Investigating the Effect of Injectable Ozone in Treating Symptoms and Improving Performance in Patients with Tennis Elbow Disease

Amiri Niloufar Mohtasham, Forogh Bijan
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Abstract

Background: Lateral epicondylitis (LE) is a common cause of elbow pain. Besides conservative treatments, ozone therapy is getting attention due to its safety and effectiveness. This study aimed to assess the effectiveness of ozone therapy in lowering pain and tenderness and improving joint function. Methods: Patients clinically diagnosed with LE were included in our study. Baseline assessments including age, gender, involved elbow, tenderness, pain, and function scores were done. All the patients underwent up to ten sessions of ozone injection in the pain site. Each injection was between six to ten ml of 30 µg/ml ozone gas into the lateral epicondyle. After the treatment regimen, tenderness, pain, and function scores were assessed. Results: Of the 28 patients with LE, 16 and 12 were female and male, respectively. More than 80% had high physical activities with their involved elbow. Comparing the pain, tenderness, and function before and after the treatment, all parameters were statistically improved (P < 0.05). These results were consistent in both men and women subgroups. Conclusion: Ozone therapy is a safe and effective procedure in patients with LE to reduce pain and tenderness, in addition to improving performance. However, large clinical trials are warranted to compare ozone injection with routinely used treatments by clinicians.
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探讨注射臭氧对网球肘病患者治疗症状和提高运动能力的影响
背景:外侧上髁炎(LE)是肘部疼痛的常见原因。除保守疗法外,臭氧疗法因其安全性和有效性而备受关注。本研究旨在评估臭氧治疗在减轻疼痛和压痛以及改善关节功能方面的有效性。方法:临床诊断为LE的患者纳入我们的研究。基线评估包括年龄、性别、受累肘部、压痛、疼痛和功能评分。所有患者都在疼痛部位进行了多达10次的臭氧注射。每次将30µg/ml的臭氧气体注射6 ~ 10ml至外侧上髁。治疗方案结束后,评估压痛、疼痛和功能评分。结果:28例LE患者中,女性16例,男性12例。超过80%的患者肘部有高强度的运动。治疗前后疼痛、压痛、功能比较,各项指标均有统计学改善(P < 0.05)。这些结果在男性和女性亚组中都是一致的。结论:臭氧治疗是一种安全有效的治疗方法,可以减轻LE患者的疼痛和压痛,并提高患者的表现。然而,需要进行大型临床试验来比较臭氧注射与临床医生常规使用的治疗方法。
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