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IJPR.2020.111

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Type of Article:  Original Research

Volume 8; Issue 2 (April 2020)

Page No.: 3415-3419

DOI: https://dx.doi.org/10.16965/ijpr.2020.111

COMPARISON THE EFFECTIVENESS OF STEROID THERAPY WITH AND WITHOUT PHYSIOTHERAPY FOR THE MANAGEMENT OF LATERAL EPICONDYLITIS

Mehwish Niaz *1, Sidra Manzoor 2, Abdul Khaliq Naveed 3, Haroon Rashid 4.

*1,2,3,4 CMH medical college Lahore, Abdul Rehman Rd, Sarwar Colony, Lahore, Punjab, Pakistan.

Corresponding Author: Mehwish Niaz, CMH medical college Lahore, Abdul Rehman Rd, Sarwar Colony, Lahore, Punjab, Pakistan. E-Mail: mehwishniaz2011@hotmail.com

ABSTRACT

Objective: To compare the effectiveness of steroid therapy with and without physiotherapy for the management of lateral epicondylitis (tennis elbow).

Methodology: Patients, who fulfil the inclusion criteria of selection were admitted to study in the Department of Physiotherapy PSRD, Lahore. Each patient received an informed consent. Demographic data including name, age, sex, height and weight were noted. Participating individuals were randomly allocated into two groups by lottery method. Patients of group A were treated by steroidal therapy without physiotherapy manoeuvres and the individuals of group B were treated by combination of steroidal therapy and physiotherapy. The follow-up was carried out for up to 4 weeks.All the information has been collected with pre-defined preforms.Data was interpreted and analysed through SPSS version 22.0.

Results: The overall mean age of cases was 38.90±6.97 years and 42.07±7.03 years. There were 38(63.33%) male and 22(36.67%) female in this study.  Before treatment the mean pain of participating individuals of group-A and in group-B was 7.40±1.45 and 7.63±1.27 with insignificant difference. After treatment the mean pain in group-A and group-B was 3.40±1.73 and 2.53±1.57 with significantly lower pain in group-B, p-value < 0.05. When we compared mean pain before and after injection was significantly improved in both groups but the improvement was higher in group-B. The mean pain difference in group-A and group-B was 3.77±2.18 and 4.90±1.83 with higher improvement in group-A, p-value < 0.05.

Conclusion: Results of study concludesteroid injection with addition to physiotherapy was more effective in reducing pain.We must encourage orthopedic and physiotherapist teamwork to treat tennis elbow.

Key word: Tennis elbow,lateral epicondylitis, Steroid, NSAIDs, physiotherapyHyaluronic Acid Injection.

