Acupuncture for lateral epicondylitis

Lateral epicondylitis [LE], is one of the most common diseases of the arm with repetitive microtrauma by overuse of the wrist. Several conventional therapies are offered for tennis elbow.When classical conservative treatments are unsuccessful or have side effects, patients opt for complementary medicine, particularly needle acupuncture. A 26-year-old male right-handed amateur volleyball player presented with severe pain radiating from the lateral aspect of the right elbow. Pain was initiated by resisted wrist extension with the elbow in full extension and the forearm in pronation. His pain was unresponsive to NSAID, local corticosteroid injection, and 21 times rehabilitation. The body points were selected according to the pulse test in Chinese medicine, and the ear points were determined by detecting the Nogiers' ear acupuncture points. The energy level of the patient was measured using the pulse oscillography. Blocking was observed in all three energy circles on the pulse oscillography. At the end of the therapy, the average grip strength of the affected hand increased and VAS had decreased by the end of the treatment. The pulse oscillography indicated that the blocking and energy imbalance in the three circles were completely dissolved

In conclusion, acupuncture is an effective therapy for LE, and pulse oscillography is an important device for the diagnosis and therapy

Arthroscopic treatment of Synovial Osteochondromatosis of the elbow

A 40-year-old man presented with complaints of pain that continued to increase over a year. There was swelling and limitation of motion in his right elbow. There was an increase in the diameter of the right elbow, painful joint movements, and 30-degree extension loss in the physical examination of the patient. Direct radiography and computed tomography scans of the right elbow showed calcified joint mouses three in front and one at the back of the elbow. Magnetic resonance imaging [MRI] showed the increment of fluid and free hypodense objects in front of the elbow. Following an initial diagnosis of synovial chondromatosis, arthroscopic surgery was performed. Three dirty white colored free bodies were removed with partial synovectomy by reaching front and back of the elbow from standard inputs. Thediagnosis of synovial chondromatosis was confirmed with pathological examination. The patient's pain recovered in the first postoperative week, and the full range of motion reached in the third week. At the end of the 1-year follow-up, the patient's complaints completely disappeared, and there was no evidence of recurrence