The Effectiveness of the Combination of PRP and ESWT in Lateral Epicondylitis
Musculoskeletal Diseases, Elbow Tendinitis, Lateral Epicondylitis
About this trial
This is an interventional treatment trial for Musculoskeletal Diseases focused on measuring Lateral Epicondylitis, Extracorporeal Shockwave Therapy (ESWT), Platelet-Rich Plasma (PRP)
Eligibility Criteria
Inclusion Criteria: Diagnosed with lateral epicondylitis after physical examination No other pathology detected on direct radiography Complaints persisting for more than 3 months despite the application of other conservative treatment methods Patients accepting to give blood for PRP or sham injection and can tolerate elbow injection and extracorporeal shock wave therapy (ESWT) Exclusion Criteria: Not being able to fully cooperate with the study and inability to read and write, Injection (corticosteroid, PRP, etc.) treatment applied to the elbow area within three months, Previous surgery or ESWT treatment in the area to be treated, Pregnant women, Arthritis (rheumatoid arthritis, spondyloarthritis, crystal arthropathies), Those who have a history of direct trauma to the elbow and a history of fracture, Those with a history of malignancy, Bleeding diathesis, Complex regional pain syndrome, Presence of acute systemic infection, Presence of local infection at the injection site, Peripheral vasculopathy, Cervical radiculopathy, Patients with contraindications to ESWT application (pregnancy, cancer, coagulation disorders, inflammatory disease, pacemaker, metal implant in the area to be applied) were excluded from the study.
Sites / Locations
- Afyonkarahisar Health Sciences UniversityRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Active Comparator
Sham Comparator
ESWT+Exercise
PRP+ESWT+Exercise
Sham PRP+ESWT+Exercise
Home exercise program including stretching and eccentric strengthening exercises twice a day for 3 months + 3 sessions of ESWT once a week for 3 weeks.
Home exercise program including stretching and eccentric strengthening exercises twice a day for 3 months + 3 sessions of ESWT once a week for 3 weeks + PRP injection
Home exercise program including stretching and eccentric strengthening exercises twice a day for 3 months + 3 sessions of ESWT once a week for 3 weeks + Sham PRP injection