Comparison of the effects of ozone versus steroid injection, in treatment of patients with tennis elbow - 15/07/18
Résumé |
Introduction/Background |
Tennis elbow is a prevalent musculoskeletal disorder. In recent years ozone injection has been proposed as a treatment for many musculoskeletal disorders. The aim of this study was to compare the effect of ozone with the standard treatment of steroid injection in patients with tennis elbow, resistant to conservative treatments. This comparison is made according to VAS score, pressure pain threshold (PPT) and modified Mayo clinic performance index for elbow.
Material and method |
In this study 64 patients with tennis elbow, which have had the symptoms for more than 3 months and were resistant to conservative treatments, were randomized to two groups. In steroid injection group 40mg of methylprednisolone acetate and in zone injection group 4mL of ozone with concentration of 15 mcg/mL was injected. Thirty-two patients in steroid and 29 patients in ozone injection group finished this study. Data were gathered before injection and 2 and 6 months after that by VAS score, modified Mayo clinic performance index for elbow and PPT (measured by the means of an algometer). Variables were compared between the two groups and also the changes in each group have been measured in reference to baseline data.
Results |
In both groups VAS score, Mayo clinic performance index and PPT improved significantly in 2 and 6 month follow-up. Steroid injection was significantly better than ozone injection in improving 2 and 6 months pressure pain threshold and 6 months Mayo clinic performance index. Other data did not show significant difference between the two groups.
Conclusion |
Both steroid and ozone injection improved pain and function in patients with recalcitrant tennis elbow for at least 6 months. Steroid injection was superior to ozone injection in improving PPT in 2 and 6 month and Mayo clinic performance index score at 6 month follow-up.
Le texte complet de cet article est disponible en PDF.Keywords : Tennis elbow, Ozone, Steroid
Plan
Vol 61 - N° S
P. e168 - juillet 2018 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.