Intratissue Percutaneous Electrolysis vs Corticosteroid Infiltration for the Treatment of Plantar Fasciosis

Iborra-Marcos, Álvaro; Ramos-Álvarez, Juan José; Rodríguez-Fabián, Guillermo; Castillo-González, Federico Del; López-Román, Antonio; Polo-Portes, Carlos; Villanueva‐Martínez, Manuel

doi:10.1177/1071100718754421

Cited by 16 publications

(34 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Comparison with other studies cannot be performed as Valera-Garrido et al did not measure function or range of motion; however, using ultrasound, they determined the reduction of degenerative structural changes observed in LE. Studies applying PE to other musculoskeletal pain conditions such as subacromial pain syndrome [31], plantar fasciosis [32], and patellar tendinopathy [14] showed significant improvements in function, which agree with those observed in this study. In terms of other secondary outcomes measured in this study, it must be noted that no improvements were observed in quality of life.…”

Section: Discussionsupporting

confidence: 91%

“…Follow-up measures at one and three months demonstrate that effects remained in time, as Valera-Garrido et al observed in their study [6]. Data yielded by this study also agreed with those regarding pain improvement obtained in other studies that used PE in other musculoskeletal disorders, such as subacromial pain syndrome [31], plantar fasciosis [32], and patellar tendinopathy [14]. Due to the previous results, percutaneous electrolysis could be considered an appropriate approach for diverse musculoskeletal pain syndromes.…”

Section: Discussionsupporting

confidence: 88%

See 1 more Smart Citation

Percutaneous Electrolysis in the Treatment of Lateral Epicondylalgia: A Single-Blind Randomized Controlled Trial

Rodríguez-Huguet

Góngora-Rodríguez²,

Lomas‐Vega

et al. 2020

JCM

View full text Add to dashboard Cite

Few studies have considered the effects of percutaneous electrolysis (PE) in the treatment of lateral epicondylalgia (LE). For this reason, the objective of this study was to compare the effects of PE with an evidence-based approach—trigger point dry needling (TDN)—in patients with LE. A randomized controlled trial was conducted in which 32 participants with LE were randomly assigned to two treatment groups, the PE group (n = 16) and the TDN group (n = 16). Both groups received four therapy sessions and an eccentric exercise program to be performed daily. The numerical pain rating scale (NPRS), pressure pain thresholds (PPT), quality of life, and range of motion were measured before treatment, at the end of treatment, and at one- and three-month follow-ups. Significant between-group mean differences were found after treatment for NPRS (p < 0.001) and flexion movement (p = 0.006). At one-month follow-up, significant mean differences between groups were found for NPRS (p < 0.001), PPT (p = 0.021), and flexion (p = 0.036). At three-months follow-up, significant mean differences between groups were found for NPRS (p < 0.001), PPT (p = 0.004), and flexion (p = 0.003). This study provides evidence that PE could be more effective than TDN for short- and medium-term improvement of pain and PPTs in LE when added to an eccentric exercise program.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 88%

Percutaneous Electrolysis in the Treatment of Lateral Epicondylalgia: A Single-Blind Randomized Controlled Trial

Rodríguez-Huguet

Góngora-Rodríguez²,

Lomas‐Vega

et al. 2020

JCM

View full text Add to dashboard Cite

show abstract

“…In fact, controlled tendon loads with exercise will be clearly needed to be combined with percutaneous electrolysis to facilitate the process of collagen tissue proliferation, thus improving the biomechanical properties of the tendon. This hypothesis is partially supported by randomized clinical trials showing that combining percutaneous electrolysis with a progressive exercise program represents a promising management strategy for tendinopathies of the elbow [ 19 ], shoulder [ 21 ], or knee [ 17 ]. Future trials determining the biological effects of combing percutaneous electrolysis with active therapies such as exercise would help to elucidate the underlying mechanisms of the clinical benefits of this intervention.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, current results should be considered in the investigated scenario. Finally, the application of percutaneous electrolysis is usually ultrasound-guided [ 16 , 17 , 18 , 19 , 20 , 21 ]. In the current study, the technique was not ultrasound-guided, which could have influenced the results.…”

Section: Discussionmentioning

confidence: 99%

Changes in Gene Expression Associated with Collagen Regeneration and Remodeling of Extracellular Matrix after Percutaneous Electrolysis on Collagenase-Induced Achilles Tendinopathy in an Experimental Animal Model: A Pilot Study

