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Comparative study to evaluate efficacy of prolotherapy using 25% dextrose and local corticosteroid injection in tennis elbow – A prospective study

INTRODUCTION: Tennis elbow is a common painful condition with a prevalence rate of 1–3%. The condition starts as a micro-tear in extensor carpi radialis brevis and its degeneration because of repetitive overload. Conservative measures are undertaken initially because symptoms in most patients improv...

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Autores principales: Gupta, Govind K., Rani, Sudha, Shekhar, Dibyendu, Sahoo, Unmesh K., Shekhar, Shubhendu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9810944/
https://www.ncbi.nlm.nih.gov/pubmed/36618190
http://dx.doi.org/10.4103/jfmpc.jfmpc_116_22
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author Gupta, Govind K.
Rani, Sudha
Shekhar, Dibyendu
Sahoo, Unmesh K.
Shekhar, Shubhendu
author_facet Gupta, Govind K.
Rani, Sudha
Shekhar, Dibyendu
Sahoo, Unmesh K.
Shekhar, Shubhendu
author_sort Gupta, Govind K.
collection PubMed
description INTRODUCTION: Tennis elbow is a common painful condition with a prevalence rate of 1–3%. The condition starts as a micro-tear in extensor carpi radialis brevis and its degeneration because of repetitive overload. Conservative measures are undertaken initially because symptoms in most patients improve with time and rest. Adjunctive treatment includes steroid injection, autologous plasma, exercise, and prolotherapy. Dextrose prolotherapy by virtue of its multi-modal mechanism of action has emerged as a cost-effective treatment option for chronic musculoskeletal and arthritic pain. MATERIALS AND METHODS: A total of 260 patients were included in the study and divided in two groups for administration of steroids or dextrose prolotherapy. The Visual Analog Scale (VAS) and Mayo Elbow Performance Scale (MEPS) scores were taken for patients at regular follow-up. RESULTS: All patients showed improvement in VAS score and MEPS score following dextrose prolotherapy as well as patients injected with steroids. CONCLUSION: Both prolotherapy and steroid injection offer adequate pain relief and functional outcome, although prolotherapy has been shown to be superior and given long-lasting results compared to steroid injection in management of tennis elbow.
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spelling pubmed-98109442023-01-05 Comparative study to evaluate efficacy of prolotherapy using 25% dextrose and local corticosteroid injection in tennis elbow – A prospective study Gupta, Govind K. Rani, Sudha Shekhar, Dibyendu Sahoo, Unmesh K. Shekhar, Shubhendu J Family Med Prim Care Original Article INTRODUCTION: Tennis elbow is a common painful condition with a prevalence rate of 1–3%. The condition starts as a micro-tear in extensor carpi radialis brevis and its degeneration because of repetitive overload. Conservative measures are undertaken initially because symptoms in most patients improve with time and rest. Adjunctive treatment includes steroid injection, autologous plasma, exercise, and prolotherapy. Dextrose prolotherapy by virtue of its multi-modal mechanism of action has emerged as a cost-effective treatment option for chronic musculoskeletal and arthritic pain. MATERIALS AND METHODS: A total of 260 patients were included in the study and divided in two groups for administration of steroids or dextrose prolotherapy. The Visual Analog Scale (VAS) and Mayo Elbow Performance Scale (MEPS) scores were taken for patients at regular follow-up. RESULTS: All patients showed improvement in VAS score and MEPS score following dextrose prolotherapy as well as patients injected with steroids. CONCLUSION: Both prolotherapy and steroid injection offer adequate pain relief and functional outcome, although prolotherapy has been shown to be superior and given long-lasting results compared to steroid injection in management of tennis elbow. Wolters Kluwer - Medknow 2022-10 2022-10-31 /pmc/articles/PMC9810944/ /pubmed/36618190 http://dx.doi.org/10.4103/jfmpc.jfmpc_116_22 Text en Copyright: © 2022 Journal of Family Medicine and Primary Care https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Gupta, Govind K.
Rani, Sudha
Shekhar, Dibyendu
Sahoo, Unmesh K.
Shekhar, Shubhendu
Comparative study to evaluate efficacy of prolotherapy using 25% dextrose and local corticosteroid injection in tennis elbow – A prospective study
title Comparative study to evaluate efficacy of prolotherapy using 25% dextrose and local corticosteroid injection in tennis elbow – A prospective study
title_full Comparative study to evaluate efficacy of prolotherapy using 25% dextrose and local corticosteroid injection in tennis elbow – A prospective study
title_fullStr Comparative study to evaluate efficacy of prolotherapy using 25% dextrose and local corticosteroid injection in tennis elbow – A prospective study
title_full_unstemmed Comparative study to evaluate efficacy of prolotherapy using 25% dextrose and local corticosteroid injection in tennis elbow – A prospective study
title_short Comparative study to evaluate efficacy of prolotherapy using 25% dextrose and local corticosteroid injection in tennis elbow – A prospective study
title_sort comparative study to evaluate efficacy of prolotherapy using 25% dextrose and local corticosteroid injection in tennis elbow – a prospective study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9810944/
https://www.ncbi.nlm.nih.gov/pubmed/36618190
http://dx.doi.org/10.4103/jfmpc.jfmpc_116_22
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