PMID- 30698771
OWN - NLM
STAT- MEDLINE
DCOM- 20200824
LR  - 20200824
IS  - 1526-4637 (Electronic)
IS  - 1526-2375 (Linking)
VI  - 20
IP  - 9
DP  - 2019 Sep 1
TI  - Prolotherapy vs Radial Extracorporeal Shock Wave Therapy in the Short-term 
      Treatment of Lateral Epicondylosis: A Randomized Clinical Trial.
PG  - 1745-1749
LID - 10.1093/pm/pny303 [doi]
AB  - OBJECTIVE: The aim of this study was to compare the efficacy of prolotherapy with 
      hypertonic dextrose and radial shock wave therapy in chronic lateral 
      epicondilosis. DESIGN: Prospective single-blind randomized clinical trial. 
      SETTING: Physical medicine and rehabilitation clinic. SUBJECTS: Thirty-three 
      patients with at least three months of signs and symptoms of lateral 
      epicondilosis, as well as failure of at least one of the conservative treatments, 
      randomly allocated into two groups. METHODS: Sixteen patients received three 
      sessions of shock wave therapy, and 17 received one session prolotherapy. 
      Severity of pain via visual analog scale (VAS), grip strength via Baseline 
      Pneumatic Dynamometer, pressure pain threshold (PPT) by algometer and 
      Disabilities of Arm, Shoulder, and Hand quick questionnaire (Quick DASH) were 
      assessed at baseline, four weeks, and eight weeks after the intervention. 
      RESULTS: Within-group analysis showed that in both groups, differences between 
      all of the outcome measures were significant after four and also eight weeks. 
      Between-group analysis after four and eight weeks showed that the VAS and Quick 
      DASH had significantly more improvement in the shock wave group. However, the two 
      groups were similar regarding grip strength and PPT. No complication was observed 
      in the two groups. CONCLUSIONS: Based on the results of this study, a regiment of 
      three sessions (weekly) of radial extracorporeal shock wave therapy is 
      significantly more effective than one session of prolotherapy with 20% dextrose 
      regarding pain and function in the management of chronic lateral epicondylosis in 
      short-term follow-up.
CI  - (c) 2019 American Academy of Pain Medicine. All rights reserved. For permissions, 
      please e-mail: journals.permissions@oup.com.
FAU - Ahadi, Tannaz
AU  - Ahadi T
AD  - Neuromusculoskeletal Research Centre, Firoozgar Hospital.
FAU - Esmaeili Jamkarani, Maryam
AU  - Esmaeili Jamkarani M
AD  - Neuromusculoskeletal Research Centre, Iran University of Medical Sciences, 
      Tehran, Iran.
FAU - Raissi, Gholam Reza
AU  - Raissi GR
AD  - Neuromusculoskeletal Research Centre, Firoozgar Hospital.
FAU - Mansoori, Korosh
AU  - Mansoori K
AD  - Neuromusculoskeletal Research Centre, Iran University of Medical Sciences, 
      Tehran, Iran.
FAU - Emami Razavi, Seyede Zahra
AU  - Emami Razavi SZ
AD  - Physical medicine and rehabilitation department, Tehran University of Medical 
      Sciences, Tehran, Iran.
FAU - Sajadi, Simin
AU  - Sajadi S
AD  - Neuromusculoskeletal Research Centre, Iran University of Medical Sciences, 
      Tehran, Iran.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - England
TA  - Pain Med
JT  - Pain medicine (Malden, Mass.)
JID - 100894201
SB  - IM
EIN - Pain Med. 2019 Dec 1;20(12):2612. PMID: 30865767
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Extracorporeal Shockwave Therapy/*methods
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prolotherapy/*methods
MH  - Prospective Studies
MH  - Single-Blind Method
MH  - Tennis Elbow/*therapy
MH  - Treatment Outcome
MH  - Young Adult
OTO - NOTNLM
OT  - Extracorporeal Shock Wave Therapy
OT  - Lateral Epicondilosis
OT  - Prolotherapy
OT  - Tennis Elbow
EDAT- 2019/01/31 06:00
MHDA- 2020/08/25 06:00
CRDT- 2019/01/31 06:00
PHST- 2019/01/31 06:00 [pubmed]
PHST- 2020/08/25 06:00 [medline]
PHST- 2019/01/31 06:00 [entrez]
AID - 5304029 [pii]
AID - 10.1093/pm/pny303 [doi]
PST - ppublish
SO  - Pain Med. 2019 Sep 1;20(9):1745-1749. doi: 10.1093/pm/pny303.