PRP injection/PRP injectie Lateral Epicondylitis/ Epicondylitis Lateralis Tenniselbow/Tenniselleboog Tendinopathy/Tendinopathie
Conditions
Interventions
One group receives an injection with three millilitre (ml) Platelet Rich Plasma (PRP) and the other group receives an injection with three ml saline.
Sponsors
Ziekenhuis Gelderse Vallei/RMC Grootklimmendaal
Eligibility
Inclusion criteria
Inclusion criteria: - patients with elbow epicondylar pain increasing with pressure and with resisted wrist extension or with resisted third finger extension - duration >6 months - Resistant to conservative treatment programs - PRTEE score of ¡Ý 40. - Aged 18 ¨C 70 years - Abnormal findings on the ultrasound, suspicious for lateral epicondylitis(Abnormal findings are abnormal echogenicity, calcifications , thickened origo of the extensor tendon, irregular erosive cortex of the lateral epicondyl, neovascularisation and ruptures).
Exclusion criteria
Exclusion criteria: - Previous local injection therapy in the past six months - Use of NSAIDs - Pregnancy - Other diseases with potential influence on the tendinopathy or PRP treatment effect, such as inflammatory arthritis, autoimmune disease, CRPS, fibromyalgia, or signs of posterior interosseous nerve entrapment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The Patient Rated Tennis Elbow Evaluation (PRTEE) questionnaire at six months | — |
Secondary
| Measure | Time frame |
|---|---|
| -VAS score - Ultrasound at six months - DASH score (including the work and sports/performing arts module) - Pain-free grip strength and maximum grip strength measured with a dynamometer. - Three global change indices (GCI) which consist of the quality of the most commonly performed activity (e.g. hammering or writing), the satisfaction of the individual with the received treatment and the amount of compliance of the home based exercises. | — |
Contacts
Public ContactReinoud Meijer
Willy Brandtlaan 10
Outcome results
None listed