Dry needling in lateral epicondylitis: a prospective controlled study.
Int Orthop
; 41(11): 2321-2325, 2017 11.
Article
en En
| MEDLINE
| ID: mdl-28828509
ABSTRACT
PURPOSE:
Lateral epicondylitis (LE), a common disease, especially in middle age, causes decreased productivity and economic losses. The first-line treatment for LE is conservative and consists of topical and oral anti-inflammatory drugs, ice application, and brace use. If the first-line treatment fails, second-line treatment modalities, which are generally invasive, are offered. Second-line therapeutic regimens include saline, corticosteroid, or platelet-rich plasma injections. Dry needling is relatively new. We hypothesized that dry needling would be at least as effective as first-line treatment for LE. We compared the outcomes of first-line treatment and dry needling.METHODS:
The study allocated 110 patients into groups using online randomization software. After completing the Patient-rated Tennis Elbow Evaluation (PRTEE), patients in group I received dry needling, whereas those in group II received first-line treatment, consisting of ibuprofen 100 mg twice a day and a proximal forearm brace. The patients were evaluated after three weeks and six months.RESULTS:
The study ultimately analyzed 92 patients. Although both treatment methods were effective at three weeks, dry needling was significantly more effective than the first-line treatment at six months.CONCLUSION:
Because of the low complication rate, dry needling is a safe method, and it might be an effective treatment option for LE.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Codo de Tenista
/
Puntos Disparadores
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Manejo del Dolor
Tipo de estudio:
Clinical_trials
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Observational_studies
Límite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Int Orthop
Año:
2017
Tipo del documento:
Article
País de afiliación:
Turquía