Skip to main content

Advertisement

Log in

Platelet rich plasma versus laser therapy in lateral epicondylitis of elbow

  • Original Article
  • Published:
Indian Journal of Orthopaedics Aims and scope Submit manuscript

Abstract

Background

Platelet rich plasma (PRP) extract has shown to be a general stimulation for repair and currently used widely in various sports injury. A prospective observational study was done to assess the efficacy of autologous PRP injection in lateral epicondylitis of elbow, and compare the result with low level laser therapy.

Materials and Methods

The trial was conducted at a tertiary care center for a period of 2 years. Eighty-one patients with chronic lateral epicondylitis were divided into two groups. PRP group (n = 39) and laser therapy group (n = 42). The primary analysis included Nirschl pain score, local tenderness, pain on wrist extension, grip strength, elbow swelling were clinically assessed at different interval of followup (minimum followup: 52 weeks) and; clinical and functional outcome evaluated at final followup. The statistical analysis were done.

Results

The mean Nirschl pain score decreased significantly from baseline in PRP when compared with low level laser therapy (P ≤ 0.05).

Conclusions

Treatment of patients with chronic lateral epicondylitis with PRP extract reduced pain and significantly increased function, exceeding the effect of low level laser therapy on long term followup. Low-level laser therapy is better in the short term period, but on long term followup injection PRP therapy is better than laser therapy in lateral epicondylitis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Cyriax JH. The pathology and treatment of tennis elbow. J Bone Joint Surg 1936;18A: 921–40.

    Google Scholar 

  2. Coonrad RW, Hooper WR. Tennis elbow: Its course, natural history, conservative and surgical management. J Bone Joint Surg Am 1973;55:1177–82.

    Article  CAS  Google Scholar 

  3. Nirschl RP. The etiology and treatment of tennis elbow. J Sports Med 1974;2:308–23.

    Article  CAS  Google Scholar 

  4. Kraushaar BS, Nirschl RP. Tendinosis of the elbow (tennis elbow). Clinical features and findings of histological, immunohistochemical, and electron microscopy studies. J Bone Joint Surg Am 1999;81:259–78.

    Article  CAS  Google Scholar 

  5. Haake M, König IR, Decker T, Riedel C, Buch M, Müller HH, et al. Extra corporeal shock wave therapy in the treatment of lateral epicondylitis: A randomized multicenter trial. J Bone Joint Surg Am 2002;84-A: 1982–91.

    Article  Google Scholar 

  6. Bjordal JM, Couppe C, Ljunggren AE. Low level laser therapy for tendinopathy: evidence of a dose response. Phys Ther Rev 2001;6:91–9.

    Article  Google Scholar 

  7. Vasseljen O Jr, Høeg N, Kjeldstad B, Johnsson A, Larsen S. Low level laser versus placebo in the treatment of tennis elbow. Scand J Rehabil Med 1992;24:37–42.

    PubMed  Google Scholar 

  8. Edwards SG, Calandruccio JH. Autologous blood injections for refractory lateral epicondylitis. J Hand Surg Am 2003;28:272–8.

    Article  Google Scholar 

  9. Landesberg R, Roy M, Glickman RS. Quantification of growth factor levels using a simplified method of platelet-rich plasma gel preparation. J Oral Maxillofac Surg 2000;58:297–300.

    Article  CAS  Google Scholar 

  10. Smidt N, van de. Windt DA, Assendelft WJ, Devillé WL, Korthals-de Bos IB, Bouter LM. Corticosteroid injections, physiotherapy, or a wait-and-see policy for lateral epicondylitis: A randomised controlled trial. Lancet 2002;359:657–62.

    Article  CAS  Google Scholar 

  11. Klein MB, Yalamanchi N, Pham H, Longaker MT, Chang J. Flexor tendon healing in vitro: Effects of TGF-beta on tendon cell collagen production. J Hand Surg Am 2002;27:615–20.

    Article  Google Scholar 

  12. Mishra A, Pavelko T. Treatment of chronic elbow tendinosis with buffered platelet-rich plasma. Am J Sports Med 2006;34:1774–8.

    Article  Google Scholar 

  13. Molloy T, Wang Y, Murrell G. The roles of growth factors in tendon and ligament healing. Sports Med 2003;33:381–94.

    Article  Google Scholar 

  14. Mishra A, Woodall J Jr, Vieira A. Treatment of tendon and muscle using platelet-rich plasma. Clin Sports Med 2009;28:113–25.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gyaneshwar Tonk.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Tonk, G., Kumar, A. & Gupta, A. Platelet rich plasma versus laser therapy in lateral epicondylitis of elbow. IJOO 48, 390–393 (2014). https://doi.org/10.4103/0019-5413.136260

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.4103/0019-5413.136260

Key words

MeSH terms

Navigation