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

Article information

J Korean Med. 2024;45(2):137-143
Publication date (electronic) : 2024 June 01
doi : https://doi.org/10.13048/jkm.24030
Seung-Yun Ohorcid_icon, Myung-Ho Kimorcid_icon, Soo-Jung Parkorcid_icon
Woosuk University Medical Center
Correspondence to: Soo-Jung Park, Woosuk University Medical Center, Tel: +82-10-6287-0248, E-mail: taorgi@hanmail.net
Received 2024 April 3; Revised 2024 April 30; Accepted 2024 May 7.

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.

Changes in pain and functional assessment of lateral epicondylitis

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Article information Continued

Fig. 1

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