Injection of Botulinum Toxin for Treatment of Chronic Lateral Epicondylitis: Systematic Review and Meta-Analysis.
Lateral epicondylitis can be chronic and difficult to manage with conservative measures such as physical therapy and corticosteroid injection. We attempted to determine the efficacy of botulinum toxin for the treatment of chronic lateral epicondylitis. We searched PubMed, MEDLINE, CINAHL, Google Scholar, EMBASE, PEDro, and ISI web of Science databases from inception until November 2009. [...]
The effect of injections of botulinum toxin type A combined with casting on the equinus gait of children with cerebral palsy
The aim of this study was to evaluate the effect of adding inhibitory casting to the treatment of young children with cerebral palsy who received injections of botulinum neurotoxin A (BoNT-A) to gastrocnemius for equinus gait. Of the 20 patients in the series, 11 in group A had inhibitory casts applied on the day of [...]
Steroid injection for hip osteoarthritis: efficacy under ultrasound guidance
The objective of this study was to determine the efficacy of IA corticosteroid (CS) injection in pain reduction for hip OA under ultrasound (US) guidance. Forty patients [mean age 62.78 (8.16) years] fulfilling ACR criteria for hip OA, with synovitis detected at US, gave their consent for IA US-guided CS injection because of pain refractory [...]
Does low-dose botulinum toxin help the recovery of arm function when given early after stroke? A phase II randomized controlled pilot study to estimate effect size.
Spasticity after stroke may be associated with worse functional outcome. This study aim is to establish whether a low dose of botulinum toxin, given early post stroke before clinically evident spasticity warrants treatment, will improve recovery of arm function. Thirty subjects were recruited, and 21 completed all assessments. Arm function scores improved in all three [...]
Efficacy of Intra-Articular Botulinum Toxin Type A in Painful Knee Osteoarthritis: A Pilot Study.
The objective of this study was to evaluate the efficacy and safety of botulinum toxin type A (BoNT-A) injected intra-articularly in 60 subjects with moderate pain and functional impairment secondary to knee osteoarthritis. The study investigators hypothesized that intra-articular BoNT-A would result in statistically significant improvements in pain and function at 8 weeks. Sixty patients [...]
Soft Tissue and Joint Injection Therapy – Essex University – June/July
This module aims to enable experienced practitioners in the field of musculoskeletal practice, (general practitioners, physiotherapists and nurses) to extend their scope of practice to include the use of injection therapy. The module is available both as a standalone module and as part of the Advanced Musculoskeletal Practice pathway leading to an MSc award. Tutor: [...]
Treatment of Osteoarthritis of the Ankle by Intra-articular Injections of Hyaluronic Acid: A Prospective Study
This study evaluated the efficacy of an intra-articular preparation containing sodium hyaluronate in the treatment of osteoarthritis of the ankle. It studied 16 patients aged 31 to 79 years (mean age, 43 years) with symptomatic ankle osteoarthritis of 9 months’ to 27 years’ duration. The radiographic severity of the ankle osteoarthritis was graded II, III, [...]
The Effects of Local Steroid Injection on Pain, Disability, and Hand Functions in Patients with Lateral Epicondylitis
The objective of this study was to evaluate the pain intensity, disability, and hand functions in patients with chronic lateral epicondylitis and to determine the short- and long-term effects of steroid injection on pain, disability, and impaired hand function. Patients with chronic unilateral lateral epicondylitis and healthy normal controls [HNC] matched for age, body mass [...]
A randomized controlled trial to compare two botulinum toxin injection techniques on the functional improvement of the leg of children with cerebral palsy.
The objective of this study was to compare the efficacy of botulinum toxin type A injection guided by different localizing techniques, electrical stimulation and palpation, to treat spasticity of the ankle plantar flexors. Sixty-five children with spastic hemiplegic or diplegic cerebral palsy underwent botulinum toxin injection guided by electrical stimulation or palpation, and two weeks [...]
Corticosteroid injection treatment to the ischiadic spine reduced pain in women with long-lasting sacral low back pain with onset during pregnancy.
The objective of this study was to evaluate the pain relief effect of locally injected corticosteroid treatment in women with long-lasting sacral low back pain with onset during pregnancy. Thirty-six women were allocated to injection treatment, with slow-release triamcinolone and lidocaine or saline and lidocaine, given at the sacrospinous ligament insertion on the ischiadic spine [...]
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