A comparison of extracorporeal shock wave therapy, physiotherapy, and local steroid injection in treatment of lateral epicondylitis/Lateral epikondilit tedavisinde ekstrakorporeal sok dalga tedavisi, fizyoterapi ve lokal steroid enjeksiyonunun karsilastirilmasi

• Published in: Türkiye fiziksel tip ve rehabilitasyon dergisi 2016-03, Vol.62 (1), p.37
• Main Authors: Akkurt, Soner, Yilmaz, Ahmet, Saka, Tolga
• Format: Article
• Language: Turkish
• Subjects: Care and treatment; Comparative analysis; Health aspects; Physical therapy; Tennis elbow; Therapeutics, Physiological
• ISSN: 1302-0234
• DOI: 10.5606/tftrd.2016.35492

Objectives: This study aims to compare the efficacy of extracorporeal shock wave therapy (ESWT), physiotherapy, and local steroid injection in the treatment of lateral epicondylitis. Patients and methods: A total of 59 patients (34 males, 25 females; mean age 46.4 years; range 35 to 60 years) who were clinically diagnosed with lateral epicondylitis between January 2013 and December 2013 were included in the study. The patients were randomly divided into three treatment groups as ESWT (ESWT group), local steroid injection (E group) and physiotherapy (FT group). The visual analog scale (VAS), hand grip strength, pressure sensitivity on lateral epicondyle, Thompson test and chair lifting test were performed before treatment and at three, six and 12 weeks following the treatment. Results: Compared to baseline, VAS scores decreased, while hand grip strength increased in all three treatment groups at three, six, and 12 weeks. Pressure sensitivity with pressure on the lateral epicondyle, Thompson test, and chair lifting test results became significantly negative at three, six, and 12 weeks compared to baseline. There was no statistically significant difference in the VAS and hand grip strength scores at three, six, and 12 weeks compared to baseline among the treatment groups. Conclusion: Our study results suggest that ESWT, physiotherapy, and local steroid injection are effective in the treatment of lateral epicondylitis during 12 week-follow-up. Keywords: Extracorporeal shock wave therapy; lateral epicondylitis; local steroid injection; physiotherapy. Amac: Bu calismada lateral epikondilit tedavisinde kullanilan ekstrakorporeal sok dalga tedavisi (ESWT), fizyoterapi ve lokal steroid enjeksiyonunun etkinligi karsilastirildi. Hastalar ve yontemler: Calismaya Ocak 2013 - Aralik 2013 tarihleri arasinda klinik olarak lateral epikondilit tanisi konmus toplam 59 hasta (34 erkek, 25 kadin; ort. yas 46.4 yil; dagilim 35-60 yil) alindi. Hastalar rastgele ESWT (ESWT grubu), lokal steroid enjeksiyonu (E grubu) ve fizyoterapi (FT grubu) olmak uzere uc tedavi grubuna ayrildi. Tedavi oncesi, tedavi sonrasi ucuncu, altinci ve 12. haftalarda gorsel analog olcegi (GAO), el kavrama kuvveti, lateral epikondil uzerine basmakla olusan duyarlilik testi, Thomson testi ve sandalye kaldirma testleri yapildi. Bulgular: Uc tedavi grubunda da GAO skorlari baslangica kiyasla uc, alti ve 12. haftalarda azalirken, el kavrama kuvveti artti. Lateral epikondil uzerine basmakla olusan duyarlilik,