Extracorporeal Shock Wave versus Ultrasound Guided Local Corticosteroid Injection in Treatment of Lateral Epicondylitis | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 76, Volume 98, Issue 1, January 2025, Page 520-528 PDF (453.99 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2025.407384 | ||||
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| Abstract | ||||
| Background: Shock waves are high energy sound waves that showed high efficacy in diminishing the high levels of the inflammatory mediators. An ultrasound-guided corticosteroid injection is a highly effective method that significantly reduces pain and inflammation and has been demonstrated to offer superior temporary results in regaining grip strength. Aim: This study aimed to evaluate the efficacy of extracorporeal shock wave therapy in relation to ultrasound-guided corticosteroid (CS) injections for managing lateral epicondylitis (LE). Patients and methods: The investigation consisted of 60 cases encompassing both male and female participants with LE who were divided into two equal. Group I received a single US-guided corticosteroid injection and group B underwent extracorporeal shock wave therapy (ESWT) treatment. Results: At both follow-ups, the visual analogue scale, Likert scale, patient-rated tennis elbow evaluation, and tendon thickness were notably higher in groups I and II compared to their pre-treatment levels, with an even greater increase observed at the 2nd follow-up compared to the 1st (P < 0.05). Furthermore, the Maudsley, Cosens, and Mills tests yielded significantly higher scores in groups I and II at both follow-ups than pre-treatment (P < 0.05). At the second follow-up, group I had substantially greater Power Doppler readings than before treatment, reflecting a statistically significant change (p < 0.05). Conclusions: Results showed that corticosteroid injections and ESWT were effective in treating LE, but ESWT demonstrated superior improvement in clinical and ultrasonographic follow-ups after 12 weeks compared to corticosteroid injections. | ||||
| Keywords | ||||
| Ultrasound; Extracorporeal shock wave; Local corticosteroid; Lateral epicondylitis injection | ||||
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