Background: Corticosteroid, hyaluronic acid (HA) injections and Anti-inflammatory agents are considered as non-invasive treatments for knee osteoarthritis (OA), Chronic Tendinitis (CT) and Tennis elbow (TE) that are s...Background: Corticosteroid, hyaluronic acid (HA) injections and Anti-inflammatory agents are considered as non-invasive treatments for knee osteoarthritis (OA), Chronic Tendinitis (CT) and Tennis elbow (TE) that are supposed to provide symptomatic relief and to help surgical delay intervention. Platelet rich plasma (PRP) is a biological component shown to be beneficial for different orthopedic dysfunctionalities treatment. The presence of GFs in PRPs such as transforming growth factor-β, insulin-like growth factor 1co-stimulate the mesenchymal stem cells and fibroblasts secretions and promotes the fibrin matrix formation which effectively drive the healing process, induces regenerative response and lead to the damage structure repair in orthopedics trauma. Methods: Three groups of a total of 30 patients presenting OA, CT and TE diagnosis, non-responding to corticosteroid, HA and non-steroid anti-inflammatory treatments were randomized to undergo one intra-articular injections of single high dose of PRP. The efficacy of Intra-articular PRP Injections was evaluated before the injection and one month after. The efficiency assessment score was based on [1] Knee injury and Osteoarthritis Outcome Score, [2] Physical Function Short Form (KOOS-PS) Arabic (KSA) version LK 1.0, [3] HOOS-Physical Function Short form (HOOS-PS), and [4] Macdermid patient-rated Tennis Elbow. Results: A significant reduction of pain and a marked improvement in movements was observed in the 3 patient’s groups, PRP-injected patients showed significantly higher values compared with baseline: (p < 0.005 vs baseline), improve functional status and reduce clearly the articular dysfunctions over the time. In our study, single High dose injection of PRP provided an overall superior clinical improvement compared with HA and corticosteroid treatments over the time and the different follow-up checkpoints of the study.展开更多
Overuse injuries of the elbow and forearm are very common in athletes. This study was conducted to evaluate the effect of muscle stretching and deep friction massage with using wrist joint support during management of...Overuse injuries of the elbow and forearm are very common in athletes. This study was conducted to evaluate the effect of muscle stretching and deep friction massage with using wrist joint support during management of tennis elbow. This study included forty patients with tennis elbow divided into two equal groups: the first group with a mean age 38.1 ± 0.294 followed a physical therapy program in form of deep friction massage on the proximal attachment of wrist extensor muscles, the second group with a mean age 37.6 ± 0.253, submitted to stretching exercises of wrist extensors. Both of groups submitted to ultrasonic therapy with wrist splint during treatment period, three sessions per week for six weeks. Outcome measures were universal goniometer, visual analogue scale, and squeezing sphygmomanometer. The results showed that there was a significant improvement in ROM of wrist flexion and wrist extension, and handgrip in second group and it was more than in the first group while no significant difference in pain. This study showed that stretching exercise is more beneficial in the management of patients with tennis elbow.展开更多
Since 1991, the author has treated 32 cases of tennis elbow by the three-needle therapy on the elbow with satisfactory therapeutic results. The report is presented as follows. Clinical Data Of the 32 cases, 21 were ma...Since 1991, the author has treated 32 cases of tennis elbow by the three-needle therapy on the elbow with satisfactory therapeutic results. The report is presented as follows. Clinical Data Of the 32 cases, 21 were male and 11 female, with the age ranging from 32 to 64 years, and the duration of illness from 28 days to 1 year.展开更多
Tennis elbow, or external humeral epicondylitis, is a lingering disease with an unbearable pain. It is very difficult to be treated with a higher recurrent rate. The use of acupuncture and moxibustion in treatment of ...Tennis elbow, or external humeral epicondylitis, is a lingering disease with an unbearable pain. It is very difficult to be treated with a higher recurrent rate. The use of acupuncture and moxibustion in treatment of tennis elbow has been appreciated. This review will focus on the methods and the therapeutic effects of treating the disorder by acupuncture and moxibustion in recent years.展开更多
Prof. FANG Jian-qiao is good at clinical and basic study on acupuncture analgesia. The therapeutic efficacy in treating tennis elbow of Prof. Fang is significant,＂needling painful point＂ on the basis of clarifying c...Prof. FANG Jian-qiao is good at clinical and basic study on acupuncture analgesia. The therapeutic efficacy in treating tennis elbow of Prof. Fang is significant,＂needling painful point＂ on the basis of clarifying causes and pathogenesis of this disease in TCM and western medicine,treat this disease by using encircling needling in combina on with warm needling moxibus on,and it is convenient,safe and eff ec ve. The encircling needling in combina on with warm needling moxibus on has obvious advantages in trea ng external humeral epicondyli s.展开更多
