BASBone and Arthrosurgery Science3083-48562981-8222Bio-Byword Scientific Publishing Pty. Ltd.10.26689/bas.v2i1.6486ArticleClinical Efficacy of Needle-Knife Therapy Combined with Muscle Energy Technique in the Treatment of Lateral Epicondylitis of the Humerushttps://artdesignp.com/journal/BAS/2/1/10.26689/bas.v2i1.6486ZhouZugang,WangYue,SuLing,ZhangZhao,YuanXiuli2024212024-03-20Objective: To observe the clinical efficacy of needle-knife therapy combined with muscle energy technique in treating external humeral epicondylitis and analyze its advantages. Method: 71 patients with lateral epicondylitis of the humerus were randomly divided into an experimental group (n = 36 cases, needle-knife therapy combined with muscle energy technique) and a control group (n = 35 cases, electroacupuncture therapy combined with muscle energy technique) using a random number method. The visual analog scale (VAS) scores, Mayo elbow performance score (MEPS), Barthel index (BI) scores, and self-rating anxiety scale (SAS) scores were compared between the two groups before and after treatment and during follow-up. Results: At the end of the treatment and follow-up period, within the same group, the VAS score decreased (P < 0.05), while the MEPS, BI index score, and SAS score increased (P < 0.05). In intergroup comparison, the VAS scores of the experimental group were lower than those of the control group; the MEPS, BI index score, and SAS score did not show statistically significant differences between groups at each time point (P > 0.05). Conclusion: The combination of needle-knife therapy and muscle energy technique in treating lateral epicondylitis of the humerus has advantages such as good analgesic effect, less treatment frequency, and consolidated long-term efficacy, which is worthy of further research and promotion.

Zhou H, 2003, The Manual Treatment of 30 Cases of Lateral Superhumeral Inflammation. Chinese Journal of Physical Medicine and Rehabilitation, 25(3): 190.

Zhu J, 2022, Biomechanical Analysis of Tennis Elbow Injury Mechanism. Contemporary Sports Science and Technology, 12(03): 23–26.

Yang M, Zhao M, Zhang X, 2021, Research on the Current Status of External Treatment Methods for Lateral Epicondylitis of the Humerus. Chinese Recuperative Medicine, 30(11): 1154–1157.

China Association of Traditional Chinese Medicine, 2013, Lateral Epicondylitis. Rheumatology and Arthritis, 2(03): 77–78.

Gregory BP, Wysocki RW, Cohen MS, 2016, Controversies in the Surgical Management of Recalcitrant Enthesopathy of the Extensor Carpi Radialis Brevis. J Hand Surg Am, 41(8): 856–859.

Wu SY, Lu CN, Chung CJ, et al., 2019, Therapeutic Effects of Acupuncture Plus Fire Needle Versus Acupuncture Alone in Lateral Epicondylitis: A Randomized Case-Control Pilot Study. Medicine (Baltimore), 98(22): e15937.

Song S, Yuan Z, Zhao H, et al., 2013, Chinese Medicinal Composition for Treating Tennis Elbow. CN 102526409 B, December 11, 2013.

Xun A, Liu B, Wang F, 2018, Analysis of Acupoint Selection and Medication Rules for Treating Tennis Elbow Based on Modern Literature. Jilin Traditional Chinese Medicine, 38(01): 1–5.

Minimally Invasive Acupuncture Committee of the Chinese Acupuncture and Moxibustion Society, 2012, Clinical Diagnosis, Treatment and Operation Standards of Needle Knife, Beijing Traditional Chinese Medicine Press, Beijing, 28.

[Liang F, Wang H, 2016, Acupuncture, China Traditional Chinese Medicine Press, Beijing, 278–278.

Jiang X, Wang D, 2005, Orthopedic Clinical Efficacy Evaluation Standards, People’s Medical Publishing House, Beijing, 58–59.

Lu G, 2014, Causes, Diagnosis and Treatment Progress of Tennis Elbow. Bulletin of Sports Science and Technology Literature, 22(07): 118–121.

Guo Z, Han G, Wang Z, 2007, Causes of Tennis Elbow and its Relationship with Anatomical Structures. Journal of Xinxiang Medical College, 109(03): 254–256.

Qiao R, Shu J, Ouyang J, 1965, Causes and Treatment of Lateral Epicondylitis of the Humerus. Chinese Journal of Surgery, 13(11): 997–999.

Kaplan EB, 1959, Treatment of Tennis Elbow. J Bone Joint Surg, 1959(41): 147.

Zhou Z, Zheng G, Liu Y, 2021, Platelet-Rich Plasma Combined with Rehabilitation Training for Treating Lateral Epicondylitis of the Humerus. Chinese Journal of Orthopedics and Traumatology of Traditional Chinese Medicine, 29(02): 37–40.

Hong H, Zhang K, Liu Z, et al., 2020, Mechanism of Needle Knife in Treating Chronic Soft Tissue Injury Rat Model. Journal of Xinjiang Medical University, 43(2): 229–232.

Cheng L, Chen Z, He Y, et al., 2016, The Effect of Tendon-Regulating and Bone-Setting Techniques Combined with Exercise Therapy in Treating Lateral Epicondylitis of the Humerus. Guangdong Medicine, 37(12): 1884–1886.