神经疗法注射与体外冲击波治疗外上髁炎对疼痛及手功能影响的比较

Ülkü Dönmez, O. Aygün
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引用次数: 0

摘要

背景/目的:外上髁炎(LE),俗称“网球肘”,是一种影响腕伸肌腱的疼痛炎症。各种治疗方法,如体外冲击波治疗(ESWT)和神经治疗注射,已被用于缓解LE的症状。然而,可用的比较研究数量有限。本研究旨在比较序贯神经治疗注射和ESWT在减轻LE患者疼痛和改善功能方面的有效性。方法:回顾性队列研究分析了128例LE患者的资料。其中神经治疗30例,ESWT 30例,均符合排除标准。使用视觉模拟量表(VAS)测量疼痛水平,使用Duruöz手部指数(DHI)评估治疗前后的功能。结果:神经治疗注射和ESWT均能显著减轻疼痛和改善功能,两种治疗方法之间无显著差异。此外,没有发现基于年龄、体重指数、性别或治疗肘关节一侧的显著差异。结论:研究结果表明,神经治疗注射和ESWT在治疗LE症状方面同样有效。治疗选择可能取决于患者偏好、费用、可获得性或其他因素。进一步的研究是必要的,以检查长期结果,潜在的副作用,以及预测对一种治疗有更好反应的因素。
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Comparison of the effects of neural therapy injection and extracorporeal shock wave therapy on pain and hand functions in the treatment of lateral epicondylitis
Background/Aim: Lateral epicondylitis (LE), commonly known as “tennis elbow”, is a painful inflammatory condition affecting wrist extensor tendons. Various treatments, such as extracorporeal shockwave therapy (ESWT) and neural therapy injections, have been used to alleviate symptoms of LE. However, there is a limited number of comparative studies available. This study aims to compare the effectiveness of sequential neural therapy injections and ESWT in reducing pain and improving functionality in patients with LE. Methods: A retrospective cohort study analyzed data from 128 LE patients. Among them, 30 patients underwent neural therapy, while 30 underwent ESWT, following the exclusion criteria. Pain levels were measured using the visual analog scale (VAS), and functionality was assessed using the Duruöz hand index (DHI) before and after treatment. Results: Both neural therapy injections and ESWT led to substantial reductions in pain and improvements in functionality, with no notable differences observed between the two treatment methods. Additionally, no significant variations were found based on age, body mass index, gender, or the side of the elbow treated. Conclusion: The findings suggest that both neural therapy injections and ESWT are equally effective in managing symptoms of LE. Treatment choice may depend on patient preference, cost, availability, or other factors. Further research is necessary to examine long-term outcomes, potential side effects, and factors predicting a better response to one treatment.
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