Author(s)
Ahmed Mohamed Ahmed Othman Leave a comment
Ahmed Mohamed Ahmed Othman Leave a comment
Background: Several treatment options have been
proposed to treat lateral epicondylitis. Both Platelet rich plasma (PRP)
and Extra-corporeal Shock Wave Therapy (ESWT) are new treatment
modalities for tendinopathy. Patients and Methods: Thirty seven patients
suffering from chronic lateral epicondylitis (tennis elbow) for at
least six months were treated in this study. The patients were divided
into two treatment groups, the first group including 20 patients treated
by ESWT and the second group including 17 patients treated by local
injection of platelet-rich plasma. The results were evaluated using the
visual analogue scale and the DASH score. Results: In the first group
(treated by ESWT), the average follow-up period was 21.55 months. The
average VAS improved from 8.2 to 1.95 and the average DASH score
improved from 72.25 to 51.7. Moreover, 11 cases were satisfied (55%), 3
cases (15%) were satisfied with reservation and 6 cases (30%) were not
satisfied. In the second group (treated by PRP), the average follow-up
period was 18.47 months. The average VAS improved from 8.52 to 1.47, the
DASH score improved from 72 to 48.23. Concerning patient satisfaction,
13 cases were satisfied (83.33%), 3 cases (10.52%) were satisfied with
reservation and 1 case (5.55%) was not satisfied. Conclusion: Platelet
rich plasma was proved to achieve superior results when compared to ESWT
as regards pain relief, improvement of elbow function and patient
satisfaction at follow-up.
KEYWORDS
Lateral Epicondylitis; ESWT; PRP; DASH Score
Cite this paper
A. Othman, "Treatment of Chronic Lateral Epicondylitis:
Platelet Rich Plasma versus Extra-Corporeal Shock Wave Therapy," Open Journal of Orthopedics, Vol. 4 No. 3, 2014, pp. 77-83. doi: 10.4236/ojo.2014.43013.
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