Comparison of Clinical Outcomes on Different Treatment Methods for Lateral Epicondylitis

Year 2022, Volume: 6 Issue: 3, 307 - 314, 31.12.2022

Ahmet Aksoy Anıl Gülcü Ahmet Aslan

https://doi.org/10.30565/medalanya.1214401

Abstract

Aim: In our study, the effectiveness of steroid injection therapy, extracorporeal shock wave therapy (ESWT) and splint use in the treatment of lateral epicondylitis, were compared.

Methods: A total of 97 patients (28 males, 57 females, mean age: 47 years) with a clinical diagnosis of lateral epicondylitis were included in the study. The patients were divided into three treatment groups. Steroid injection was applied to 30 patients, ESWT treatment to 28 patients, and bandage treatment to 29 patients. Patients were evaluated with Visual analog scale (VAS) and Disabilities of the Arm, Shoulder and Hand (DASH) scores before and after treatment.

Results: A decrease in VAS and DASH scores and clinical improvement compared to pre-treatment were observed in all three groups. Although positive results were obtained with all three treatment methods, we found that the most statistically significant treatment method was steroid injection. Better results were obtained in the group that received steroid injection with the peppering technique. (p<0.05).

Conclusion: The results of this study showed that local steroid injection, ESWT application and bandage treatment may be beneficial in the short term in the treatment of patients with lateral epicondylitis. However, it was evaluated that the best improvement in scores was obtained with local steroid injection with the peppering technique, whereas the least improvement was obtained with bandage treatment.

Keywords

Lateral epicondylitis, Elbow, Tendinitis, Tennis elbow

Lateral Epikondilitli Hastalarda Farklı Tedavi Yöntemlerinin Klinik Sonuçlarının Karşılaştırılması

Abstract

Amaç: Çalışmamızda lateral epikondilit tedavisinde steroid enjeksiyon tedavisi, ekstrakorporeal şok dalga tedavisi (ESWT) ve splint kullanımının etkinliği karşılaştırıldı.

Yöntemler: Klinik olarak lateral epikondilit tanısı alan toplam 97 hasta (28 erkek, 57 kadın, ortalama yaş: 47) çalışmaya dahil edildi. Hastalar üç tedavi grubuna ayrıldı. 30 hastaya steroid enjeksiyonu, 28 hastaya ESWT tedavisi, 29 hastaya bandaj tedavisi uygulandı. Hastalar tedavi öncesi ve sonrası Visual analog scale (VAS) ve Disabilities of the Arm, Shoulder and Hand (DASH) skorları ile değerlendirildi.

Bulgular: Her üç grupta da tedavi öncesine göre VAS ve DASH skorlarında azalma ve klinik düzelme gözlendi. Her üç tedavi yönteminde de olumlu sonuçlar elde edilmesine rağmen istatistiksel olarak en anlamlı tedavi yönteminin steroid enjeksiyonu olduğunu saptadık. Biberleme (peppering) tekniği ile steroid enjeksiyonu yapılan grupta daha iyi sonuçlar alındı. (p<0.05).

Sonuç: Bu çalışmanın sonuçları lateral epikondilitli hastaların tedavisinde lokal steroid enjeksiyonu, ESWT uygulaması ve bandaj tedavisinin kısa dönemde faydalı olabileceğini göstermiştir. Ancak skorlarda en iyi iyileşmenin biberleme tekniği ile lokal steroid enjeksiyonu, en az iyileşmenin ise bandaj tedavisi ile elde edildiği değerlendirildi.

Keywords

Lateral epikondilit, Dirsek, Tendinit, Tenisçi dirseği

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