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January 2006 Tennis elbow (chronic lateral epicondyle tendinosis): sonographically guided...
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Vol. 41. Issue 149.
Pages 31-33 (January 2006)
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Vol. 41. Issue 149.
Pages 31-33 (January 2006)
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Tennis elbow (chronic lateral epicondyle tendinosis): sonographically guided injection
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Guillermo Álvarez Reya, Ignacio Álvarez Reyb, Guillermo Álvarez Bustosc
a Universidad de Málaga. Málaga. España.
b Hospital Clínico Universitario Virgen de la Victoria. Málaga.
c Hospital Carlos Haya. Málaga.
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Two patients (two men aged 42 and 55 years old) with chronic lateral epicondyle tendinosis were treated with a new therapy based on color Doppler ultrasound-guided injection of a sclerosing agent, polidocanol. There was a marked reduction in pain during activity (reported on a visual analogue scale [VAS]) and total disappearance and decrease in neovessels in each case, respectively. Case 1 participated in sports and at the last visit was in the readaptation phase, while case 2 returned to work after having previously abandoned it. Sclerosing neovessels appears to be an effective treatment for painful chronic lateral epicondyle tendinosis, suggesting that neovessels play a key role in causing chronic tendon pain.

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