High Intensity Laser Therapy Versus Extracorporeal Shock Wave Therapy In Treating Lateral Epicondylitis
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Abstract
Background - Objective. Lateral epicondylitis (LE) is the primary etiology of lateral elbow pain, predominantly affecting the dominant arm. The objective of this investigation was to assess and contrast the efficacy of extracorporeal shock wave therapy (ESWT) and high-intensity laser therapy (HILT) in treating lateral epicondylitis.
Methods. Fifty-one patients diagnosed with lateral epicondylitis were separated into two groups: group one underwent ESWT, while group two received HILT. Visual analogue scale (VAS), Quick Disabilities of the Arm Shoulder and Hand Questionnaire (QDASH), LE tenderness, handgrip strength and ultrasonographically assessed common extensor tendon thickness (CET) were assessed, before treatment, immediately post-treatment completion at the 3rd week and at the 9th week. Comparisons were done within each group and between groups.
Results. Prior to treatment, both groups demonstrated comparable characteristics (p > 0.05). Immediately following the completion of treatment, significant improvements were observed within each group across all parameters (p < 0.001), as well as in comparisons between the two groups, the HILT group demonstrated superior outcomes in all parameters (p < 0.05), except for CET thickness (p > 0.05). By the ninth week, significant improvements were observed within each group across all parameters (p < 0.05), with the exception of CET thickness (p > 0.05). The HILT group also demonstrated superior outcomes across all parameters (p < 0.05), with the exception of CET thickness (p > 0.05).
Conclusion. Both ESWT and HILT demonstrate efficacy in the management of lateral epicondylitis, However, HILT demonstrated greater superiority over ESWT.
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References
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