Percutaneous tendon dry needling and thrust manipulation as an adjunct to multimodal physical therapy in patients with lateral elbow tendinopathy: A multicenter randomized clinical trial.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Declaration of Conflicting InterestsJ.D. is the Director of the American Academy of Manipulative Therapy Fellowship in Orthopaedic Manual Physical Therapy. The American Academy of Manipulative Therapy provides postgraduate training programs in musculoskeletal sonography, vestibular rehabilitation, spinal manipulation, spinal mobilization, dry needling, extremity manipulation, extremity mobilization, instrument-assisted soft-tissue mobilization, therapeutic exercise, and differential diagnosis to licensed physical therapists, dentists, osteopaths, and medical doctors. J.D., I.Y., P.B., P.G., and N.Z. are senior faculty of the American Academy of Manipulative Therapy Fellowship. None of the authors were directly involved with subject recruitment, treatment sessions, or data collection. None of the treating therapists were reimbursed in any way for subject recruitment, treatment sessions, or data collection. The other authors declare that they have no competing interests. 6. J Am Acad Orthop Surg. 2008 Oct;16(10):574-85. doi: 10.5435/00124635-200810000-00003. Elbow arthroscopy. Dodson CC(1), Nho SJ, Williams RJ 3rd, Altchek DW. Author information: (1)Hospital for Special Surgery, New York, NY 10021, USA. Arthroscopy of the elbow was originally considered to be an unsafe procedure because of the small size of the elbow joint capsule and its proximity to several crucial neurovascular structures. Over the past decade, however, the procedure has become safer and more effective. These improvements can be attributed to a better understanding of elbow anatomy and of the disorders about the elbow as well as to advances in arthroscopic equipment and surgical technique. The most common indications for elbow arthroscopy include removal of loose bodies, synovectomy, débridement and/or excision of osteophytes, capsular release, and the assessment and treatment of osteochondritis dissecans. More recent advances have expanded the indications of elbow arthroscopy to include fracture management (eg, radial head fractures) and the treatment of lateral epicondylitis. DOI: 10.5435/00124635-200810000-00003