Efficacy of Dry Needling in the Treatment of Lateral Epicondylitis

NCT05504759 | Unknown

• 1 other identifier: 2166
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

In this study, investigators aimed to investigate the effects of rest, steroid injection and dry needling treatments, which are frequently used in the treatment of patients diagnosed with lateral epicondylitis (tennis elbow), on the pain and functional status of the patients.

Conditions

Lateral Epicondylitis

Keywords

tennis elbow; dry needling

Outcome Measures

Primary Outcomes (1)

• change in elbow pain after treatment as assessed by vas

  Elbow pain will be measured with the Visual Analog Scale (VAS).The Visual Analog Scale (VAS) is used to convert some values that cannot be measured numerically. Two end definitions of the parameter to be evaluated are written at the two ends of a 100 mm line, and the patient is asked to indicate where on this line their situation is appropriate by drawing a line or by placing a dot or pointing. For example, for pain, I have no pain at one end and very severe pain at the other end and the patient marks his/her current state on this line. The length of the distance from the point where there is no pain to the point marked by the patient indicates the patient's pain.

  before treatment, second-month control after treatment

Secondary Outcomes (1)

• Hand grip strength

  before treatment, second-month control after treatment.

Study Arms (3)

Group 1

EXPERIMENTAL

2 weeks rest protocol + standardized exercise program

Other: splint

Group 2

EXPERIMENTAL

local steroid injection + 2 weeks rest protocol + standardized exercise program

Other: splint; Other: steroid

Group 3

EXPERIMENTAL

dry needling of forearm extensor muscles + 2 weeks rest protocol + standardized exercise program

Other: splint; Other: dry needling

Interventions

splint OTHER

Resting is the first step of treatment in lateral epicondylitis. Patients will be given a 2 weeks rest protocol (works that may cause strain on the wrist and increase elbow pain will be described and it will be advised to stay away, and a home exercise program will be prepared, which includes the use of a resting splint during the daytime for 2 weeks). The goal of exercise therapy will be to stretch the muscles, strengthen them and maintain flexibility. Home exercises during the treatment of lateral epicondylitis will be beneficial when performed twice a day for at least three months, and stretching exercises will be performed first, and then strengthening exercises will be started in a controlled manner.

Group 1; Group 2; Group 3

steroid OTHER

Betamethasone Dipropionate + Betamethasone Sodium Phosphate-1 ml will be administered once at the beginning of the study to patients who will receive steroid injection, one of the local injection treatments. Steroid injection will be applied to the most sensitive point on the lateral epicondyle. Afterwards, patients will be given a 2 weeks rest protocol (works that may cause strain on the wrist and increase elbow pain will be described and it will be advised to stay away, and a home exercise program will be prepared, which includes the use of a resting splint during daytime hours for 2 weeks). The goal of exercise therapy will be to stretch the muscles, strengthen them and maintain flexibility. Home exercises during the treatment of lateral epicondylitis will be beneficial when performed twice a day for at least three months, and stretching exercises will be performed first, and then strengthening exercises will be started in a controlled manner.

Group 2

dry needling OTHER

The needle will be guided to painful trigger points detected by palpation. Stainless steel 25x30 mm needles will be used for dry needling. Dry needle treatment will be applied to the painful trigger points in the forearm extensor group muscles with the stick-pull technique, 1 session per week, for a total of 2 sessions. Afterwards, the patients will be given a 2 weeks rest protocol (works that may strain the wrist and increase elbow pain will be described and it will be advised to stay away, and a home exercise program will be prepared, which includes the use of a resting splint during the daytime for 2 weeks). The purpose of exercise therapy will be to stretch the muscles, strengthen them and maintain flexibility. During the treatment of lateral epicondylitis, home exercises will be beneficial when performed twice a day for at least three months, and stretching exercises will be performed first, and then strengthening exercises will be started in a controlled manner.

Group 3

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients aged 18-65 years with pain in the lateral humeral epicondyle region for at least 6 weeks
• Patients with pain on palpation of the lateral humeral epicondyle and patients with lateral epicondyle pain manifested by at least one of the provocative tests, such as resistant middle finger extension or resistant wrist extension or passively stretching the wrist extensors
• Patients with painful trigger points detected by palpation in the extensor group muscles of the forearm

You may not qualify if:

• History of upper extremity trauma or surgery
• History of arthritis in the upper extremity
• Patients with EMG-proven entrapment neuropathy in the upper extremity
• Patients with cervical radiculopathy
• History of interventional procedures such as physical therapy or steroid injection for lateral epicondylitis in the last 3 months
• Pregnancy and pregnancy
• Patients with complaint duration less than 6 weeks
• Having mental (intelligence-related) problems, limitation of cooperation-orientation (being aware of time and space and having communication skills)
• \<18 years, \>65 years

Sponsors & Collaborators

• Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey: lead

Study Sites (1)

Sultan 2. Abdulhamid Han Training and Research Hospital

Istanbul, Turkey (Türkiye)

RECRUITING

MeSH Terms

Conditions

Tennis Elbow

Interventions

Splints; Steroids; Dry Needling

Condition Hierarchy (Ancestors)

Elbow Tendinopathy; Tendinopathy; Muscular Diseases; Musculoskeletal Diseases; Elbow Injuries; Arm Injuries; Wounds and Injuries; Tendon Injuries

Intervention Hierarchy (Ancestors)

External Fixators; Orthopedic Fixation Devices; Orthopedic Equipment; Surgical Equipment; Equipment and Supplies; Surgical Fixation Devices; Fused-Ring Compounds; Polycyclic Compounds; Complementary Therapies; Therapeutics; Physical Therapy Modalities

Study Officials

• Emre Ata, Ass.Prof.

  Sultan II. Abdulhamidhan Training and Research Hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Ömer Faruk Ünelli, MD

CONTACT

05069195869; funelli@hotmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Proffesor

Study Record Dates

• First Submitted: March 31, 2022
• First Posted: August 17, 2022
• Study Start: February 2, 2021
• Primary Completion: June 2, 2023
• Study Completion: August 2, 2023
• Last Updated: August 17, 2022

Record last verified: 2022-08

Locations

TU (1)