Purpose The aim of this study was to compare the short-term efficacy of dry needling, corticosteroids, and platelet-rich plasma application (PRP) in the management of lateral epicondylitis. Methods The study included 72 patients diagnosed with lateral epicondylitis divided into three groups of 24 individuals using the sealed envelope method. Group 1 underwent dry needling, Group 2 received 40 mg methylprednisolone acetate, and Group 3 received PRP treatment. Patients were assessed using the visual analog scale (VAS) and the Disabilities of the Shoulder, Arm, and Hand (DASH) score, and Jamar grip strength before treatment and 3rd week and 3rd month. Results At the 3rd month, the mean VAS score was 1.16 ± 0.56 in dry needling group and 0.75 ± 0.60 in corticosteroids group, showing a statistically significant difference between dry needling and corticosteroids group, and between corticosteroids and PRP group (p = 0.015 and p = 0.000, respectively). At the 3rd week and 3rd month, VAS scores decreased in each treatment modality group, showing a statistically significant difference between the groups (p < 0.01). Jamar grip strength increased over time in all groups. There were no significant differences between the DASH scores of all groups at the 3rd week (p > 0.05). DASH scores decreased significantly from the 3rd week to the 3rd month in dry needling and corticosteroids group (p < 0.01), while it increased slightly in PRP group during the same period with a statistically insignificant change (p > 0.05). DASH scores decreased significantly at the 3rd month for all groups (p = 0.014). Conclusion Dry needling is an effective and safe application for the short-term treatment of lateral epicondylitis.

Summary AbstractComplex regional syndrome type 1 (CRPS-1) is a painful clinical condition. It occurs after a painful event and characterized by allodynia, hyperalgesia, edema, abnormalities in skin blood flow and abnormal sudomotor activity. When CRPS-1 is associated with nerve injury, it is defined as CRPS-2. Central and peripheral theory are responsible in etiopathogenesis of CRPS-1. Generally it occurs in the injured limb. But, it may ocur in the opposite extremities. In this article, we present a case developing bilateral CRPS-1 after bilateral tibia and fibula fracture by reviewing current literatüre. Keywords: Complex regional pain syndrome, bilateral, fracture Bilateral Tibia Fibula Kırığı Sonrası Kompleks Bölgesel Ağrı Sendromu Bilateral Complex Regional Pain Syndrome after Fracture of Bilateral Tibia and FibulaKompleks bölgesel ağrı sendromu tip 1 (KBAS-1) ağrılı bir olaydan sonra ortaya çıkan allodini, hiperaljezi, ödem, deri kan akımında anormallik ve anormal sudomotor aktivite bulgularıyla karakterize ağrılı bir klinik durumdur. Sinir yaralanması olduğunda ise KBAS-2 olarak kategorize edilmektedir. KBAS-1 etiyopatogenezinde santral ve periferal mekanizmal sorumlu tutulmaktadır. KBAS-1 genellikle hasarlanan ekstremitede ortaya çıkar. Ancak, bazen karşı ekstremitede de görülebilir. Bu yazıda bilateral tibia fibula kırığı sonrası bilateral KBAS-1 gelişen bir olguyu güncel literatür eşliğinde sunmaktayız. Anahtar kelimeler: Kompleks bölgesel ağrı sendromu, bilateral, kırık

Summary AbstractCervical spondylotic myelopathy is a neurological disorder caused by degenerative changes in the cervical spines emerging from spinal channel narrowing. This is the most common reason of spastic tetraplegia in later phases of life. In this case report, an elderly male patient with subclinical symptoms and having cervical spondylotic myelopathy causing sudden spastic tetraplegia was presented in the light of current literature. Keywords: Cervical spondylotic myelopathy, tetraplegia, rehabilitation Önemli Bir Tetrapleji Sebebi: Servikal Spondilotik Miyelopati An Important Cause of Tetraplegia: Cervical Spondylotic MyelopathyServikal spondilotik miyelopati, servikal omurlardaki dejeneratif değişiklikler neticesinde gelişen spinal kanaldaki daralmaya bağlı ortaya çıkan nörolojik bir bozukluktur. Hayatın ileri dönemlerinde en sık karşılaşılan spastik tetrapleji nedenidir. Bu olgu sunumunda öncesinde subklinik semptomları olan ileri yaş erkek hastada ani gelişen spastik tetraplejiye sebep olan servikal spondilotik miyelopati olgusu güncel literatür eşliğinde sunulmuştur.

No abstract

No abstract