Treatment of chronic medial and lateral epicondylitis with botox and
PRP(platelet rich plasma) simulataneously
Jae Hyun Chung 1 M.D , Jun O Yoon2 MD , Ho Yeon Park 3M.D
1 Asan
2
Medical Center, University of Ulsan College of Medicine, Seoul, Korea
University of Ulsan College of Medicine, Seoul, Korea
Background : Medial and lateral epicondylitis are common causes of elbow pain.
Recently the cause of epicondylitis is known as chronic overload and
degeneration on medial and lateral epicondlytis. By using botox and PRP
simultaneously, we tried to reduce pain with botox, and make degenerated tissue
heal and regenerate with PRP, at the same time.
Method : 16cases(14patients) were participated who previously had conservative
treatment. (8 medial epicondylitis, 8 lateral epicondylitis) They received botox
Dysport ® botulinum toxin 70U by using EMG/STIM-guided injection and PRP by
centrifuging 20cc whole blood of their own.
Result : After injection there were significant increase of simple elbow test(SET)
score and significant decrease of visual analogue scale(VAS) score. 15 out of 16
patient showed successful results. (scoring system by Roles and Maudsley :
excellent and good) After pain resolved patients took eccentric strengthening
exercise and showed no recurrence after vigorous use.
Conclusion : We recommend using both botox and platelet rich plasma(PRP)
simultaneously in patients with medial or lateral epicondylitis.