TREATMENT OF EPICONDYLITIS OF NON-SPINAL ORIGIN BY MESOTHERAPY

Mesotherapy is a very useful tool in pain medicine, it provides a rapid drug response, when mesotherapy is used appropriately.

Epicondylitis is the most common pain on the outer side of the elbow. It is characterized by pain of the common epicondylar tendon and in particular of the 2nd radial tendon. Epicondylitis results in pain in the elbow, due to damage to the tendons of the forearm muscles which attach to the epicondyle. It appears following harmful, repeated and intensive gestures of the arm and hand. Epicondylitis is one of the musculoskeletal disorders of the upper limb.

The pain is located on the outer side of the elbow but it can be more diffuse and radiate along the radial edge of the forearm. They can appear during a specific gesture, a setback for example, but they most often appear insidiously, sometimes during or after an intensive training course or during a change. of material. The pain is mechanical, linked to the demands on the epicondylar muscles during wrist movements. They worsen with the continuation of professional or sporting activities and gradually certain daily actions become painful.

To relieve the pain caused by elbow epicondylitis, mesotherapy is an ideal approach without side effects.

The effects of mesotherapy are threefold:

An important, rapid reflex effect visible by a relaxation of the tissues,
A vasomotor effect
A chemical effect of the injected mixture,

Products
• NSAIDs: piroxicam (due to its high miscibility)
• Lidocaine 1%
• salmon calcitonin 100 IU
• muscle relaxant: thiocolchicoside
• draining: etamsylate

The injection points will be those found during the clinical examination as well as the painful points described by the patient, after local disinfection with Biseptine*

Injection depths and techniques
- 4mm: point by point at the level of the deep dermis (IDP) next to the insertions of the epicondylar muscles
- 1mm: epidermal mesotherapy using the PERRIN technique

Protocols
at the level of the tendon insertions in IDP:
Mixture: lidocaine 1% + piroxicam calcitonin 100 IU / at the level of epidermal dermoneurodystrophies up to the wrist
Mixture: etamsylate + thiocolchicoside

Pace of sessions
3 sessions one week apart and if necessary a fourth session on D30.

Mesotherapy has excellent safety in use due to the very low doses used, the local injection and the very minimal diffusion of the active ingredients outside the area to be treated. Mesotherapy reduces the side effects as well as the toxicity of the drug and limits the use of corticosteroid infiltrations.

This document is for information purposes, and cannot under any circumstances be relied upon to carry out any processing. MI I Medical Innovation advises you to contact the SFM and/or CERM in your region for any information.

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