A new IR treatment for "tennis elbow" reduces pain and inflammation without surgery



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A tennis elbow, a painful chronic condition affecting up to 3 percent of the adult US population, can be effectively treated with transcatheter arterial embolization (TAE), a non-surgical treatment that reduces abnormal blood flow to the affected area. reduction of inflammation and pain, research showed, which were presented today at the annual scientific meeting of the Society of Interventional Radiology. The condition, also known as lateral epicondylitis, is a result of repeated stress-related injuries that occur in activities such as sports, typing and knitting. .

"A tennis elbow can be difficult to heal, which makes many patients unable to perform the simplest tasks, such as picking up their children, cooking dinners or even working on a computer. Unsuccessful physical therapy and the use of medicines," said Dr. Yuji Okuno, founder of the Okuno Clinic in Japan and the main author of the study. "We were wondering if this technique, which is already being used in other parts of the body, would be effective for this common, debilitating condition and help people to immediately gain the kind of movement that many of us take to be self-evident in our everyday tasks. ""

Group dr. Okuno carried out a prospective study in 52 tamburitis patients who did not find relief from other forms of treatment. Patients received TAE between March 2013 and October 2017, followed by up to four years after treatment. Researchers said that a statistically significant reduction in pain assessment estimates was found, using methods, including rapid handicaps, deadlines and deadlines; visual analog scale for assessment of pain; Estimates of tennis elbow assessed by patient; and firmness of grip without pain. In addition, images taken at 32 patients, two years after TAE transition, showed an improvement in tendinosis and lacerations.

Treatment may end in about an hour and only requires a needle hole that allows access to the radial artery in the wrist under local anesthesia. The catheter moves through the wrist to the elbow, where the inflammation of the blood vessels is embolized, which prevents excessive flow of blood into the affected part of the elbow. Treatment is safe and effective and does not require physical therapy. No adverse effects were observed and no patients had any adverse effects on the bones, cartilage or muscles.

The tennis elbow is a result of excessive and repetitive stress on the tendons and muscles around the elbow. It usually affects people who are sporting repetitive movements, such as tennis or golf, but can also affect the work of carpenters, chefs, workers on the assembly line, and others. While pain is a symptomatic symptom, chronic tennis elbow can lead to loss of grip and arm strength, limited use of the hand and burning sensation on the outside of the arm.


The study concludes that treatment of tennis elbow does not bring any benefit


More information:
Summary 25: An intermediate clinical outcome after transcatheter arterial embolization for resistance to lateral epicondilitis to conservative treatment. Y. Okuno; M. Shibuya. Okuno Clinic, Tokyo, Japan. Annual Scientific Meeting SIR, 23-28. March 2019. The summary is available at sirmeeting.org.

He provides it
Society of Interventional Radiology

Indication:
New IR therapy for tennis elbow reduces pain and inflammation without surgery (2019, March 24)
imposed on 24 March 2019
from https://medicalxpress.com/news/2019-03-ir-treatment-tennis-elbow-pain.html

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