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Local Corticosteroid Injection Versus Dry Needling in the Treatment of Lateral Epicondylitis

Background Lateral epicondylitis (LE) is an inflammation or micro-tearing of the tendons that join the forearm muscles on the lateral aspect of the elbow. Primary treatment of LE includes rest from offending activity and corticosteroid therapy for pain control. Dry needling (DN) is a relatively new...

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Autores principales: Nagarajan, Vishnudharan, Ethiraj, Prabhu, Prasad P, Arun, Shanthappa, Arun H
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9733488/
https://www.ncbi.nlm.nih.gov/pubmed/36514597
http://dx.doi.org/10.7759/cureus.31286
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author Nagarajan, Vishnudharan
Ethiraj, Prabhu
Prasad P, Arun
Shanthappa, Arun H
author_facet Nagarajan, Vishnudharan
Ethiraj, Prabhu
Prasad P, Arun
Shanthappa, Arun H
author_sort Nagarajan, Vishnudharan
collection PubMed
description Background Lateral epicondylitis (LE) is an inflammation or micro-tearing of the tendons that join the forearm muscles on the lateral aspect of the elbow. Primary treatment of LE includes rest from offending activity and corticosteroid therapy for pain control. Dry needling (DN) is a relatively new therapy for LE. This study examined the results of DN therapy with corticosteroid injection. We aimed to compare pain relief and improvements in functional disability of LE patients treated via DN and corticosteroid injection in a tertiary care center. Methodology A prospective randomized control study was conducted among 54 patients in the Orthopaedics Department of R L Jalappa Hospital from January 2022 to May 2022. Patients received either DN or injectable corticosteroid therapy, and treatment groups were randomized using single-blinded randomization with sealed envelopes. Patients were evaluated using the Patient-Related Tennis Elbow Evaluation (PRTEE) score before the intervention and four and eight weeks after the intervention. Results A total of 54 patients were included in the final analysis. The mean age in the DN group was 43.96 ± 8.15 years and 44.74 ± 8.33 years in the corticosteroid group. In the DN group, 17 (62.96%) patients were male, and in the corticosteroid group, 16 (59.26%) patients were male. The differences in the PRTEE score at the fourth and eighth-week follow-up with baseline value (pre-injection) were statistically significant (p < 0.001). Conclusions DN is a low-cost, minimally invasive, and low-risk therapy whereas corticosteroid therapy is costly and produces systemic side effects in the long term. In this study, during the last follow-up visit, the PRTEE score improved in the DN group compared to the corticosteroid group.
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spelling pubmed-97334882022-12-12 Local Corticosteroid Injection Versus Dry Needling in the Treatment of Lateral Epicondylitis Nagarajan, Vishnudharan Ethiraj, Prabhu Prasad P, Arun Shanthappa, Arun H Cureus Pain Management Background Lateral epicondylitis (LE) is an inflammation or micro-tearing of the tendons that join the forearm muscles on the lateral aspect of the elbow. Primary treatment of LE includes rest from offending activity and corticosteroid therapy for pain control. Dry needling (DN) is a relatively new therapy for LE. This study examined the results of DN therapy with corticosteroid injection. We aimed to compare pain relief and improvements in functional disability of LE patients treated via DN and corticosteroid injection in a tertiary care center. Methodology A prospective randomized control study was conducted among 54 patients in the Orthopaedics Department of R L Jalappa Hospital from January 2022 to May 2022. Patients received either DN or injectable corticosteroid therapy, and treatment groups were randomized using single-blinded randomization with sealed envelopes. Patients were evaluated using the Patient-Related Tennis Elbow Evaluation (PRTEE) score before the intervention and four and eight weeks after the intervention. Results A total of 54 patients were included in the final analysis. The mean age in the DN group was 43.96 ± 8.15 years and 44.74 ± 8.33 years in the corticosteroid group. In the DN group, 17 (62.96%) patients were male, and in the corticosteroid group, 16 (59.26%) patients were male. The differences in the PRTEE score at the fourth and eighth-week follow-up with baseline value (pre-injection) were statistically significant (p < 0.001). Conclusions DN is a low-cost, minimally invasive, and low-risk therapy whereas corticosteroid therapy is costly and produces systemic side effects in the long term. In this study, during the last follow-up visit, the PRTEE score improved in the DN group compared to the corticosteroid group. Cureus 2022-11-09 /pmc/articles/PMC9733488/ /pubmed/36514597 http://dx.doi.org/10.7759/cureus.31286 Text en Copyright © 2022, Nagarajan et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Pain Management
Nagarajan, Vishnudharan
Ethiraj, Prabhu
Prasad P, Arun
Shanthappa, Arun H
Local Corticosteroid Injection Versus Dry Needling in the Treatment of Lateral Epicondylitis
title Local Corticosteroid Injection Versus Dry Needling in the Treatment of Lateral Epicondylitis
title_full Local Corticosteroid Injection Versus Dry Needling in the Treatment of Lateral Epicondylitis
title_fullStr Local Corticosteroid Injection Versus Dry Needling in the Treatment of Lateral Epicondylitis
title_full_unstemmed Local Corticosteroid Injection Versus Dry Needling in the Treatment of Lateral Epicondylitis
title_short Local Corticosteroid Injection Versus Dry Needling in the Treatment of Lateral Epicondylitis
title_sort local corticosteroid injection versus dry needling in the treatment of lateral epicondylitis
topic Pain Management
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9733488/
https://www.ncbi.nlm.nih.gov/pubmed/36514597
http://dx.doi.org/10.7759/cureus.31286
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