[article]
| Titre : |
Number of botulinum toxin injections needed to stop requests for treatment for chronic lateral epicondylar tendinopathy. A 1-year follow-up study |
| Type de document : |
texte imprimé |
| Auteurs : |
Mélanie Cogné ; Alexandre Creuzé ; Hervé Petit ; Claire Dellici ; Patrick Dehail ; Mathieu de Sèze |
| Année de publication : |
2019 |
| Article en page(s) : |
p. 336-341 |
| Note générale : |
doi.org/10.1016/j.rehab.2018.12.003 |
| Langues : |
Anglais (eng) |
| Mots-clés : |
Tennis elbow Epicondylar tendinopathy Botulinum toxin A Pain Quality of life Gripping force |
| Résumé : |
Background
Epicondylar tendinopathy (“tennis elbow”) is a serious issue in manual labourers. Symptoms can persist over months or even more than 1 year, even when treated with trinitrine patches, acupuncture, sclerosis of neovessels, shock-wave therapy, autologous blood injections, platelet-rich plasma or hyaluronic acid. Botulinum toxin (BoNT-A) injections showed promising short-term results, but the long-term beneficial effects are not yet known.
Objective
We aimed to assess the long-term effect, side effects and recurrence rate after BoNT-A injections on chronic lateral epicondylar tendinopathy during 1 year.
Methods
This open study followed a 3-month randomized controlled trial. We included 50 patients followed at day 0 (V0), 90 (V1), 180–270 (V2) and 365 (V3). The main judgment criterion was the number of BoNT-A injections required to achieve pain relief with no further request for treatment by the patient.
Results
After one BoNT-A injection, 22/50 (44%) patients did not ask for further treatment during follow-up because of complete pain relief, and 20/50 (40%) asked for a second BoNT-A injection. For 20 patients with a second injection, 18 (90%) did not ask for further treatment during follow-up. Only 1 patient had a recurrence of pain after an initial pain relief of greater than 75%. Quality of life, and painful and maximal gripping force improved significantly at V1, V2 and V3 as compared with V0, and repercussions on daily and professional activities decreased significantly (P < 0.05).
Conclusions
One or 2 BoNT-A injections has favourable results for chronic epicondylar tendinopathy. |
| Permalink : |
./index.php?lvl=notice_display&id=84147 |
in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 336-341
[article] Number of botulinum toxin injections needed to stop requests for treatment for chronic lateral epicondylar tendinopathy. A 1-year follow-up study [texte imprimé] / Mélanie Cogné ; Alexandre Creuzé ; Hervé Petit ; Claire Dellici ; Patrick Dehail ; Mathieu de Sèze . - 2019 . - p. 336-341. doi.org/10.1016/j.rehab.2018.12.003 Langues : Anglais ( eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 336-341
| Mots-clés : |
Tennis elbow Epicondylar tendinopathy Botulinum toxin A Pain Quality of life Gripping force |
| Résumé : |
Background
Epicondylar tendinopathy (“tennis elbow”) is a serious issue in manual labourers. Symptoms can persist over months or even more than 1 year, even when treated with trinitrine patches, acupuncture, sclerosis of neovessels, shock-wave therapy, autologous blood injections, platelet-rich plasma or hyaluronic acid. Botulinum toxin (BoNT-A) injections showed promising short-term results, but the long-term beneficial effects are not yet known.
Objective
We aimed to assess the long-term effect, side effects and recurrence rate after BoNT-A injections on chronic lateral epicondylar tendinopathy during 1 year.
Methods
This open study followed a 3-month randomized controlled trial. We included 50 patients followed at day 0 (V0), 90 (V1), 180–270 (V2) and 365 (V3). The main judgment criterion was the number of BoNT-A injections required to achieve pain relief with no further request for treatment by the patient.
Results
After one BoNT-A injection, 22/50 (44%) patients did not ask for further treatment during follow-up because of complete pain relief, and 20/50 (40%) asked for a second BoNT-A injection. For 20 patients with a second injection, 18 (90%) did not ask for further treatment during follow-up. Only 1 patient had a recurrence of pain after an initial pain relief of greater than 75%. Quality of life, and painful and maximal gripping force improved significantly at V1, V2 and V3 as compared with V0, and repercussions on daily and professional activities decreased significantly (P < 0.05).
Conclusions
One or 2 BoNT-A injections has favourable results for chronic epicondylar tendinopathy. |
| Permalink : |
./index.php?lvl=notice_display&id=84147 |
|  |
Number of botulinum toxin injections needed to stop requests for treatment for chronic lateral epicondylar tendinopathy. A 1-year follow-up study in Annals of physical and rehabilitation medicine, Vol. 62, n°5 (Septembre 2019)
