Acupuncture in chronic epicondylitis: a randomized controlled trial

Fink, Matthias; Wolkenstein, E.; Karst, Matthias; Gehrke, A.

doi:10.1093/rheumatology/41.2.205

Cited by 107 publications

(91 citation statements)

References 16 publications

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“…Similarly, a randomized controlled trial reported reduced pain intensity and improved function of the arm as well as increased maximal strength following verum acupuncture (L1 10, 11, Lu 5, L1 4, and SJ 5) at 2 weeks, whereas no differences were observed between the 2 groups at 2-month follow-up. 28 Consistent with current literature, application of these modalities in the different stages of the condition is suggested mainly for short-term relief of pain and short-term improvement in disability. Of interest, standard therapeutic modalities offered as part of chiropractic plan of management such as manipulation and soft tissue therapy have received little attention.…”

Section: Managementmentioning

confidence: 53%

Humeral Lateral Epicondylitis Complicated by Hydroxyapatite Dihydrite Deposition Disease: A Case Report

Marchand

O’Shaughnessy

Descarreaux

2014

Journal of Chiropractic Medicine

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Objective: The aim of this case report is to differentiate the recovery timeline expected for patients with simple lateral epicondylitis from an abnormal recovery period, in which case an underlying condition should be suspected. Clinical features: A 49-year-old woman presented to a chiropractic clinic with posterolateral right elbow pain. The history included chronic recurrent lateral elbow pain, followed by a traumatic event leading to sustained pain and disability. Intervention and outcomes: Following a trial of conservative therapy including activity restrictions, soft tissue therapy, joint mobilizations, and therapeutic ultrasonography that led to no significant improvement, the patient was referred for diagnostic imaging that revealed hydroxyapatite dihydrite deposition disease. Conclusion: This report describes a case for which lateral epicondylitis symptoms failed to resolve because of an underlying condition (hydroxyapatite dihydrite deposition disease). This case emphasizes that primary care practitioners treating lateral epicondylitis should consider referral for further investigations when positive results are not achieved.

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Section: Managementmentioning

confidence: 53%

Humeral Lateral Epicondylitis Complicated by Hydroxyapatite Dihydrite Deposition Disease: A Case Report

Marchand

O’Shaughnessy

Descarreaux

2014

Journal of Chiropractic Medicine

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“…14 patients in the real acupuncture group and 15 in the control group filled in the questionnaires correctly so that these could be used for further calculation (figs. [1][2][3][4]. No special side-effects occurred, apart from the pain from acupuncture which led 1 patient to drop out.…”

Section: Resultsmentioning

confidence: 95%

“…Results of this study were in part published elsewhere [4]. The present paper concentrates on the analysis of different variables of pain measurement.…”

Section: Methodsmentioning

confidence: 99%

Chronic Epicondylitis: Effects of Real and Sham Acupuncture Treatment: A Randomised ControlledPatient- and Examiner-Blinded Long-Term Trial

Fink

Wolkenstein²,

Luennemann

et al. 2002

Complement Med Res

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Objective: The clinical long-term effectiveness of real and sham acupuncture treatment on differentiated pain measurement was evaluated in chronic lateral epicondylitis, an example of a tendomyotic disorder. Methods: Randomised, examiner- and patient-blinded controlled clinical study. Outcome measurement: pain at rest, pain on movement, pain on exertion, frequency and duration of pain. Real acupuncture (n = 23) was tested versus invasive sham acupuncture (n = 22). Ten treatments were given (2 treatments/week). Patients were examined at baseline (E1) as well as 2 weeks (E2), 2 months (E3) and 1 year (E4) after the end of treatment. In the treatment with real acupuncture, acupuncture points were selected and mechanically stimulated while in the sham group non-acupuncture points were selected. Results: There was no significant difference between the groups at baseline for any outcome parameter. Two weeks, 2 months and 1 year after the end of treatment there were significant reductions in all pain variables compared to baseline. At the first follow-up, significant group differences were registered for pain on motion and pain on exertion in favour to the real acupuncture group. These differences in pain intensity between the groups were no longer significant at the 2 months and 12 months follow-ups. Conclusion: The results suggest that, in the treatment of chronic epicondylitis, the selection of so-called real acupuncture points gives better results than invasive sham acupuncture at early follow-up. This additional effect can be interpreted as a specific effect of real acupuncture.

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“…r Epicondylitis -a study by Fink et al (2002) demonstrated 'that acupuncture with correct location and stimulation according to TCM seems to alleviate pain and improve function in epicondylitis'.…”

Section: Types Of Painmentioning

confidence: 99%