Here Mr Zaman, Consultant Orthopaedic Surgeon, discusses what success means in terms of treatment outcomes and the types of treatment likely to obtain desired outcomes.
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other treatments that are successful for tennis elbow? Yeah, so tennis elbow, there are a number of non-operative treatments, so non-operative include, I'll list them first and then we'll go through them, there are the traditional steroid and local anesthetic injection, there is the PRP injection or the plasma injections that are now more common, and there are mechanical therapies like the shockwave therapy as well which is used more commonly as well. I think we are now tending to move away from the more commonly used steroid injections. They give a quick response but also there's a high relapse rate so 60 to 70% of patients after two three months may have the symptoms come back again. These conditions are thought to be self-limiting but the whole cycle can sometimes last 18 months and above from start to finish. PRP is a more recently used treatment where the patient's blood is taken, it's spun down in a centrifuge and the supernatant with the plasma, the platelet-rich plasma, is siphoned off and injected under imaging into the area of the greatest damage shown on the common extensor tendon. That has a slower response rate, but it's thought to be more intuitive, more natural and gives a longer response in terms of overall pain reduction and grip strength increase. And then the other treatment we were talking about now, which is shockwave lithotripsy is low energy lithotripsy, which is carried out in an outpatient basis and involves applying a number of shots usually about 2000 to frequency of 12 hertz and 1.5 pax pascals typically energy that is used and the session can take about five to ten minutes and it's done over a period of between three to four weeks at weekly intervals and the success rate with that is quite good as well more than 80% get pain relief which tends to be lasting And what we're trying to do is actually cause a healing response in secondary to the energy that is imparted to that area, so that the tissue then heals itself and then leads to resolution of symptoms. So those are the most commonly employed treatment options. There are the options, of course, of physiotherapy and acupuncture is sometimes used for pain relief as well, but those tend to be for the more milder end of the spectrum.
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