PRINT Trial (Platelet Rich Injection vs Needle Tenotomy)

Exclusion Criteria

• •Age less than 18 years
• •Pregnant or breast feeding females
• •Previous surgery to the area of interest
• •Previous needling procedure to the area of interest in the last 3 months
• •Previous steroid injection to the area of interest in the last 3 months
• •Previous PRP or autologous blood or prolotherapy to the area of interest
• •Patients treated for a Workers Compensation related injury
• •Any systemic disease that may play a causative role or delay in healing such as rheumatoid arthritis, lupus, immunodeficiency
• •Severe degenerative bone disease or severe vascular disease that may be a confounder
• •Diagnosis of concomitant nerve involvement in area of interest:
• •Carpal tunnel, radial nerve impingement, cervical radiculopathy in patients with lateral epicondylitis
• •Any contraindication to use of lidocaine or injections
• •Will record if patient is taking any medications that may alter bleeding or clotting such as aspirin, Plavix, Coumadin, Aggrenox, heparin, lovenox, etc, but this will be a relative contraindication and decision is made by patient and provider after informed consent.