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Dry needling in lateral epicondylitis: a prospective controlled study
Esat Uygur1, Birol Aktaş2, Afşar Özkut3
1Göztepe Training and Research Hospital, İstanbul Medeniyet University, Eğitim Mah. Doktor Erkin Cad. Kadıköy, 34732, Istanbul, Turkey. esatuygur@gmail.com.
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.
