Injection in the Treatment of Lateral Epicondylitis. Randomized Controlled Trial
Condition: Epicondylitis, Lateral
MeSH terms: Tennis Elbow
Study type: Interventional
Phase: Phase 3

Summary: 
      The aim of the study is to compare the effectiveness of injection techniques in the treatment
      of elbow lateral epicondylitis. The functional and pain levels of the patients will be
      evaluated with scores such as DASH, VAS, PRTEE. At the same time, USG imaging will be
      evaluated before injection and in the third month after injection. The study was planned as a
      randomized controlled prospective study.
    

Detailed description: 
      Patients diagnosed with epicondylitis in our outpatient clinic will be divided into 3 groups,
      and patients who will receive saline in 1 group and betamethasone sodium in a group will be
      selected in accordance with the specified conditions and their treatment will be started, and
      the treatment will be started, which patient will receive which treatment will be determined
      by the computerized randomization program. ), 1ml prp (plate-rich plasma to be prepared with
      the blood taken from the patient on the day of injection), 1 ml saline (0.9 NACI), while the
      patient is in the supine position, the affected elbow is 90 flexion and neutral rotation, The
      non-dominant thumb will be placed at the sensitive point in the lateral epicondyle. The
      injection will be applied to the point with a 23 g needle. After the injection, the subjects
      will be taught a stretching exercise of the joint extensors of the wrist and fingers.
      Subjects will be asked to do this exercise five times in one session, two sessions a
      day.Examination and functional scores to be applied to the patients during follow-up: VAS,
      DASH and PRTEE scores will be checked in the 1st 6th week, 3rd month, 6th month and 12th
      month VAS: Visual Analog Scale DASH: The Disabilities of the Arm, Shoulder and Hand PRTEE:
      The Patient-Rated Tennis Elbow Evaluation 2. It will be evaluated by USG in the 3rd month.
    

Intervention name(s): plate-rich plasma; saline (0.9 NACI); betametazon
Intervention type(s): Drug; Drug; Drug
Intervention description(s): 1ml prp (plate-rich plasma to be prepared with the blood taken from the patient on the day of injection), , while the patient is in the supine position, the affected elbow is 90 flexion and neutral rotation, The non-dominant thumb will be placed at the sensitive point in the lateral epicondyle. The injection will be applied to the point with a 23 g needle. After the injection, the subjects will be taught a stretching exercise of the joint extensors of the wrist and fingers. Subjects will be asked to do this exercise five times in one session, two sessions a day; 1 ml saline (0.9 NACI) while the patient is in the supine position, the affected elbow is 90 flexion and neutral rotation, The non-dominant thumb will be placed at the sensitive point in the lateral epicondyle. The injection will be applied to the point with a 23 g needle. After the injection, the subjects will be taught a stretching exercise of the joint extensors of the wrist and fingers. Subjects will be asked to do this exercise five times in one session, two sessions a day; 1 ml betametazon while the patient is in the supine position, the affected elbow is 90 flexion and neutral rotation, The non-dominant thumb will be placed at the sensitive point in the lateral epicondyle. The injection will be applied to the point with a 23 g needle. After the injection, the subjects will be taught a stretching exercise of the joint extensors of the wrist and fingers. Subjects will be asked to do this exercise five times in one session, two sessions a day
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: propective randomize
Masking: Single (Participant)
Primary purpose: Treatment