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Interesting PRP case from this week. Patient with chronic lateral epicondylitis after failed PT and two steroid injections. Went with a single ultrasound-guided LP-PRP injection plus a progressive eccentric loading program — first time I've seen grip strength move this early.…
Case study · Sports MedicineImproving
Chronic lateral epicondylitis after failed conservative care- Patient profile
- Age 40–49 · Lateral elbow pain for 14 months, dominant arm. Failed 12 weeks of PT and two corticosteroid injections; symptoms returned within 6 weeks of each.
- Clinical approach
- Single ultrasound-guided leukocyte-poor PRP injection with needle fenestration, then a progressive eccentric loading program.
- Discussion prompt
- Second injection at week 12, or keep loading and reassess?
Pain score
From the author's outcome · 0–10 scale
73
Baseline → Week 8
Before7/10
After3/10
De-identified · author attested 2 images
342211 saves
MW
Dr. Marcus Webb, DO
I'd hold. When loading compliance is good the curve keeps bending through months 4–6. I reassess at 16 weeks before offering a second injection.
38m · 14 found this helpful