Tennis elbow (lateral epicondylitis ) is the asepticinflammation on the attachment point of tendons ofthe forearm extensor muscles. It is a common-encountered disease with main symptoms of pain,tenderness and weakness...Tennis elbow (lateral epicondylitis ) is the asepticinflammation on the attachment point of tendons ofthe forearm extensor muscles. It is a common-encountered disease with main symptoms of pain,tenderness and weakness in holding objects. Theauthor treated 75 cases of tennis elbow by ozoneacupoint injection. It was reported as follows.展开更多
Lateral epicondylitis(LE)is a chronic aseptic inflammatory condition caused by repetitive microtrauma and excessive overload of the extensor carpi radialis brevis muscle.This is the most common cause of musculoskeleta...Lateral epicondylitis(LE)is a chronic aseptic inflammatory condition caused by repetitive microtrauma and excessive overload of the extensor carpi radialis brevis muscle.This is the most common cause of musculoskeletal pain syndrome in the elbow,inducing significant pain and limitation of the function of the upper limb.It affects approximately 1-3%of the population and is frequently seen in racquet sports and sports associated with functional overload of the elbow,such as tennis,squash,gymnastics,acrobatics,fitness,and weight lifting.Typewriters,artists,musicians,electricians,mechanics,and other professions requiring frequent repetitive movements in the elbow and wrists are also affected.LE is a leading causation for absence from work and lower sport results in athletes.The treatment includes a variety of conservative measures,but if those fail,surgery is indicated.This review summarizes the knowledge about this disease,focusing on risk factors,expected course,prognosis,and conservative and surgical treatment approaches.展开更多
External humeral epicondylitis or tennis elbow, is a commonly encountered disease in orthopaedics and traumatology. The curative effect is not satisfactory as far as its treatment by western and traditional Chinese me...External humeral epicondylitis or tennis elbow, is a commonly encountered disease in orthopaedics and traumatology. The curative effect is not satisfactory as far as its treatment by western and traditional Chinese medicine is concerned, which has a long course of treatment and a high recurrent rate. 70 cases of external humeral epicondylitis were treated by massotherapy after local blocking from August 1995 to October 1997 at this hospital with satisfactory therapeutic effects.Clinical DataOf the 70 cases in this series treated by massotherapy after local blocking, 30 were males and 40 females, ranging in age from 19 to 65 years. 55 cases were 30 to 50 years old, 20 had the left elbow affected and 50 the right elbow. 7 cases had a history of trauma, 50 a history of chronic strain, and 13 the cause unknown. The shortest duration of disease was 15 days and the longest 24 months.Among 50 cases in the control group treated by massotherapy, 20 cases were males and 30 females, ranging in age from 16 to 58 years. 40 cases were 30 to 50 years old. 15 cases were affected on the left elbow and 35 on the right elbow. 6 cases had a history of trauma, 32 a history of chronic strain, and 12 the cause unknown. The shortest duration of diseases was 7 days and the longest 22 months.展开更多
Subcutaneous needling is an old art of the 'twelve needling methods' in TCM for treating arthralgia due to cold or disorders in the superficial tissues. Some cases are effectively treated as introduced bel... Subcutaneous needling is an old art of the 'twelve needling methods' in TCM for treating arthralgia due to cold or disorders in the superficial tissues. Some cases are effectively treated as introduced below.……展开更多
Background Conventional ultrasonography or magnetic resonance （MR） imaging is commonly performed to obtain information about the severity of the disease,location of the injury,and differential diagnosis.The aim of t...Background Conventional ultrasonography or magnetic resonance （MR） imaging is commonly performed to obtain information about the severity of the disease,location of the injury,and differential diagnosis.The aim of this research was to investigate the diagnostic confidence of sonoelastography as an adjunct to greyscale ultrasonography in lateral elbow tendinopathy.Methods A single experienced physiatrist performed greyscale ultrasonography and sonoelastography in 28 patients （9 men,19 women; mean age,48.5 years; age range,36-67 years） with unilateral symptoms of lateral elbow tendinopathy; the asymptomatic elbows were used as controls.Greyscale images were described as normal,tendinosis,partialthickness tear,and full-thickness tear.Sonoelastographic images of the common extensor tendon were analyzed qualitatively （scoring of the elastic spectrum） and quantitatively （based on a color histogram）.Results Both the imaging methods had high sensitivity,specificity,and accuracy for diagnosing lateral elbow tendinopathy.Considering the clinical diagnosis of lateral elbow tendinopathy,sonoelastography showed significantly higher diagnostic accuracy （96.4％） than ultrasonography （89.5％,P ＜0.01）.Quantitative analysis showed objective interpretation of the sonoelastographic images that revealed greater intensity of green and blue pixels in symptomatic elbows （P ＜0.01）.Conclusion Sonoelastography increases diagnostic confidence in tennis elbow pathology over greyscale ultrasonography alone and may be an additional powerful diagnostic tool in cases of lateral elbow tendinopathy with inconclusive greyscale ultrasonographic findings.展开更多
