• Adam Whatley

PRP or cortisone for the treatment of tennis elbow?

Platelet-Rich Plasma versus Corticosteroid Injection for the Treatment of Lateral Epicondylitis: A Systematic Review of Systematic Reviews. International Journal of Sports Physical Therapy


PRP or cortisone for the treatment of tennis elbow?


Tennis elbow, clinically known as Lateral epicondylitis is one of the most commonly reported musculoskeletal issues effecting pain of the elbow. The mechanism is repetitive motion that causes a strain of the extensor tendons on the outside of the elbow. This consequently causes tendinitis and pain at the tendon attachment site on the lateral epicondyle (outside of the elbow). Most cases of tennis elbow are treated nonoperatively with a variety of interventions, such as injections.


The aim of this systematic review is to synthesize the current evidence on the efficacy of platelet rich plasma (PRP) injections versus corticosteroid (cortisone) injections as effective treatment. Within the results 5 reviews were included in this larger review that were published between 2016 and 2020.


Conclusion

Although could send injections can provide some short-term relief, PRP injections appear to be a more effective long-term treatment option for those with tennis elbow who did not respond to conservative management. In addition, those that do respond in the short term to cortisone injection, in most cases find that the problem comes back after a short distance but with increasing severity. This further identifies that cortisone injections are not a long-term solution for many cases of tendon issues and can also provoke tissue weakening.

What is platelet rich plasma (PRP)?

Further information can be found here: https://www.dynamicregenmedicine.co.uk/platelet-rich-plasma-prp


Study: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8169032/



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