Lateral Epicondylitis Clinical Trial
Official title:
Therapeutic Effects of Acupuncture Plus Fire Needle Versus Acupuncture on Lateral Epicondylitis: A Randomized Case-control Pilot Study
The aim of this study was to investigate whether or not the outcomes of acupuncture used in
combination with fire needle treatment are better than those of acupuncture alone in patients
with lateral epicondylitis.
The primary outcome was the visual analog scale pain score for the previous 24 hours and the
secondary outcomes were the maximum grip strength, Patient-rated Forearm Evaluation
Questionnaire score, and Medical Outcomes Study 36-Item Short-form Health Survey score. The
values at baseline (pretreatment), at the end of treatment, and at three months after
treatment were used to assess the short-term and intermediate-term effects of treatment.
Lateral epicondylitis (LE) is the most common diagnosis in patients with elbow pain.
Although many management strategies have been used in patients with LE, including
pain-relieving drugs, corticosteroid injections, physiotherapy, elbow supports, shock-wave
therapy, platelet-rich plasma injections, and surgery, the optimal treatment is still
unclear. When conservative treatments are unsuccessful or not accessible because for cost
reasons, an increasing number of patients consider complementary medicine, particularly
acupuncture.
In a systematic review by Trinh et al., acupuncture was found to relieve the pain of LE
effectively but its long-term efficacy could not be established. Another technique commonly
used to treat chronic pain in patients with LE is fire needle therapy, which combines
acupuncture and moxibustion. A case report demonstrated a significant short-term effect of
fire needle therapy in a patient with LE. Moreover, it has been shown that a combination of
rehabilitation and fire needle therapy is effective for at least 4 weeks in patients with LE.
However, although the early case report demonstrated effects lasting for 4 months, there was
insufficient evidence for the intermediate-term or long-term therapeutic effects of
acupuncture or fire needle therapy in terms of reducing the pain associated with LE.
The aim of this study was to investigate whether or not the outcomes of acupuncture used in
combination with fire needle treatment are better than those of acupuncture alone in patients
with LE.
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