Elbow Infiltrations
Elbow Infiltrations
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Elbow Infiltrations
The elbow is an area subject to repetitive movements, loads and microtraumas that can result in wear and tear on its joint and tendon structures.
Among the most common pathologies, lateral epicondylitis (tennis elbow), medial epicondylitis (golfer’s elbow), biceps and triceps tendonitis and elbow osteoarthritis normally respond to conservative treatment measures such as rehabilitation.
In refractory cases, infiltrations can be a solution with beneficial effects in improving symptoms.
Infiltration with corticosteroids or corticosteroids
Corticosteroids are drugs with anti-inflammatory properties that can be applied locally, allowing effective concentration and minimizing side effects on the body, which occur with oral or intravenous administration.
Its use in epicondylitis may be of interest when there is intense and acute pain, for faster relief of symptoms. However, this treatment does not allow the regeneration of the affected structures and may even contribute to a more accelerated degeneration of the common tendon insertion.
For cartilage injuries and osteoarthritis of the elbow, symptomatic relief can be achieved through an infiltration into the joint.
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Platelet Rich Plasma
Platelet-Rich Plasma (PRP) is a concentrate obtained from the patient’s own blood, rich in growth factors and with regenerative and analgesic properties, used in lateral and medial epicondylitis of the elbow. This effect appears to be superior to corticosteroid injections in the elbow and has the advantage of promoting local healing.
Preparation can be performed on an outpatient basis or in an outpatient setting, by collecting blood and centrifuging it to separate the platelets rich in growth factors. Local application is done with a needle at the tendon insertion. Ultrasound can help locate the needle in the most affected areas of the tendon.
