Nambi 2022 | Lat. Epicondylitis | RSW
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Nambi G, Alghadier M, Ebrahim EE, Verma A, Aldhafian OR, Mohamed SHP, Alshewaier SA, Sirajudeen MS, Muthusamy H, Unnikrishnan R. MRI and Ultrasound Analysis of Corticosteroid Injection Combined with Extracorporeal Shockwave Therapy in Lateral Epicondylitis-A Prospective, Randomized, Double-Blinded, Placebo-Controlled Trial. J Pers Med. 2022 Nov 11;12(11):1892.
Prospective, Randomized, Double-Blinded, Placebo- Controlled Trial 60 subjects - 1 corticosteroid injection + regular PT + 4 weekly sessions of active RSW (2000 pulses, 2.5 bar, 8 Hz) - 1 corticosteroid injection + regular PT + 4 weekly sessions of sham RSW RSW treatment applied to LE area and trigger points in m. ext. carpi rad. brevis. Outcomes: • Pain on VAS scale (primary outcome) • Injury size and grade on MRI and ultrasound; function, hand grip strength, QoL Assessments at baseline, 4wk, 8wk, 6m Results: • Both groups improved significantly on all outcomes • Improvements were signif. greater in active RSW group.
Key message ESWT has significant additional effects on corticosteroid injection for improving pain, percentage of injury on ultrasound and MRI, and functional disability.
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