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IRCT201205127274N4 IRCT 2012-05-30 Vice Chancellor for Research, Guilan University of Medical Sciences A comparison between corticosteroid injection versus local anaesthetic in treatment of elbow tendinitis A comparison between corticosteroid injection versus local anaesthetic in treatment of lateral epicondylitis 2012-04-20 anticipated 90 Complete https://irct.ir/trial/7716 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment. N/A Lateral epicondylitis. Intervention 1: Group 2: Corticosteroid (Methyl-prednisolon acetate 1 ml) injection single dose into the painful zone. Intervention 2: Group 1: injection of a local anesthesia (procaine 2% 1 ml). http://www.ncbi.nlm.nih.gov/pubmed/23494116 Abstract<br /> Introduction: This study seeks to compare two treatment methods of lateral epicondylitis: corticosteroid injection (CSI) and a local anesthetic injection (LAI).<br /> <br /> Materials and methods: In this single-blinded randomized clinical trial, 138 patients with the diagnosis of lateral epicondylitis were assigned either into CSI group receiving methylprednisolone 1 ml (49 patients) or LAI group (51 patients) receiving procaine 1 ml 2 % in a single dose at the maximal point tenderness site. The primary outcome<br /> measure was elbow disability using Quick DASH, and secondary outcome measures were pain intensity using Visual Analogue Scale (VAS) and recurrence rate at pre-treatment visit and at 3-, 6- and 12-week post-treatment visits.<br /> <br /> Results: There were no significant differences between the patients in both groups for demographic factors including age, gender, dominant hand, involved hand, and work pressure. Before treatment, the patients in both groups were suffering from the same rates of elbow disability and pain as measured by Quick DASH and VAS, respectively,<br /> (p[0.05). In general, the recovery rate (comparison between pretreatment visit and last post-treatment visit) was significantly more effective and higher in CSI than LAI. CSI was dramatically more effective at 3-week visit, but less and less effective at 6- and 12-week visits. At 12-week visit the recurrence rate was 34.7 % (17 patients) in CSI group.<br /> <br /> Conclusion: For lateral epicondylitis, CSI has the best short-term treatment results yet the highest recurrent rates.The combination of CSI with other treatment option or with a change in injection technique from single injection to peppering injection may be promising.<br /> <br /> Keywords Tennis elbow Lateral epicondylitis Intra-lesional injection Corticosteroids Local anesthetic, Visual analogue scale Treatment outcome
public Dr. Mohsen Mardani Kivi
Orthopedic Department, Poursina Hospital, Parastar Avenue.
Rasht Iran (Islamic Republic of) +98 13 1321 1470 dr_mohsen_mardani@yahoo.com Guilan University of Medical Science scientific Dr. Mohsen Mardani Kivi
Orthopedic Department, Poursina Hospital, Parastar avenue.
Rasht Iran (Islamic Republic of) +98 13 1321 1470 dr_mohsen_mardani@yahoo.com Guilan University of Medical Science Iran (Islamic Republic of) Inclusion criteria:chronic pain in lateral zone of elbow; definite tenderness in lateral epicondylitis; age more than 15 years and VAS score more than 6. Exclusion criteria: radicular pain to the upper limbs; established Carpal Tunnel Syndrome and past history of tennis elbow treatment. 15 years no limit Both Treatment - Drugs Treatment - Drugs Group 2: Corticosteroid (Methyl-prednisolon acetate 1 ml) injection single dose into the painful zone Group 1: injection of a local anesthesia (procaine 2% 1 ml) Disability of elbow score. Timepoint: At baseline, and 3, 6, 12 weeks after treatment. Method of measurement: The Disabilities of the Arm, Shoulder and Hand Score(QuickDash). Pain severity. Timepoint: At baseline, and 3, 6, 12 weeks after treatment. Method of measurement: Value-added service (VAS) score. Vice Chancellor for Research, Guilan University of Medical Sciences Approved 2012-04-17 Guilan University of Medical Science Vice Chancellor for Research, Guilan University of Medical Sciences, Namjou Avenue Rasht Iran (Islamic Republic of)