Sánchez-Sánchez

Calderón-Díez

Herrero-Turrión

et al. 2020

JCM

View full text Add to dashboard Cite

Percutaneous electrolysis is an emerging intervention proposed for the management of tendinopathies. Tendon pathology is characterized by a significant cell response to injury and gene expression. No study investigating changes in expression of those genes associated with collagen regeneration and remodeling of extracellular matrix has been conducted. The aim of this pilot study was to investigate gene expression changes after the application of percutaneous electrolysis on experimentally induced Achilles tendinopathy with collagenase injection in an animal model. Fifteen Sprague Dawley male rats were randomly divided into three different groups (no treatment vs. percutaneous electrolysis vs. needling). Achilles tendinopathy was experimentally induced with a single bolus of collagenase injection. Interventions consisted of 3 sessions (one per week) of percutaneous electrolysis or just needling. The rats were euthanized, and molecular expression of genes involved in tendon repair and remodeling, e.g., Cox2, Mmp2, Mmp9, Col1a1, Col3a1, Vegf and Scx, was examined at 28 days after injury. Histological tissue changes were determined with hematoxylin–eosin and safranin O analyses. The images of hematoxylin–eosin and Safranin O tissue images revealed that collagenase injection induced histological changes compatible with a tendinopathy. No further histological changes were observed after the application of percutaneous electrolysis or needling. A significant increase in molecular expression of Cox2, Mmp9 and Vegf genes was observed in Achilles tendons treated with percutaneous electrolysis to a greater extent than after just needling. The expression of Mmp2, Col1a1, Col3a1, or Scx genes also increased, but did not reach statistical significance. This animal study demonstrated that percutaneous electrolysis applied on an experimentally induced Achilles tendinopathy model could increase the expression of some genes associated with collagen regeneration and remodeling of extracellular matrix. The observed gene overexpression was higher with percutaneous electrolysis than with just needling.

show abstract

“…9 The needle is directed at the soft tissue injuries of the musculoskeletal system under direct ultrasound visualization. PNE has proven to be effective in tendinosis, 10 plantar fasciitis, 11 whiplash syndrome, 12 and myofascial pain syndrome 13 however, its effectiveness in acute muscle injury is little known. 14,15 Hamstring strains are one of the most common types of acute muscle injuries in nearly all forms of team and individual sports involving the lower body, especially in soccer.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-guided percutaneous needle electrolysis and rehabilitation and reconditioning program following a hamstring injury reduces “return to play” time in professional soccer players: A case series

Jiménez-Rubio

Valera-Garrido

Minaya-Muñoz

et al. 2020

Revista Fisioterapia Invasiva / Journal of Invasive Techniques

View full text Add to dashboard Cite

This case series follows the treatment protocol after a grade 2 injury to the proximal semitendinosus muscle using US-guided Percutaneous Needle Electrolysis (PNE) and Rehab & Reconditioning program (RRP) in two professional soccer players. The injury was diagnosed using magnetic resonance imaging (MRI) and ultrasound imaging. The players received one session of PNE 48 hours after the injury. The indoor's phase of the RRP started 24 hours after the PNE technique and then the player proceeded to perform an on-field's phase, following which the players returned to train with the team. The effectiveness of the program was measured by comparing the match-performance data collected through Global Positioning System (GPS) in two matches before and five matches after injury and with ultrasound imaging analyzing the evolution of the muscle injury. No adverse effects were identified during or after the US-Guided PNE technique. Both players missed a single competitive game because of injury (layoff= 16 and 14 days). The GPS variables studied showed similar values before and after injury. PNE and PRR protocol improves the results of the initial phase of muscle repair and reduces the time to return to training and return to play, maintaining the GPS parameters that the players need in high performance.

show abstract

Intratissue Percutaneous Electrolysis vs Corticosteroid Infiltration for the Treatment of Plantar Fasciosis

Abstract: Level III, retrospective comparative study.

Cited by 16 publications

References 39 publications

Percutaneous Electrolysis in the Treatment of Lateral Epicondylalgia: A Single-Blind Randomized Controlled Trial

Percutaneous Electrolysis in the Treatment of Lateral Epicondylalgia: A Single-Blind Randomized Controlled Trial

Changes in Gene Expression Associated with Collagen Regeneration and Remodeling of Extracellular Matrix after Percutaneous Electrolysis on Collagenase-Induced Achilles Tendinopathy in an Experimental Animal Model: A Pilot Study

Ultrasound-guided percutaneous needle electrolysis and rehabilitation and reconditioning program following a hamstring injury reduces “return to play” time in professional soccer players: A case series

Contact Info

Product

Resources

About