Effects of intralesional platelet-rich plasma in the patients with lateral epicondylitis of elbow

Abstract

Lateral epicondylitis (tennis elbow) is a major cause of musculoskeletal pain involving common extensor origin of the forearm. This study was done to determine the effects of platelet-rich plasma on 15 patients with lateral epicondylitis. Selected patients were given intralesional platelet-rich plasma injection, activity of daily living instructions and paracetamol. Patients were assessed every 14 days interval by visual analogue scale, and the patient rated tennis elbow evaluation. Treatment response according to visual analogue scale and patient rated tennis elbow evaluation tool, the difference of improvement was found in respect to time, from pretreatment W1 (just before 1st Intervention) score to W11 score in every alternate week (p<0.005). This indicates that intralesional platelet-rich plasma is effective in the patients with lateral epicondylitis of elbow.

Intralesional steroid and ultrasound therapy in patients with carpal tunnel syndrome

“…Several authors declared that non-surgical methods are ineffective, some stated that local steroid injection has been proven to provide consistent and predictable short-term pain relieve. 25 While others stated that physical modalities could treat patients with carpal tunnel syndrome successfully and assist recoveries such as ultrasound, 26 pulsed magnetic field, 27 paraffin therapy, 28 low-level laser therapy, 29 exercises or splints. 30 According to this study intra-lesional corticosteroid injection improves VAS scores and Boston carpal tunnel questionnaire (BCTQ) either the symptom severity or functional capacity for mild to moderate carpal tunnel syndrome.…”