Intended for healthcare professionals

Rapid response to:

Clinical Review

Treatment of tennis elbow: the evidence

BMJ 2003; 327 doi: (Published 07 August 2003) Cite this as: BMJ 2003;327:330

Rapid Response:

Dry needling therapy in the treatment of lateral epicondylitis

I have started a prospective double blind randomised control trial
looking at dry needling therapy for lateral epicondylitis. This is a
relatively new treatment which involves the passage of a hollow needle
into the abnormal tendon substance under ultrasound guidance. The
area needled is one of angiofibrobalstic degeneration of the tendon
substance and creates an area of bleeding. This is thought to reset the
inflammatory response and allow fibroblastic proliferation and collagen
formation leading to tendon healing. We have had excellent results using
this technique.

Competing interests:
None declared

Competing interests: No competing interests

30 May 2004
Kalpesh Parmar
Sports Medicine Registrar
Narrabeen Sports Medicine Centre, Sydney Academy of Sport, Australia