Afsar Khan, Muhammad Zahid Shah, Muhammad Shoaib.
Efficacy of Autologous Blood Injections plus Dry Needling in Refractory Tennis Elbow.
Pak J Med Health Sci Jan ;14(2):601-3.

Objective: To assess the efficacy of autologous blood injections plus dry needling in refractory tennis elbow Study Design: Descriptive study Place and Duration of Study: Department of Orthopaedic, MTI Khyber Teaching Hospital, Peshawar, KPK, Pakistan from July 2016 to June 2018. Materials and Methods: Thirty four patients with refractory tennis elbow meeting the inclusion criteria were enrolled in the study. Each patient was subjected to 2ml of autologous blood injection plus dry needling at the point of maximal tenderness of the affected elbow. Pretreatment and post-treatment assessment was done at 4 weeks, 8 weeks and 12 weeks using VAS pain score and Nirschl stage. Results: Out of 34 patients, 24 (70.59%) patients were females and 10 (29.41%) were males. Mean age of the patients was 38.76years +- 6.96SD. In 27 (79.41 %) patients, right elbow was involved while in 7 (20.59 %) patients, left elbow was involved. Most patients (n= 26, 76.47%) were in the age range of 30-50 years. Mean duration of symptoms was15.73weeks +- 3.02SD. Mean VAS pain score and mean Nirschl stage, both pre-treatment and posttreatment at 4, 8 and 12 weeks were calculated. There was statistically significant decrease in mean VAS pain score and mean Nirschl stage at 12 weeks (p value < 0.05). No local or systemic complication was noted. There was no loss to follow up. Conclusion: Autologous blood injection plus dry needling is effective in the treatment of refractory tennis elbow. We recommend long term comparative study to confirm the results.

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