RESUMEN
The pathogenesis and management of lateral epicondylalgia, or tennis elbow, a common ailment affecting middle-aged subjects of both genders continue to provoke controversy. Currently it is thought to be due to local tendon pathology, pain system changes, and motor system impairment. Its diagnosis is usually clinical, based on a classical history, as well as symptoms and signs. In selected cases, additional imaging (X-rays, ultrasound, and magnetic resonance imaging) can help to confirm the diagnosis. Different treatment modalities have been described, including the use of orthotics, non-steroidal anti-inflammatory drugs, steroid injections, topical glyceryl trinitrate, exercise therapy, manual therapy, ultrasound therapy, laser therapy, extracorporeal shockwave therapy, acupuncture, taping, platelet-rich plasma injections, hyaluronan gel injections, botulinum toxin injections, and surgery. Nevertheless, evidence to select the best treatment is lacking and the choice of therapy depends on the experience of the management team, availability of the equipment and expertise, and patient response. This article provides a snapshot of current medical practice for lateral epicondylalgia management.
Asunto(s)
Codo de Tenista/terapia , Terapia por Acupuntura , Administración Tópica , Cinta Atlética , Toxinas Botulínicas/uso terapéutico , Tirantes , Terapia por Ejercicio , Glucocorticoides/uso terapéutico , Ondas de Choque de Alta Energía , Humanos , Ácido Hialurónico/uso terapéutico , Inyecciones Intraarticulares , Terapia por Láser , Masaje , Fuerza Muscular/fisiología , Neurotoxinas/uso terapéutico , Nitroglicerina/uso terapéutico , Procedimientos Ortopédicos , Percepción del Dolor/fisiología , Examen Físico/métodos , Plasma Rico en Plaquetas , Codo de Tenista/diagnóstico , Codo de Tenista/fisiopatología , Terapia por Ultrasonido , Vasodilatadores/uso terapéutico , Viscosuplementos/uso terapéuticoRESUMEN
Acupuncture is often regarded as innocuous. However, its complication can be serious and deadly if unattended. We report a case of iatrogenic bilateral pneumothorax after acupuncture therapy. Setting up a government regulatory body and using needles with safety design can prevent further inadvertent incidences from occurring.