Ultrasound Evaluation of Blind Dry Needling in Lateral Epicondylitis

NCT07042997 | Not Yet Recruiting

• 1 other identifier: ErzurumNMT
• Study Type: interventional
• Target: 40
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of this clinical study is to evaluate the accuracy and consistency of the blinded needling procedure by evaluating the dry needling procedure under ultrasound guidance in patients diagnosed with lateral epicondylitis and with at least one active trigger point (MTrP) in the forearm extensor muscles. The study is a prospective, double-blind validation study. Participants: Volunteers aged 18-70 years, who have pain in the lateral epicondyle region for at least 6 weeks and who have active trigger points in the forearm extensor muscles detected by physical examination will be included in the study. Written informed consent will be obtained from all participants.

Conditions

Lateral Epicondylitis

Keywords

lateral epicondylitis; dry needling; trigger point; ultrasound guidance

Outcome Measures

Primary Outcomes (1)

• Evaluation of Anatomical Accuracy in Targeting Forearm Extensor Muscles with Blind Dry Needling in Patients with Lateral Epicondylitis Using Ultrasound Guidance

  Correct placement rates will be calculated for each muscle. The agreement between the ultrasound and verification results of the blinded applications will be evaluated with Kappa statistics. Chi-square test or McNemar test will be used for differences between muscles.

  2 week

Study Arms (2)

lateral epicondylitis and with at least one active trigger point

EXPERIMENTAL

The first clinician determines the active TrP by manual palpation and performs dry needling without the use of ultrasound (blinded).

Procedure: Evaluation of Anatomical Accuracy in Targeting Forearm Extensor Muscles with Blind Dry Needling in Patients with Lateral Epicondylitis Using Ultrasound Guidance

Ultrasound-Guided Needle Location Verification

EXPERIMENTAL

After the needling procedure, a second clinician evaluates the needle's location in the muscle using ultrasonography.

Procedure: Evaluation of Anatomical Accuracy in Targeting Forearm Extensor Muscles with Blind Dry Needling in Patients with Lateral Epicondylitis Using Ultrasound Guidance

Interventions

Evaluation of Anatomical Accuracy in Targeting Forearm Extensor Muscles with Blind Dry Needling in Patients with Lateral Epicondylitis Using Ultrasound Guidance PROCEDURE

Using a high-resolution linear probe (5-12 MHz) , the muscle in which the needle tip is located is monitored in real time in the transverse and longitudinal planes. Whether the needle is in the targeted muscle is recorded as "correct" or "incorrect".

Ultrasound-Guided Needle Location Verification; lateral epicondylitis and with at least one active trigger point

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Volunteers aged 18-70 years,
• who have pain in the lateral epicondyle region for at least 6 weeks
• who have active trigger points in the forearm extensor muscles detected by physical examination

You may not qualify if:

• Those who have not complained of pain in the lateral epicondyle region for at least 6 weeks

Sponsors & Collaborators

• nurmuhammet tas: lead

MeSH Terms

Conditions

Tennis Elbow

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: DIAGNOSTIC
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: DR.

Study Record Dates

• First Submitted: June 20, 2025
• First Posted: June 29, 2025
• Study Start: September 21, 2025
• Primary Completion: September 22, 2025
• Study Completion: September 23, 2025
• Last Updated: September 15, 2025

Record last verified: 2025-09