Objective： To observe the clinical effect of superficial needling for ntractable humeral epicondylitis. Methods： Sixty cases in conformity with the inclusion criteria of intractable humeral epicondylitis were rando...Objective： To observe the clinical effect of superficial needling for ntractable humeral epicondylitis. Methods： Sixty cases in conformity with the inclusion criteria of intractable humeral epicondylitis were randomly divided into two groups, 30 cases in each. The cases in the superficial needling group were treated by superficial needling plus moxibustion, while those in the electro- acupuncture （EA） group were treated by EA plus moxibustion. After treatment, the improvement of the clinical symptoms and signs were compared between the two groups. Results： The curative rate was 80.0% and the total effective rate was 96.7% in the superficial needling group. The curative rate was 60.0% and the total effective rate was 83.3% in the EA group. The differences in the clinical effects between the two groups were statistically significant （P〈0.05）. Conclusion： The therapeutic effect of superficial needling plus moxibustion for intractable humeral epicondylitis is better than that of EA plus moxibustion.展开更多
Objective: To observe the clinical efficacy of tuina combined with electroacupuncture(EA) in treating lateral humeral epicondylitis. Methods: Totally 118 patients were randomly allocated into a treatment group and a c...Objective: To observe the clinical efficacy of tuina combined with electroacupuncture(EA) in treating lateral humeral epicondylitis. Methods: Totally 118 patients were randomly allocated into a treatment group and a control group, 59 cases in each. The patients in the treatment group were treated with tuina combined with EA treatment, while those in the control group were treated by EA alone. Clinical efficacies of the two groups were compared after the treatment. Results: The total effective rate was 93.2% in the treatment group, versus 84.7% in the control group, and the difference was statistically significant(P<0.05). Conclusion: Tuina combined with EA treatment for lateral humeral epicondylitis has a significant effect.展开更多
Contralateral Needling is an ancient needling method recorded in Nei Jing （Inner Canon）. It said in the Guan Zhen chapter of Ling Shu （chapter of needling technique of Spiritual Pivot） that contralateral needling ...Contralateral Needling is an ancient needling method recorded in Nei Jing （Inner Canon）. It said in the Guan Zhen chapter of Ling Shu （chapter of needling technique of Spiritual Pivot） that contralateral needling is to needle the points on contralateral side to the affected side of the body.展开更多
文摘Background: Corticosteroid, hyaluronic acid (HA) injections and Anti-inflammatory agents are considered as non-invasive treatments for knee osteoarthritis (OA), Chronic Tendinitis (CT) and Tennis elbow (TE) that are supposed to provide symptomatic relief and to help surgical delay intervention. Platelet rich plasma (PRP) is a biological component shown to be beneficial for different orthopedic dysfunctionalities treatment. The presence of GFs in PRPs such as transforming growth factor-β, insulin-like growth factor 1co-stimulate the mesenchymal stem cells and fibroblasts secretions and promotes the fibrin matrix formation which effectively drive the healing process, induces regenerative response and lead to the damage structure repair in orthopedics trauma. Methods: Three groups of a total of 30 patients presenting OA, CT and TE diagnosis, non-responding to corticosteroid, HA and non-steroid anti-inflammatory treatments were randomized to undergo one intra-articular injections of single high dose of PRP. The efficacy of Intra-articular PRP Injections was evaluated before the injection and one month after. The efficiency assessment score was based on [1] Knee injury and Osteoarthritis Outcome Score, [2] Physical Function Short Form (KOOS-PS) Arabic (KSA) version LK 1.0, [3] HOOS-Physical Function Short form (HOOS-PS), and [4] Macdermid patient-rated Tennis Elbow. Results: A significant reduction of pain and a marked improvement in movements was observed in the 3 patient’s groups, PRP-injected patients showed significantly higher values compared with baseline: (p < 0.005 vs baseline), improve functional status and reduce clearly the articular dysfunctions over the time. In our study, single High dose injection of PRP provided an overall superior clinical improvement compared with HA and corticosteroid treatments over the time and the different follow-up checkpoints of the study.
