blood under the extensor carpi radialis brevis in the Out-Patient Department (OPD). Patients rated their pain on a Visual Analogue Scale(VAS) scale of 0 to 10 with 0 representing no pain and 10 the worst pain they had ever experienced, and categorized themselves according to Nirschl score(1-7). After the procedure pain rating and Nirschl score were recorded every 3rd week for a minimum of 6 months. If pain relief was not relieved entirely 6 weeks after the autologous blood injection a repeat injection was offered to the patient. Results: Seventeen patients (77.2%) received one injection of autologous blood and had resulted in lowering their mean pre-injection pain score and Nirschl sore of 6.2 and 6 to 0.1 and 1.1 post-injection respectively. Five patients (22.7%) received two injections and their average pre-injection pain score of 6.8 and Nirschl score of 6.2 were lowered to 0.2 and 1 respectively. Conclusions: Autolgous blood injection is an effective way to treat patients of chronic tennis elbow as demonstrated by decrease in pain and fall in Nirschl score and we therefore recommend it as a first line treatment for chronic tennis elbow.

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Autologous Blood Injection and Wrist Immobilisation for Chronic Lateral Epicondylitis

Advances in Orthopedics ◽

10.1155/2012/387829 ◽

2012 ◽

Vol 2012 ◽

pp. 1-6 ◽

Cited By ~ 2

Author(s):

Nicola Massy-Westropp ◽

Stuart Simmonds ◽

Suzanne Caragianis ◽

Andrew Potter

Keyword(s):

Tennis Elbow ◽

Autologous Blood ◽

Lateral Epicondylitis ◽

Contralateral Limb ◽

Cortisone Injection ◽

Autologous Blood Injection ◽

Blood Injection ◽

And Function ◽

Prospective Longitudinal ◽

Extensor Carpi Radialis

Purpose. This study explored the effect of autologous blood injection (with ultrasound guidance) to the elbows of patients who had radiologically assessed degeneration of the origin of extensor carpi radialis brevis and failed cortisone injection/s to the lateral epicondylitis.Methods. This prospective longitudinal series involved preinjection assessment of pain, grip strength, and function, using the patient-rated tennis elbow evaluation. Patients were injected with blood from the contralateral limb and then wore a customised wrist support for five days, after which they commenced a stretching, strengthening, and massage programme with an occupational therapist. These patients were assessed after six months and then finally between 18 months and five years after injection, using the patient-rated tennis elbow evaluation.Results. Thirty-eight of 40 patients completed the study, showing significant improvement in pain; the worst pain decreased by two to five points out of a 10-point visual analogue for pain. Self-perceived function improved by 11–25 points out of 100. Women showed significant increase in grip, but men did not.Conclusions. Autologous blood injection improved pain and function in a worker’s compensation cohort of patients with chronic lateral epicondylitis, who had not had relief with cortisone injection.

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Functional outcome after autologous blood injection for tennis elbow

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20164006 ◽

2016 ◽

Vol 2 (4) ◽

pp. 251

Author(s):

Shivakumar G. V. ◽

Krishna Kumar M. S. ◽

Naveen P. R.

Keyword(s):

Pain Score ◽

Upper Limb ◽

Tennis Elbow ◽

Autologous Blood ◽

Local Injection ◽

Invasive Treatment ◽

Non Invasive ◽

Pain Scores ◽

Autologous Blood Injection ◽

Blood Injection

Background: Tennis elbow is one of most common conditions found in athletes involved in upper limb sports. It has been reported that local injection of autologous blood in tennis elbow offers significant benefit by providing the necessary cellular and humoral mediators to induce a healing cascade. The objective of this study was to assess the efficacy of autologous blood injection in the treatment of tennis elbow.Methods: 30 consecutive patients involved in upper limb sports and suffering from tennis elbow for more than 3 months duration not responsive to oral medication or other non-invasive treatment were given local injection of 2 ml autologous blood. Patients were assessed using the visual analogue scale (VAS) for pain and Nirschl scores before giving injection and at 1, 4, 8 and 12 weeks also at 6 and 9 months, repeat injection was given at 8 weeks if pain persisted.Results: After Autologous blood injection (ABI) at 4 weeks there is significant (P <0.001) decrease in VAS pain score and Nirschl score. Though VAS pain score and Nirschl stage continued to improve after 8 weeks, but statistically not significant.Conclusions: Autologous blood injection significantly improved clinical function and pain scores in patients with chronic tennis elbow who had previously undergone unsuccessful non-invasive treatment.

