A Case Report of Ultrasound-guided Hominis Placenta Pharmacopuncture on Lateral epicondylitis

Seung-Yun Oh; Myung-Ho Kim; Soo-Jung Park; Oh, Seung-Yun; Kim, Myung-Ho; Park, Soo-Jung

doi:10.13048/jkm.24030

JKM > Volume 45(2); 2024 > Article

Oh, Kim, and Park: A Case Report of Ultrasound-guided Hominis Placenta Pharmacopuncture on Lateral epicondylitis

Case Report

The Journal of Korean Medicine 2024; 45(2): 137-143.

Published online: June 01, 2024

DOI: https://doi.org/10.13048/jkm.24030

A Case Report of Ultrasound-guided Hominis Placenta Pharmacopuncture on Lateral epicondylitis

Seung-Yun Oh

, Myung-Ho Kim

, Soo-Jung Park^*

Woosuk University Medical Center

Correspondence to: Soo-Jung Park, Woosuk University Medical Center, Tel: +82-10-6287-0248, E-mail: taorgi@hanmail.net

Received April 3, 2024 Revised April 30, 2024 Accepted May 7, 2024

Abstract

Objectives

This case study aims to demonstrate the efficacy of ultrasound-guided hominis placenta pharmacopuncture in lateral epicondylitis.

Methods

A 42-year-old male patient presented with lateral epicondylitis of the right arm of 4 months’ duration. Sonographic findings were tearing of the common extensor tendon at the lateral epicondyle. The patient was treated with ultrasound-guided hominis placenta pharmacopuncture and acupuncture for 9 weeks. The numeric rating scale (NRS) and patient-rated tennis elbow evaluation(PRTEE) were used to assess pain, function and progression. Ultrasound images were compared every 2 weeks.

Results

After treatments, NRS and PRTEE were reduced from 7 to 1 and from 106 to 22, respectively. And improvement was observed in the torn region of the common extensor tendon on ultrasound imaging.

Conclusion

This case demonstrates that ultrasound-guided hominis placenta pharmacopuncture could improve lateral epicondylitis and tear with minimally invasive methods.

Keywords: Lateral epicondylitis, Pharmacopuncture, Hominis Placenta, Ultrasonography, Case report

Fig. 1

Lateral epicondylitis of the right elbow and healing changes after ultrasound-guided pharmacopuncture.

(A) Long-axis ultrasound image of the common extensor tendon at visit 1. The arrow indicates the torn region. LE, Lateral epicondyle; RH, Radial head. (B) Ultrasound-guided Pharmacopuncture injection to the wound site and fascia of the extensor digitorum brevis tendon. The arrow heads indicates the approach of the needle. (C) 3 weeks after visit 1. (D) 5 weeks. (E) 7 weeks. (F) 9 weeks.

Table 1

Changes in pain and functional assessment of lateral epicondylitis

Visit	1	2	3	4	5	6	7	8	9	10	11	12
weeks	(1)		(2)		(3)		(5)		(6)	(7)	(8)	(9)
NRS	7	7	4	3	3	2	1	1	2	1	1	1
PRTEE	106											22

NRS, Numeric Rating Scale; PRTEE, Patient-Rated Tennis Elbow Evaluation

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