Evaluation of the Efficacy of Prolotherapy in Patients With Lateral Epicondylitis Using Shear-Wave Elastography
Küçük Resim Yok
Tarih
2026
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Int Scientific Information, Inc
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Background: This study aimed to evaluate the effectiveness of prolotherapy in patients diagnosed with lateral epicondylitis and to objectively assess changes in tendon elasticity using shear-wave elastography (SWE). Material/Methods: This was a prospective, single-center, observational clinical study. Thirty-six patients diagnosed with lateral epicondylitis were included. Each received 3 prolotherapy sessions at 3-week intervals. The elasticity and thickness of the common extensor tendon (CET) were evaluated using SWE both before and after treatment. Pain intensity was measured using the Visual Analog Scale (VAS). The same orthopedic surgeon performed all prolotherapy injections, and the same radiologist performed all SWE evaluations. Data normality was assessed with the Shapiro-Wilk test. Normally distributed variables were analyzed using the t-test or Paired Sample t-test, while the Mann-Whitney U or Wilcoxon Signed-Rank tests were used for non-normal data. Correlations were evaluated using Pearson's or Spearman's correlation coefficient, and P<0.05 was considered statistically significant. Results: Prolotherapy resulted in a significant increase in CET elasticity (kPa) and tendon thickness (P<0.01). Male patients exhibited greater tendon thickness and stiffness than female patients. Overall, SWE proved to be a reliable quantitative tool for tracking treatment response. Conclusions: Prolotherapy is an effective treatment for lateral epicondylitis, contributing to pain reduction and structural improvement of the tendon. SWE offers a non-invasive, reliable imaging technique for objectively tracking changes in tendon elasticity. The combination of these methods provides valuable clinical and structural insights into the management of lateral epicondylitis.
Açıklama
Anahtar Kelimeler
Elbow Tendinopathy, Prolotherapy, Tennis Elbow, Ultrasonic Waves, Osteoarthritis, Tetralogy Of Fallot, Pain, Prospective Studies
Kaynak
Medical Science Monitor
WoS Q Değeri
Q3
Scopus Q Değeri
Q1
Cilt
32