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Long term results in refractory tennis elbow using autologous blood

Orthopedic Reviews ◽

10.4081/or.2014.5473 ◽

2014 ◽

Vol 6 (4) ◽

Author(s):

Naseem Ul Gani ◽

Hayat Ahmad Khan ◽

Younis Kamal ◽

Munir Farooq ◽

Hina Jeelani ◽

...

Keyword(s):

Pain Score ◽

Tennis Elbow ◽

Autologous Blood ◽

Long Term Results ◽

P Value ◽

Autologous Blood Injection ◽

Blood Injection ◽

The Mean

Tennis elbow (TE) is one of the commonest myotendinosis. Different treatment options are available and autologous blood injection has emerged as the one of the acceptable modalities of treatment. Long term studies over a larger group of patients are however lacking. The purpose of this study was to evaluate these patients on longer durations. One-hundred and twenty patients of TE, who failed to respond to conventional treatment including local steroid injections were taken up for this prospective study over the period from year 2005 to 2011 and were followed up for the minimum of 3 years (range 3-9 years). Two mL of autologous blood was taken from the ipsilateral limb and injected into the lateral epicondyle. The effectiveness of the procedure was assessed by Pain Rating Sscale and Nirschl Staging, which was monitored before the procedure, at first week, monthly for first three months, at 6 months and then 3 monthly for first year, six monthly for next 2 years and then yearly. Statistical analysis was done and a P value of <0.05 was taken as significant. The patients (76 females and 44 males) were evaluated after procedure. The mean age group was 40.67±8.21. The mean follow up was 5.7±1.72 (range 3 to 9 years). The mean pain score and Nirschl stage before the procedure was 3.3±0.9 and 6.2±0.82 respectively. At final follow up the pain score and Nirschl were 1.1±0.9 and 1.5±0.91 respectively. Autologous blood injection was found to be one of the modalities for treatment of TE. Being cheap, available and easy method of treatment, it should be considered as a treatment modality before opting for the surgery. Universal guidelines for the management of tennis elbow should be made as there is lot of controversy regarding the treatment.

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Autologus Blood Injection for Lateral Epicondylitis in Tertiary Level Hospital

TAJ Journal of Teachers Association ◽

10.3329/taj.v26i0.37594 ◽

2018 ◽

Vol 26 ◽

pp. 79-81

Author(s):

DM Sohel ◽

BK Dam ◽

D Roy ◽

MAK Shamsuddin ◽

SK Pramanik

Keyword(s):

Pain Score ◽

Tennis Elbow ◽

Lateral Epicondylitis ◽

Injection Pain ◽

Average Pain ◽

Average Pain Score ◽

Blood Injection ◽

Level Hospital ◽

Non Surgical Treatment

Tennis elbow is a common and well defined clinical entity. It is an extra articular affection characterised by pain and acute tenderness at the origin of the mainly extensorcarpi radialis brevis, but can involve the tendons of the extensorcarpi radialis longus and the extensor digitorum communis. It is also called lateral epicondylitis. Various types of treatment option for this disease that is conservative and operative. An injection of autologus blood might provide the necessary cellular and humoral mediators to induce a healing cascade. The purpose of the study was to evaluate result of epicondylitis treated with autologus blood injection.Total 19 patients with tennis elbow treated in this study.Among the patients 9 were male and 10 were female.Age of the patients were 25yrs – 60yrs, average 41.63yrs. All patients had failed previous non-surgical treatment. Duration of the pain 1 month to 6 months. All the patients got autologus blood injected every 21 days interval (one or three times). Before autologus blood injection average pain score was 6.2 and average Nirschi score was 5.8. After autologus blood injection pain score and Nirschi score decreases 2.2 and 2 respectively. Average follow-up period was 7 months.TAJ 2013; 26: 79-81

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