Evaluation of the clinical results of single injection technique and peppered injection technique in lateral epicondylitis

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Introduction: Lateral epicondylitis/lateral epicondylalgia, or tennis elbow is a common pathology of both athletes and non-athletes, affecting 1 to 3 % of the population at large. The choice of treatment options for this condition is even more controversial. There are many treatment options available to the clinician, but their use is often based on anecdotal evidence. Various treatments ranging from conservative to more invasive measures have been described with varying degrees of success, with no conclusive scientific evidence to support any particular treatment protocol. Methodology: A minimum of 30 patients each for single injection and peppered injection technique were included in the sample. The Single Injection Technique –was performed by penetrating the skin at the identified area of maximum tenderness. The Peppered Injection Technique also began with penetration of the skin at the area of maximal tenderness. The outcome was measured by VAS, Tenderness and grip strength. Results: In our study The mean VAS score in single injection group was, 2.80 at 3 month, 2.83 at 6 month and 3.37 at 12 month. In peppered injection group, mean VAS score was, 1.30 at 3 month, 0.90 at 6 month and 1.13 at 12 month. Conclusion: Peppered Injection Technique is advantageous than single technique. Keywords: Extensor muscle; lateral epicondylitis; “peppering” technique; tennis elbow.