REFERENCES

  1. Harrington J, Carter J, Birrell L. Upper limb pain syndromes. Pain. 2001;56:263-72.
  2. Assendelft W, Hay EM, Adshead R, Bouter LM. Corticosteroid injections for lateral epicondylitis: a systematic overview. Br J Gen Pract. 1996;46(405):209-16.
  3. Shiri R, Viikari-Juntura E, Varonen H, Heliövaara M. Prevalence and determinants of lateral and medial epicondylitis: a population study. American journal of epidemiology. 2006;164(11):1065-74.
  4. Johnson GW, Cadwallader K, Scheffel SB, Epperly TD. Treatment of lateral epicondylitis. Am Fam Physician. 2007;76(6):843-8.
  5. Assendelft W, Green S, Buchbinder R, Struijs P, Smidt N. Tennis elbow. Clinical evidence. 2004(11):1633-44.
  6. Smidt N, Assendelft WJ, van der Windt DA, Hay EM, Buchbinder R, Bouter LM. Corticosteroid injections for lateral epicondylitis: a systematic review. Pain. 2002;96(1):23-40.
  7. Struijs PA, Smidt N, Arola H, Van Dijk C, Buchbinder R, Assendelft WJ. Orthotic devices for the treatment of tennis elbow. The Cochrane Library. 2002.
  8. Smidt N, Van Der Windt DA, Assendelft WJ, Devillé WL, Korthals-de Bos IB, Bouter LM. Corticosteroid injections, physiotherapy, or a wait-and-see policy for lateral epicondylitis: a randomised controlled trial. The lancet. 2002;359(9307):657-62.
  9. Hay EM, Paterson SM, Lewis M, Hosie G, Croft P. Pragmatic randomised controlled trial of local corticosteroid injection and naproxen for treatment of lateral epicondylitis of elbow in primary care. Bmj. 1999;319(7215):964-8.
  10. Verhaar J, Walenkamp G, Van Mameren H, Kester A, Van der Linden A. Local corticosteroid injection versus Cyriax-type physiotherapy for tennis elbow. Bone & Joint Journal. 1996;78(1):128-32.
  11. Tajika T, Kobayashi T, Yamamoto A, Kaneko T, Takagishi K. Prevalence and risk factors of lateral epicondylitis in a mountain village in Japan. J Orthop Surg (Hong Kong). 2014;22(2):240-3.
  12. Titchener AG, Tambe A, Fakis A, Smith CJ, Clark DI, Hubbard RB. Study of lateral epicondylitis (tennis elbow) using the health improvement network database. Shoulder & Elbow. 2012;4(3):209-13.
  13. Petrella RJ, Cogliano A, Decaria J, Mohamed N, Lee R. Management of tennis elbow with sodium hyaluronate periarticular injections. Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology. 2010;2(1):1.
  14. Marchand A-A, O’Shaughnessy J, Descarreaux M. Humeral Lateral Epicondylitis Complicated by Hydroxyapatite Dihydrite Deposition Disease: A Case Report. Journal of chiropractic medicine. 2014;13(1):67-74.
  15. Shiri R, Viikari-Juntura E. Lateral and medial epicondylitis: role of occupational factors. Best Practice & Research Clinical Rheumatology. 2011;25(1):43-57.
  16. Ljung BO, Alfredson H, Forsgren S. Neurokinin 1‐receptors and sensory neuropeptides in tendon insertions at the medial and lateral epicondyles of the humerus Studies on tennis elbow and medial epicondylalgia. Journal of orthopaedic research. 2004;22(2):321-7.
  17. Callebaut I, Vandewalle E, Hox V, Bobic S, Jorissen M, Stalmans I, et al. Nasal corticosteroid treatment reduces substance P levels in tear fluid in allergic rhinoconjunctivitis. Annals of Allergy, Asthma & Immunology. 2012;109(2):141-6.
  18. Lindenhovius A, Henket M, Gilligan BP, Lozano-Calderon S, Jupiter JB, Ring D. Injection of dexamethasone versus placebo for lateral elbow pain: a prospective, double-blind, randomized clinical trial. The Journal of hand surgery. 2008;33(6):909-19.
  19. Newcomer KL, Laskowski ER, Idank DM, McLean TJ, Egan KS. Corticosteroid injection in early treatment of lateral epicondylitis. Clinical Journal of Sport Medicine. 2001;11(4):214-22.
  20. Gaujoux-Viala C, Dougados M, Gossec L. Efficacy and safety of steroid injections for shoulder and elbow tendonitis: a meta-analysis of randomised controlled trials. Annals of the rheumatic diseases. 2009;68(12):1843-9.
  21. Bedi S, Ellis W. Spontaneous rupture of the calcaneal tendon in rheumatoid arthritis after local steroid injection. Annals of the rheumatic diseases. 1970;29(5):494.

Cite this article: Mehwish Niaz, Sidra Manzoor, Abdul Khaliq Naveed, Haroon Rashid. COMPARISON THE EFFECTIVENESS OF STEROID THERAPY WITH AND WITHOUT PHYSIOTHERAPY FOR THE MANAGEMENT OF LATERAL EPICONDYLITIS. Int J Physiother Res 2020;8(2):3415-3419. DOI: 10.16965/ijpr.2020.111
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