Epicondylitis Band or Corticosteroid Injection for Lateral Epicondylitis Treatment?

Year 2016, Volume: 2 Issue: 1, 7 - 12, 27.04.2016

Ertuğrul Allahverdi Tülay Allahverdi , Uğur Türktaş

https://doi.org/10.19127/mbsjohs.207707

Abstract

Objective: Lateral epicondylitis has been identified as tendinosis developing in the region where extensor muscles. Conservative methods are first used in the treatment of acute lateral epicondylitis. One of the most widely used methods is corticosteroid and local anesthetic injection. Injection treatment is preferred because good results can be obtained in a short time.  Comparison of the short- and medium-term results of the epicondylitis band and corticosteroid and local anesthetic injections for lateral epicondylitis. Case Series. This was a retrospective and comparative study related to acute lateral epicondylitis treatment.

Methods:  The patient groups named A and B received two different treatments. The information obtained from the charts of 356 patients who were referred to the orthopedics departments of two separate hospitals between February 2010 and June 2013. There were 151 patients in Group A and 205 patients in Group B. Group A received the epicondylitis band and Group B corticosteroid and local anesthetic injections. Both groups were also given stretch exercises and nonsteroidal anti-inflammatory drugs. Patients were checked at week 1, 4, 12, and 24 and the Quick DASH scoring was used on week 12 and 24.      

Results: On the 3rd month of treatment, Group A showed recovery rates of moderate, good and full in 18.5%, 32.5% and 30.5% respectively while these rates were 33.2%, 13.7% and 25.4% in Group B. The same rates at the end of month 6 were 17.2%, 41.1% and 17.2% in Group A and 28.3%, 1% and 17.2% in Group B. We see that treatment of group A was more successful than group B in the 3rd month (p< 0,05),and much more successful than group B in the 6th month (p< 0,001) in terms of the number of patients who were successfully  and unsuccessfully treated according to the Quick DASH scores.

Conclusions: Combined treatment (physical therapy, nonsteroidal anti-inflammatory drugs) with an epicondylitis band was more effective than combined treatment with steroid and local anesthetic injections in acute lateral epicondylitis.

Keywords

Acute Lateral Epicondylitis, Epicondylopathy, Steroids, Quick DASH Score, Epicondylitis Band.

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