{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:27:53Z","timestamp":1786728473189,"version":"build-2736575974"},"reference-count":0,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"Abstract<\/jats:title>\n \n Introduction:<\/jats:title>\n Lateral epicondylitis, commonly known as tennis elbow, is a prevalent musculoskeletal condition affecting 1%\u20133% of the population, with a higher incidence among athletes and manual laborers. It impairs quality of life, reduces productivity, and imposes economic burden on healthcare systems.<\/jats:p>\n <\/jats:sec>\n \n Aim:<\/jats:title>\n This study aimed to compare the efficacy of dry needling after lignocaine infiltration versus local corticosteroid injection in managing lateral epicondylitis.<\/jats:p>\n <\/jats:sec>\n \n Methodology:<\/jats:title>\n \n This hospital-based, prospective, randomized comparative study was conducted over 18 months in the orthopedics department of a tertiary care hospital. Forty-five patients over 18 years with lateral epicondylitis unresponsive to 3 weeks of conservative treatment were randomized into two groups. Group A (\n n<\/jats:italic>\n = 21) received dry needling after lignocaine infiltration with 2\u20133 sterile needles inserted at the point of maximum tenderness, administered twice weekly for four sessions. Group B (\n n<\/jats:italic>\n = 24) received a single injection of 40 mg triamcinolone acetate with 2% lignocaine. Outcome measures included patient-rated tennis elbow evaluation (PRTEE) scores, grip strength, numeric pain rating scale, and pain pressure threshold (PPT), assessed at baseline, 1 month, and 3 months.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Baseline characteristics were comparable. At 3 months, Group A showed significantly better outcomes: lower PRTEE scores (27.1 vs. 37.1,\n P<\/jats:italic>\n < 0.001), higher grip strength (49 kg vs. 40.8 kg,\n P<\/jats:italic>\n < 0.001), lower pain scores (2.1 vs. 3.1,\n P<\/jats:italic>\n < 0.001), and higher PPT (5.6 vs. 4.7 kg\/cm\n 2<\/jats:sup>\n ,\n P<\/jats:italic>\n < 0.001). Recurrence occurred in 8.3% of Group B, with none in Group A.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Dry needling after lignocaine infiltration is superior to steroid injection in lateral epicondylitis, with better clinical outcomes and lower recurrence at 3-month follow-up.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/aam.aam_561_25","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T02:00:14Z","timestamp":1769479214000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["To Study Efficacy of Dry Needling after Lignocaine Infiltration versus Local Steroid Injection for Management of Patients with Lateral Epicondylitis (Tennis Elbow)"],"prefix":"10.4103","author":[{"given":"Sumit","family":"Jadhav","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Urva","family":"Dholu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nishesh","family":"Dewangan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shashank","family":"Ugile","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayan","family":"Ghosh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,23]]},"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_561_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:27:29Z","timestamp":1786724849000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_561_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,23]]},"references-count":0,"URL":"https:\/\/doi.org\/10.4103\/aam.aam_561_25","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,23]]},"assertion":[{"value":"2025-09-21","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-17","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}