文摘Overuse injuries of the elbow and forearm are very common in athletes. This study was conducted to evaluate the effect of muscle stretching and deep friction massage with using wrist joint support during management of tennis elbow. This study included forty patients with tennis elbow divided into two equal groups: the first group with a mean age 38.1 ± 0.294 followed a physical therapy program in form of deep friction massage on the proximal attachment of wrist extensor muscles, the second group with a mean age 37.6 ± 0.253, submitted to stretching exercises of wrist extensors. Both of groups submitted to ultrasonic therapy with wrist splint during treatment period, three sessions per week for six weeks. Outcome measures were universal goniometer, visual analogue scale, and squeezing sphygmomanometer. The results showed that there was a significant improvement in ROM of wrist flexion and wrist extension, and handgrip in second group and it was more than in the first group while no significant difference in pain. This study showed that stretching exercise is more beneficial in the management of patients with tennis elbow.
文摘Since 1991, the author has treated 32 cases of tennis elbow by the three-needle therapy on the elbow with satisfactory therapeutic results. The report is presented as follows. Clinical Data Of the 32 cases, 21 were male and 11 female, with the age ranging from 32 to 64 years, and the duration of illness from 28 days to 1 year.
文摘Tennis elbow, or external humeral epicondylitis, is a lingering disease with an unbearable pain. It is very difficult to be treated with a higher recurrent rate. The use of acupuncture and moxibustion in treatment of tennis elbow has been appreciated. This review will focus on the methods and the therapeutic effects of treating the disorder by acupuncture and moxibustion in recent years.
基金Supported by a construc on project of inheritance studio of TCM of old Chinese medicine experts:GZS 2012014a na onal construc on project of inheritance studio of TCM of old Chinese medicine experts in 2013
文摘Prof. FANG Jian-qiao is good at clinical and basic study on acupuncture analgesia. The therapeutic efficacy in treating tennis elbow of Prof. Fang is significant,＂needling painful point＂ on the basis of clarifying causes and pathogenesis of this disease in TCM and western medicine,treat this disease by using encircling needling in combina on with warm needling moxibus on,and it is convenient,safe and eff ec ve. The encircling needling in combina on with warm needling moxibus on has obvious advantages in trea ng external humeral epicondyli s.
文摘Tennis elbow (lateral epicondylitis ) is the asepticinflammation on the attachment point of tendons ofthe forearm extensor muscles. It is a common-encountered disease with main symptoms of pain,tenderness and weakness in holding objects. Theauthor treated 75 cases of tennis elbow by ozoneacupoint injection. It was reported as follows.
文摘Lateral epicondylitis(LE)is a chronic aseptic inflammatory condition caused by repetitive microtrauma and excessive overload of the extensor carpi radialis brevis muscle.This is the most common cause of musculoskeletal pain syndrome in the elbow,inducing significant pain and limitation of the function of the upper limb.It affects approximately 1-3%of the population and is frequently seen in racquet sports and sports associated with functional overload of the elbow,such as tennis,squash,gymnastics,acrobatics,fitness,and weight lifting.Typewriters,artists,musicians,electricians,mechanics,and other professions requiring frequent repetitive movements in the elbow and wrists are also affected.LE is a leading causation for absence from work and lower sport results in athletes.The treatment includes a variety of conservative measures,but if those fail,surgery is indicated.This review summarizes the knowledge about this disease,focusing on risk factors,expected course,prognosis,and conservative and surgical treatment approaches.
