Navigation Links
Botulinum injection provides relief of tennis elbow
Date:4/26/2010

An injection of botulinum toxin can provide relief for "tennis elbow" but needs to be injected properly to avoid potential paralysis, states a research article in CMAJ (Canadian Medical Association Journal) (pre-embargo link only) http://www.cmaj.ca/embargo/cmaj090906.pdf.

The study, a randomized controlled trial of 48 patients, was performed at Imam Khomeini Hospital Complex, affiliated with the Tehran University of Medical Sciences that serves patients from all over Iran. It was conducted to introduce an easy and effective method for injection of botulinum toxin to be used in routine practice. Instead of a fixed injection site physicians determined the injection site based on each patient's forearm length. All participants' used in the study had undergone previous therapeutic interventions that failed.

It is very important when paralyzing a muscle to know the appropriate injection site. Injection at a fixed distance from anatomic landmarks, as was performed in previous clinical trials of botulinum toxin for the management of lateral epiconylitis (tennis elbow), could result in inadequate paralysis.

"We found that pain at rest and pain during maximum pinch were significantly reduced in patients with lateral epicondylitis [tennis elbow] after botulinum toxin was injected at the site based on precise anatomic measurement of each patient's forearm length," write Dr. Mortazavi, Iman Khomeini Hospital, Tehran University of Medical Sciences, Iran, and coauthors. "However, this method caused a decline in maximum strength and resulted in extensor lag."

The authors conclude that precise measurement to guide injection of botulinum toxin can be effective in the management of chronic "tennis elbow". However, it should be used for patients whose job does not require finger extension. Further research is needed to determine whether the pain-relieving effects of the treatment remain or diminish after four months.

In a related commentary http://www.cmaj.ca/embargo/cmaj100358.pdf, Dr. Rachelle Buchbinder of Monash University, Australia, writes that the high costs to an individual and society related to sick leave and disability from lateral epicondylitis mean there is a clear need to identify the most cost-effective therapies. However, botulinum toxin, although shown to reduce pain, may not be the right therapy for everyone because its effect on function, quality of life and pain-free grip is unknown. Also, it can cause partial loss of movement of the third and fourth fingers which may be unacceptable for some people.


'/>"/>

Contact: Kim Barnhardt
kim.barnhardt@cmaj.ca
613-520-7116 x2224
Canadian Medical Association Journal
Source:Eurekalert

Related medicine news :

1. Botox Injections May Relieve Tennis Elbow Pain
2. Injection Helps Treat Hard-to-Control Type 2 Diabetes
3. FDA Issues Warning on Fat-Melting Spa Injections
4. A Study by Celibre Medical Corporation Shows Botox Injections to be the Most Desirable Cosmetic Procedure in Southern California
5. Injections May Boost Knee Surgery Success
6. For Achilles Overuse, Plasma Injections Look No Better Than Placebo
7. Physicians Coalition for Injectable Safety Warns Buttock-Boosting Injections Risky and Deadly
8. Injections Arent Solution for Retained Placenta: Study
9. SourceMedical Provides Ambulatory Surgery Centers with New Levels of Document Integration for Easy Access to Patient Data
10. New Online Veterinary Video CPD Provides Accessible Learning for Veterinary Surgeons and Nurses
11. Change in breast density over time provides clues about breast cancer risk
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... ... June 24, 2016 , ... Global law firm Greenberg Traurig, ... Elite. The attorneys chosen by their peers for this recognition are considered among the ... Traurig Shareholders received special honors as members of this year’s Legal Elite Hall of ...
(Date:6/24/2016)... ... 2016 , ... Comfort Keepers® of San Diego, CA is excited to announce ... program to drive cancer patients to and from their cancer treatments. Comfort Keepers ... of life and ongoing independence. Getting to and from medical treatments is one ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... People across ... in Genome magazine’s Code Talker Award, an essay contest in which patients and their ... award to be presented at the 2016 National Society of Genetic Counselors (NSGC) Annual ...
(Date:6/24/2016)... ... June 24, 2016 , ... The Haute Beauty Network, ... M. Weintraub as a prominent plastic surgeon and the network’s newest partner. ... the most handsome men, look naturally attractive. Plastic surgery should be invisible.” He ...
(Date:6/24/2016)... Frederick, Maryland (PRWEB) , ... June 24, 2016 ... ... Mid-Atlantic Angels is actively feeding the Frederick area economy by obtaining investment capital ... support over the past 2½ years that have already resulted in more than ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Dublin ... of the " Global Markets for Spectroscopy Equipment" ... This report focuses on the global ... including its applications in various applications. The report deals ... three main industries: pharmaceutical and biotechnology, food and beverage, ...
(Date:6/24/2016)... and SAN CLEMENTE, Calif. , June ... -based mobile pulmonary function testing company, is now able to ... devices developed by ndd Medical Technologies , Inc. ... done in hospital-based labs.  Thanks to ndd,s EasyOne PRO ® , ... , can get any needed testing done in the comfort of ...
(Date:6/24/2016)... Belgium , June 24, 2016 ... the appointment of Dr. Edward Futcher ... Non-Executive Director, effective June 23, 2016.Dr. Futcher was ... Nominations and Governance Committees.  As a non-executive member ... independent expertise and strategic counsel to VolitionRx in ...
Breaking Medicine Technology: