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Local autologous blood and corticosteroid injection on pain and function in patients with tennis elbow

BACKGROUND: Tennis elbow or lateral epicondylitis is a common complaint involving about a 3-5% cases in a community. Non-surgical treatment is effective in 80% of cases. Recent studies have shown the effect of autologous blood on improving the pain and function of affected patients. The present stud...

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Autores principales: Jokar, Rahmatollah, Esmaeilnejadganji, Seyyed Mokhtar, Bijani, Ali, Kamali Ahangar, Sekineh, Javer, Raheleh, Mohammadi, Ghazal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Babol University of Medical Sciences 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10646365/
https://www.ncbi.nlm.nih.gov/pubmed/38024173
http://dx.doi.org/10.22088/cjim.14.4.633
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author Jokar, Rahmatollah
Esmaeilnejadganji, Seyyed Mokhtar
Bijani, Ali
Kamali Ahangar, Sekineh
Javer, Raheleh
Mohammadi, Ghazal
author_facet Jokar, Rahmatollah
Esmaeilnejadganji, Seyyed Mokhtar
Bijani, Ali
Kamali Ahangar, Sekineh
Javer, Raheleh
Mohammadi, Ghazal
author_sort Jokar, Rahmatollah
collection PubMed
description BACKGROUND: Tennis elbow or lateral epicondylitis is a common complaint involving about a 3-5% cases in a community. Non-surgical treatment is effective in 80% of cases. Recent studies have shown the effect of autologous blood on improving the pain and function of affected patients. The present study aimed to compare the effectiveness of steroid and autologous blood local injection in controlling pain and disability in the short and long term. METHODS: The present study was a clinical trial conducted in Shahid Beheshti Hospital of Babol. A total of 60 patients were divided into 3 groups; A group injected at the site of lateral epicondylitis with steroid (methylprednisolone acetate-40mg) and another group with autologous blood (2ml of venous blood), and the other group used a brace for 3 weeks. Patients were followed-up for 15, 30, and 90 days, and the PRTEE assessment questionnaire assessed their pain and disability. RESULTS: On the 15th day, there was no statistically significant difference in pain and function in the three groups, although the injectable groups were relatively more effective. On the 30th day (p=0.001), the local corticosteroid was significantly better than the autologous blood group, while on the 90th day (p<0.001), autologous blood was significantly better than the local corticosteroid. The average day, in which 25% improvement was gained, was lower in the autologous blood transfusion group. CONCLUSION: Regarding the long-term effect of autologous blood on corticosteroid injections, it was recommended as a lateral epicondylitis treatment.
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spelling pubmed-106463652023-09-01 Local autologous blood and corticosteroid injection on pain and function in patients with tennis elbow Jokar, Rahmatollah Esmaeilnejadganji, Seyyed Mokhtar Bijani, Ali Kamali Ahangar, Sekineh Javer, Raheleh Mohammadi, Ghazal Caspian J Intern Med Original Article BACKGROUND: Tennis elbow or lateral epicondylitis is a common complaint involving about a 3-5% cases in a community. Non-surgical treatment is effective in 80% of cases. Recent studies have shown the effect of autologous blood on improving the pain and function of affected patients. The present study aimed to compare the effectiveness of steroid and autologous blood local injection in controlling pain and disability in the short and long term. METHODS: The present study was a clinical trial conducted in Shahid Beheshti Hospital of Babol. A total of 60 patients were divided into 3 groups; A group injected at the site of lateral epicondylitis with steroid (methylprednisolone acetate-40mg) and another group with autologous blood (2ml of venous blood), and the other group used a brace for 3 weeks. Patients were followed-up for 15, 30, and 90 days, and the PRTEE assessment questionnaire assessed their pain and disability. RESULTS: On the 15th day, there was no statistically significant difference in pain and function in the three groups, although the injectable groups were relatively more effective. On the 30th day (p=0.001), the local corticosteroid was significantly better than the autologous blood group, while on the 90th day (p<0.001), autologous blood was significantly better than the local corticosteroid. The average day, in which 25% improvement was gained, was lower in the autologous blood transfusion group. CONCLUSION: Regarding the long-term effect of autologous blood on corticosteroid injections, it was recommended as a lateral epicondylitis treatment. Babol University of Medical Sciences 2023 /pmc/articles/PMC10646365/ /pubmed/38024173 http://dx.doi.org/10.22088/cjim.14.4.633 Text en https://creativecommons.org/licenses/by/3.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/ (https://creativecommons.org/licenses/by/3.0/) ) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Jokar, Rahmatollah
Esmaeilnejadganji, Seyyed Mokhtar
Bijani, Ali
Kamali Ahangar, Sekineh
Javer, Raheleh
Mohammadi, Ghazal
Local autologous blood and corticosteroid injection on pain and function in patients with tennis elbow
title Local autologous blood and corticosteroid injection on pain and function in patients with tennis elbow
title_full Local autologous blood and corticosteroid injection on pain and function in patients with tennis elbow
title_fullStr Local autologous blood and corticosteroid injection on pain and function in patients with tennis elbow
title_full_unstemmed Local autologous blood and corticosteroid injection on pain and function in patients with tennis elbow
title_short Local autologous blood and corticosteroid injection on pain and function in patients with tennis elbow
title_sort local autologous blood and corticosteroid injection on pain and function in patients with tennis elbow
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10646365/
https://www.ncbi.nlm.nih.gov/pubmed/38024173
http://dx.doi.org/10.22088/cjim.14.4.633
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