文摘External humeral epicondylitis or tennis elbow, is a commonly encountered disease in orthopaedics and traumatology. The curative effect is not satisfactory as far as its treatment by western and traditional Chinese medicine is concerned, which has a long course of treatment and a high recurrent rate. 70 cases of external humeral epicondylitis were treated by massotherapy after local blocking from August 1995 to October 1997 at this hospital with satisfactory therapeutic effects.Clinical DataOf the 70 cases in this series treated by massotherapy after local blocking, 30 were males and 40 females, ranging in age from 19 to 65 years. 55 cases were 30 to 50 years old, 20 had the left elbow affected and 50 the right elbow. 7 cases had a history of trauma, 50 a history of chronic strain, and 13 the cause unknown. The shortest duration of disease was 15 days and the longest 24 months.Among 50 cases in the control group treated by massotherapy, 20 cases were males and 30 females, ranging in age from 16 to 58 years. 40 cases were 30 to 50 years old. 15 cases were affected on the left elbow and 35 on the right elbow. 6 cases had a history of trauma, 32 a history of chronic strain, and 12 the cause unknown. The shortest duration of diseases was 7 days and the longest 22 months.
文摘 Subcutaneous needling is an old art of the 'twelve needling methods' in TCM for treating arthralgia due to cold or disorders in the superficial tissues. Some cases are effectively treated as introduced below.……
文摘Background Conventional ultrasonography or magnetic resonance （MR） imaging is commonly performed to obtain information about the severity of the disease,location of the injury,and differential diagnosis.The aim of this research was to investigate the diagnostic confidence of sonoelastography as an adjunct to greyscale ultrasonography in lateral elbow tendinopathy.Methods A single experienced physiatrist performed greyscale ultrasonography and sonoelastography in 28 patients （9 men,19 women; mean age,48.5 years; age range,36-67 years） with unilateral symptoms of lateral elbow tendinopathy; the asymptomatic elbows were used as controls.Greyscale images were described as normal,tendinosis,partialthickness tear,and full-thickness tear.Sonoelastographic images of the common extensor tendon were analyzed qualitatively （scoring of the elastic spectrum） and quantitatively （based on a color histogram）.Results Both the imaging methods had high sensitivity,specificity,and accuracy for diagnosing lateral elbow tendinopathy.Considering the clinical diagnosis of lateral elbow tendinopathy,sonoelastography showed significantly higher diagnostic accuracy （96.4％） than ultrasonography （89.5％,P ＜0.01）.Quantitative analysis showed objective interpretation of the sonoelastographic images that revealed greater intensity of green and blue pixels in symptomatic elbows （P ＜0.01）.Conclusion Sonoelastography increases diagnostic confidence in tennis elbow pathology over greyscale ultrasonography alone and may be an additional powerful diagnostic tool in cases of lateral elbow tendinopathy with inconclusive greyscale ultrasonographic findings.
基金supported by Taihe Hospital Affiliated to Hubei Medical College
文摘Objective： To observe the clinical effect of superficial needling for ntractable humeral epicondylitis. Methods： Sixty cases in conformity with the inclusion criteria of intractable humeral epicondylitis were randomly divided into two groups, 30 cases in each. The cases in the superficial needling group were treated by superficial needling plus moxibustion, while those in the electro- acupuncture （EA） group were treated by EA plus moxibustion. After treatment, the improvement of the clinical symptoms and signs were compared between the two groups. Results： The curative rate was 80.0% and the total effective rate was 96.7% in the superficial needling group. The curative rate was 60.0% and the total effective rate was 83.3% in the EA group. The differences in the clinical effects between the two groups were statistically significant （P〈0.05）. Conclusion： The therapeutic effect of superficial needling plus moxibustion for intractable humeral epicondylitis is better than that of EA plus moxibustion.
基金supported by Lu’s Acupuncture Inheritance Study of Shanghai Schools of Traditional Chinese Medicine (No.ZYSNXD-CC-HPGC-JD-004)
文摘Objective: To observe the clinical efficacy of tuina combined with electroacupuncture(EA) in treating lateral humeral epicondylitis. Methods: Totally 118 patients were randomly allocated into a treatment group and a control group, 59 cases in each. The patients in the treatment group were treated with tuina combined with EA treatment, while those in the control group were treated by EA alone. Clinical efficacies of the two groups were compared after the treatment. Results: The total effective rate was 93.2% in the treatment group, versus 84.7% in the control group, and the difference was statistically significant(P<0.05). Conclusion: Tuina combined with EA treatment for lateral humeral epicondylitis has a significant effect.
文摘Contralateral Needling is an ancient needling method recorded in Nei Jing （Inner Canon）. It said in the Guan Zhen chapter of Ling Shu （chapter of needling technique of Spiritual Pivot） that contralateral needling is to needle the points on contralateral side to the affected side of the body.
