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Musculoskeletal disorders are common problems in primary health care. Chronic painful tendon disorders are common in both athletic and sedentary individuals 1,2 . Lateral epicondylitis is relatively more common among working-age individuals in the general population 3 . Typical signs and symptoms include pain and tenderness over the lateral epicondyle, exacerbated by resisted wrist extension and passive wrist flexion, and impaired grip strength. This study aims to find whether autologous blood provides comparable functional outcome over local steroids and hence whether it can replace steroids in treatment of tennis elbow. Patients with non traumatic elbow pain attending the Orthopaedics Out Patient Department of Jubilee Mission Medical College Hospital from January 2013 to August 2014. The participating subjects were randomly grouped into two groups [Steroid (Group A) & Autologous Blood (Group B)] according to a random number table. Pain in the subject’s affected elbow was measured using Visual Analogue Score (VAS) and the functional status of their affected elbow was measured using Patient-Rated Tennis Elbow Evaluation (PRTEE) Score and Mayo Elbow Performance (MEP) score. Initially both the groups had comparable initial VAS scores. At 1 month follow up, steroid group showed a significantly greater improvement in mean VAS scores when compared to autologous blood group p value 0.001. However at 6 months follow up, steroid group showed no statistically significant difference in mean VAS scores when compared to autologous blood group , p value 0.7. Average PRTEE score and average MEP score at 6 months showed no difference statistically. From the current study we concluded that both local corticosteroid and autologous blood were equally efficacious in the treatment of chronic lateral epicondylitis of elbow.

iosr journal of dental and medical sciences

A Comparative Study on the Efficacy of Local Infiltration of Autologous Blood versus Local Corticosteroid Infiltration for the Treatment of Chronic Lateral Epicondylitis Elbow