scholarly journals Comparative study of local corticosteroid injection and therapeutic ultrasound with exercise for quicker functional improvement in tennis elbow

2019 ◽  
Vol 3 (4) ◽  
pp. 80-87
Author(s):  
Clevio Desouza ◽  
Abhijeet Shroff ◽  
Disha Assudani
Keyword(s):  
Comparative Study ◽  
Tennis Elbow ◽  
Corticosteroid Injection ◽  
Therapeutic Ultrasound ◽  
Functional Improvement ◽  
Local Corticosteroid Injection

scholarly journals A Comparative Study to Evaluate the Efficacy of Supervised Exercise Program and Cyriax Physiotherapy on Pain and Function in Lateral Epicondylitis

2021 ◽  
pp. 87-97
Author(s):  
Gouri Kalaskar ◽  
Pratik Phansopkar
Keyword(s):  
Comparative Study ◽  
Tennis Elbow ◽  
Therapeutic Ultrasound ◽  
Lateral Epicondylitis ◽  
Exercise Programme ◽  
Research Subjects ◽  
Supervised Exercise ◽  
Group I ◽  
Post Test ◽  
And Function

Aims: To see the effectiveness of supervised exercises and cyriax physiotherapy both including therapeutic ultrasound for improving pain and function in adults with lateral epicondylitis. Study Design: Comparative study- to find out the efficacy of effectiveness of two different interventions for reducing pain and improving function in patients with lateral epicondylitis Place and Duration of Study: Department of Musculoskeletal  Physiotherapy Sciences, Ravi Nair Physiotherapy College, Sawangi (Meghe), Wardha, for 12 months. Methodology: A total of 30 people with lateral epicondylitis (tennis elbow) were selected to take part in a comparative research. Subjects were randomized 1:1 to either (1) supervised exercise programme group, or (2) cyriax physiotherapy group. Over just a 4-week period, three times each week for a sum of 12 sessions, promptly after baseline evaluation and randomization, subjects received static stretching of Extensor Carpi Radialis Brevis followed by eccentric strengthening of the wrist extensors and Therapeutic Ultrasound in supervised exercise programme group. While those in cyriax physiotherapy group received deep transverse friction massage for 10 min immediately followed by Mill’s manipulation and Ultrasound. The study concluded at the 4 weeks. Results: Out of 30 patients half were placed in each group, where p=.0001. Significant increase in mean in the group I and II in pre ad post-test VAS score (4.20±0.77 and 5.20±0.67) and TEFS score pre and post-test (17.33±1.44 and 19.80±1.42). analysis showed significant improvement in both the groups. Conclusion: From the observations and results, the conclusion drawn that there is significant improvement in both the groups but effect of cyriax physiotherapy in the form of deep friction massage and mills manipulation combined with therapeutic ultrasound for improving pain on VAS and function on TEF scale.

scholarly journals Tennis Elbow – Efficacy of local Corticosteroid injection in its Management

2016 ◽  
Vol 03 (03) ◽  
pp. 12-16 ◽  
Author(s):  
Dr. M. A. Q. Ansari ◽  
Dr. Sachin A. Shah ◽  
Dr. S. R. Jidgekar
Keyword(s):  
Tennis Elbow ◽  
Corticosteroid Injection ◽  
Local Corticosteroid Injection

scholarly journals LOCAL CORTICOSTEROID INJECTION VERSUS CYRIAX-TYPE PHYSIOTHERAPY FOR TENNIS ELBOW

1996 ◽  
Vol 78-B (1) ◽  
pp. 128-132 ◽  
Author(s):  
J. A. N. Verhaar ◽  
G. H. I. M. Walenkamp ◽  
H. van Mameren ◽  
A. D. M. Kester ◽  
A. J. van der Linden
Keyword(s):  
Tennis Elbow ◽  
Corticosteroid Injection ◽  
Local Corticosteroid Injection

Tennis Elbow: A Combined Approach Using Acupuncture and Local Corticosteroid Injection

