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Abstract Discussion -- Comparison of Short Term Results of Single Injection of Autologous Blood and Steroid Injection in Tennis Elbow: A Prospective Study.

Submitted by Nicole Pitts


J Orthop Surg Res. 2013 Apr 27;8(1):10. [Epub ahead of print]

Comparison of Short Term Results of Single Injection of Autologous Blood and Steroid Injection in Tennis Elbow: A Prospective Study.

Jindal N, Gaury Y, Banshiwal RC, Lamoria R, Bachhal V.


ABSTRACT


BACKGROUND

It has been recently reported that local injection of autologous blood in tennis elbow offers a significant benefit by virtue of various growth factors contained therein. The objective of our study was assessment of efficacy of autologous

blood injection versus local corticosteroid injection in the treatment of tennis elbow. Methods and trial design: A single blinded, prospective parallel group trial was undertaken. 50 consecutive patients of untreated lateral epicondylitis were enrolled. Randomization was done on alternate basis and two groups were constituted, first one receiving steroid injection and second one injection of autologous blood. Both groups were evaluated at 2 and 6 weeks for pain relief and stage of disease.


RESULTS

Baseline evaluation showed no difference between the two groups (chi square test, P > 0.05). Between group analysis at 2 weeks showed no difference in pain relief and Nirschl stage (unpaired t test, P > 0.05). Evaluation at 6 weeks demonstrated a significant decrease in pain levels and stage of disease in blood group (unpaired t test, p < 0.05).


CONCLUSION

Autologous blood injection was more effective than steroid injection in the short term follow up in tennis elbow. PMID: 23621906 [PubMed - as supplied by publisher]


REVIEW

The primary purpose of this study was to evaluate the efficacy of autologous blood injection versus local corticosteroid injection in the treatment of tennis elbow. The study indicated a significant decrease in pain levels and stage of disease in the blood group versus the steroid group at the 6-week mark. The findings of this study demonstrate that autologous blood injection confers an advantage over steroid injection in the short-term treatment of tennis elbow, however, additional long-term follow-up studies are needed to generalize the findings and to test the ability of blood injection to sustain its analgesic effect.



 

Introducing Abstract Contributor: Nicole Pitts





Lights are glaring down at me, and the crowd is cheering. I’m at a big tournament, and about to win the biggest match of my career. As my racket screams towards the ball, suddenly all the memories from the long, hard path that brought me to this moment come flooding back to me, playing all at

once in my head...


Tennis has brought me to over 30 countries, and in each of those countries I have been exposed to the people, the culture, and the medicine. As a player, I won the national hard court and clay court singles and doubles in the 12 and under division. I then went on to win the 14 and under Orange Bowl International Junior Championships. It was at this time I turned professional and started playing tournaments on the WTA tour. Competing at this level required years of training, incredible discipline, as well as tremendous amounts of focus and dedication. Many of the doctors that I encountered throughout my world tour possessed similar traits. These doctors helped me continue playing along the way after many injuries.


... SNAP! I make impact with the ball, and I feel a sharp pain in my wrist. My career as a professional tennis player was temporarily cut short due to a torn Triangular Fibrocartilage Complex (TFCC) in my right wrist. After all the hard work and dedication throughout the years, the injury left me very frustrated and uncertain about which direction my future was headed. I was interested in becoming a doctor from a very young age; however my decision became apparent while I was recovering from wrist surgery. It was at this point in my life that I decided ultimately that I would pursue a career in medicine once my tennis career was finished, which came all too fast. After recovering from wrist surgery, I went on to play on the WTA tour for a couple more years until a back injury at the age of 18 left me unable to play competitively anymore. At this point, I decided that I needed to start the next chapter in my life and enrolled in college and completed both my bachelors and masters degrees in the field of science.


Currently I am a student at Lincoln Memorial University-Debusk College of Osteopathic Medicine and will start my second year in August 2013. After completing my first year, I feel that this is the best path for me, which will help me achieve my career goals. The same dedication and discipline that was behind my success in tennis has helped me to succeed thus far in medical school and I feel will further be carried over into my career in medicine. I am looking forward to the next three years of medical school and residency, as I am confident that I will gain exposure to all aspects of medicine and develop into a well-rounded medical physician. I hope to become a sports medicine physician with an emphasis in tennis medicine. I feel that when I was injured during my tennis career, being treated by an array of physicians has given me some perspective of what players are going through. I hope that as a sports medicine physician, I can treat individuals and help them overcome injuries so they can continue with their athletic pursuits.

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