The Effect of Prolotherapy on Lateral Epicondylitis of Elbow.
- Author:
Ju Yon SHIN
1
;
Kyung Mook SEO
;
Don Kyu KIM
;
Baek Kon KIM
;
Si Hyun KANG
Author Information
1. Department of Rehabilitation Medicine, Chungang University College of Medicine, Korea. drshin7@korea.com
- Publication Type:Original Article
- Keywords:
Prolotherapy;
Lateral epicondylitis;
Ultrasonography;
Partial tear;
Non-tear
- MeSH:
Elbow*;
Humans;
Tears;
Ultrasonography
- From:Journal of the Korean Academy of Rehabilitation Medicine
2002;26(6):764-768
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To determine the effect of prolotherapy on lateral epicondylitis, and the difference of treatment effect according to the findings of ultrasonography. METHOD: The subjects were 84 patients who were diagnosed as lateral epicondylitis. The pain score was evaluated by using VAS (Visual Analogue Scale) before treatment and 1 month and 6 months after the 3rd injection. Ultrasonography was done to 49 patients who were suspicious of tendinous tear. RESULTS: In the comparison of the VAS before treatment and after the 3rd injection, it was 6.79+/-0.88, 2.95+/-1.90, respectively, which demonstrated statistical significant decrease (p<0.01). We found more significant reduction of VAS in the subjects without tendinous tear (7.08+/-0.91 to 2.16+/-1.57) than those with partial tendinous tear (6.90+/-0.93 to 3.67+/-1.76) (p<0.01). Among 71 patients whose symptom was improved after the treatment, 57 patients (80.2%) demonstrated sustained improvement at 9 months and 14 patients (19.7%) relapsed at 9 months. CONCLUSION: Prolotherapy is an effective treatment method in the lateral epicondylitis of elbow. Ultrasonography could be a useful diagnostic method which could predict the effect of prolotherapy.