1997 ◽  
Vol 15 (2) ◽  
pp. 77-78 ◽  
Author(s):  
S A Chilton
Keyword(s):  
Acupuncture Treatment ◽  
Tennis Elbow ◽  
Corticosteroid Injection ◽  
Controlled Study ◽  
Group 13 ◽  
Lateral Epicondyle ◽  
Steroid Group ◽  
Number Of Patients ◽  
Tender Spot ◽  
Local Corticosteroid Injection

In a controlled study, a group of 16 patients in a north of England general practice received acupuncture treatment for tennis elbow, followed by a small dose of corticosteroid with lignocaine to a residual tender spot at the elbow. These patients were compared with a similar group of 19 who received a larger dose to a tender spot at the lateral epicondyle, without any initial acupuncture treatment. In the acupuncture with steroid group: 13 patients had benefited following two treatment sessions, two after three sessions and one was no better at the end of the permitted three treatments. In the steroid alone group: 13 had had benefit after two sessions, three after three and three were unsuccessful. This suggests a trend towards increased and more rapid success in the acupuncture with steroid group, but the small number of patients precluded useful statistical analysis. The physical advantage in using acupuncture before administering local corticosteroid injection is that a lower dose of steroid can be used, with consequent reduction in the risk of tissue necrosis and inflammatory reaction.

Comparative Study of Efficacy between Platelet-rich Plasma vs Corticosteroid Injection in the Treatment of Lateral Epicondylitis

2017 ◽  
Vol 3 (1) ◽  
pp. 1-5
Author(s):  
KM Gopinath ◽  
Madhuram Chowdry ◽  
BNR Kumar ◽  
TR Kanmani
Keyword(s):  
Comparative Study ◽  
Steroid Injection ◽  
Tennis Elbow ◽  
Platelet Rich Plasma ◽  
Corticosteroid Injection ◽  
Tertiary Care ◽  
Disease Process ◽  
Lateral Epicondylitis ◽  
Care Hospital

ABSTRACT Introduction Tennis elbow is a common condition with unpromising several modalities of treatment. Many of these are not aimed at treating the disease process. Platelet-rich plasma (PRP) contains biological healing factors and shows promising results in tendinopathies. In this study, our aim was to evaluate the efficacy of autologous PRP vs steroid injection in the treatment of chronic recalcitrant lateral epicondylitis. Materials and methods A prospective randomized control trial was conducted in our tertiary care hospital. Sixty patients with chronic lateral humeral epicondylitis, not responding to oral medications, tennis elbow belt, and physiotherapy, aged between 18 and 60 years were included in the study. Patients were randomized into PRP or steroid injection group based on a computer-generated block randomization chart. All patients had a baseline assessment including visual analog pain scores, Disability assessment of Shoulder and Hand score (DASH), and Nirschl (Injury, Prevention, Cure and Care – Nirschl Pain Phase Scale of Athletic Overuse Injuries) scores, and the same was repeated at 2 weeks, 6 weeks, 3 months, and 6 months postintervention. Results Steroid treatment shows better outcome in short-term (p < 0.001) and PRP shows better outcome in long-term (p < 0.001) follow-up. All three scores – visual analog score (VAS), DASH, Nirschl – showed significant linear improvement with PRP treatment, whereas with steroid injection initially there was significant improvement up to 3 months and later recurrence of symptoms. No complications were noted with PRP injection. Conclusion Use of autologous PRP injections for the management of lateral epicondylitis has better long-term outcomes compared with steroid injection in terms of VAS, DASH, and Nirschl scores. Also in our trial we had no recurrence of symptoms in the PRP group, whereas pain recurred in six patients in steroid group and was treated successfully with PRP. How to cite this article Chowdry M, Gopinath KM, Kumar BNR, Kanmani TR. Comparative Study of Efficacy between Platelet-rich Plasma vs Corticosteroid Injection in the Treatment of Lateral Epicondylitis. J Med Sci 2017;3(1):1-5.

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