The Effectiveness of the Combination of PRP and ESWT in Lateral Epicondylitis

The aim of this study is to determine the effectiveness of adding PRP or Sham PRP injection to ESWT treatment in patients with lateral epicondylitis on pain, muscle strength, functional activities, quality of life and work activities, and to determine the superiority of the treatments over each other.

Inclusion Criteria:Diagnosed with lateral epicondylitis after physical examinationNo other pathology detected on direct radiographyComplaints persisting for more than 3 months despite the application of other conservative treatment methodsPatients accepting to give blood for PRP or sham injection and can tolerate elbow injection and extracorporeal shock wave therapy (ESWT)Exclusion Criteria:Not being able to fully cooperate with the study and inability to read and write,Injection (corticosteroid, PRP, etc.) treatment applied to the elbow area within three months,Previous surgery or ESWT treatment in the area to be treated,Pregnant women,Arthritis (rheumatoid arthritis, spondyloarthritis, crystal arthropathies),Those who have a history of direct trauma to the elbow and a history of fracture,Those with a history of malignancy,Bleeding diathesis,Complex regional pain syndrome,Presence of acute systemic infection,Presence of local infection at the injection site,Peripheral vasculopathy,Cervical radiculopathy,Patients with contraindications to ESWT application (pregnancy, cancer, coagulation disorders, inflammatory disease, pacemaker, metal implant in the area to be applied) were excluded from the study.