Ultrasound-Guided Percutaneous Needle Therapy Effective for Tennis Elbow

A new minimally invasive treatment that combines the skills of a radiologist and a sports medicine physician effectively reduced pain and restored function in 65% of patients with a range of injuries, from tennis elbow to jumper knee, according to Levon N. Nazarian, MD, professor of radiology at Jefferson Medical College, Thomas Jefferson University, in Philadelphia, Pennsylvania.

For years, sports medicine specialists have been injecting injured elbows and knees with either anesthetics or corticosteroids to treat minor tears, said Dr. Nazarian, “but we are combining ultrasound with needle therapy so that the needle is carefully guided to the point of injury.” He presented the study here at the 88th Scientific Assembly and Annual Meeting of the Radiological Society of North America.

While standard “needle therapy” either draws fluid out of a joint or injects something into the injured joint, the ultrasound-guided needle therapy allows the sports medicine specialist to use the needle as a very tiny surgical instrument “to either break up scars or poke holes in an injured ligament so that bleeding occurs. The blood cells carry precursors to collagen, which eventually develops into collagen to replace the damaged tissue,” Dr. Nazarian said.

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