- CODEN : IAJPBB
- issn 2349-7750
TITLE:
EFFICACY OF PERCUTANEOUS TENDON NEEDLING FOR LATERAL EPICONDYLITIS
AUTHORS:
Babar Shahzad, Hasnain Waheed Chaudhry, Jamal abdul nasir
ABSTRACT:
Lateral epicondylitis (LE) is the most common cause of elbow and forearm pain in adults. The techniques used in dry needling varied across the primary studies and it was often combined with other treatment interventions. To address LE different types of treatments have been used. Corticosteroid (CS) injections and dry needling (DN) are utilized options in the treatment. Study Settings: Department of Surgery Study Design: Randomized controlled trial Duration Of Study: Six (6) months (Nov, 2018 to April, 2019) Objective: Efficacy of DN versus CS injection treatment in management of LE in terms of improvement of VAS and PRTEE score. Material And Methods: All LE patients whose pain was not relieved by 3 weeks of first-line treatment were included in randomized manner, using computer generated number into DN (dry needling) or CS (corticosteroid) groups. The minimum follow-up duration was 6 months. We recorded "Patient-rated Tennis Elbow Evaluation" (PRTEE) scores before treatment, and after 3 weeks and 6 months of treatment. Results: VAS scoring and PRTEE score in both the groups at baseline and after 3 weeks of treatment were compared in 65 patients each. Efficacy of DN was 41% and that of CS group was 52.3% (p=0.21). Conclusion: Both DN and CS treatment of LE are almost equally effective. Patients can choose the treatment modality after discussion with the treatment physician. Further studies should be done to compare any adverse effects and improvement in the functional outcome after treatment. Keywords: Dry needling, Epicondylitis, Steroids, Tennis elbow,
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