Abstract:SummaryBackground: Proximal Hamstring Tendinopathyrelated Sciatic Nerve Entrapment (PHTrSNE) is a neuropathy caused by fibrosis interposed between the semimembranosus tendon and the sciatic nerve, at the level of the ischial tuberosity. Methods: Ultrasound-guided Intratissue Percutaneous Electrolysis (US-guided EPI) involves galvanic current transfer within the treatment target tissue (fibrosis) via a needle 0.30 to 0.33 mm in diameter. The galvanic current in a saline solution instantly develops the chemical … Show more
“…Furthermore, it acts to inhibit the action of IL-1, TNF and COX-2, mechanisms of tendon degeneration through the direct inhibitory action of factor NFKB that facilitates phagocytosis and tendon regeneration (Abat et al 2014 ). The effectiveness of USGET in combination with eccentric exercises has been demonstrated in recent studies (Abat et al 2015 , Abat et al 2016 ; Mattiussi and Moreno, 2016 ; Moreno et al 2017 ). Fig.…”
The treatment of painful chronic tendinopathy is challenging. Multiple non-invasive and tendon-invasive methods are used. When traditional non-invasive treatments fail, the injections of platelet-rich plasma autologous blood or cortisone have become increasingly favored. However, there is little scientific evidence from human studies supporting injection treatment. As the last resort, intra- or peritendinous open or endoscopic surgery are employed even though these also show varying results. This ESSKA basic science committee current concepts review follows the first part on the biology, biomechanics and anatomy of tendinopathies, to provide a comprehensive overview of the latest treatment options for tendinopathy as reported in the literature.
“…Furthermore, it acts to inhibit the action of IL-1, TNF and COX-2, mechanisms of tendon degeneration through the direct inhibitory action of factor NFKB that facilitates phagocytosis and tendon regeneration (Abat et al 2014 ). The effectiveness of USGET in combination with eccentric exercises has been demonstrated in recent studies (Abat et al 2015 , Abat et al 2016 ; Mattiussi and Moreno, 2016 ; Moreno et al 2017 ). Fig.…”
The treatment of painful chronic tendinopathy is challenging. Multiple non-invasive and tendon-invasive methods are used. When traditional non-invasive treatments fail, the injections of platelet-rich plasma autologous blood or cortisone have become increasingly favored. However, there is little scientific evidence from human studies supporting injection treatment. As the last resort, intra- or peritendinous open or endoscopic surgery are employed even though these also show varying results. This ESSKA basic science committee current concepts review follows the first part on the biology, biomechanics and anatomy of tendinopathies, to provide a comprehensive overview of the latest treatment options for tendinopathy as reported in the literature.
“…However, it has also been indicated that longterm randomized controlled trials are needed to demonstrate that this benefit persists over time (29). Additionally, it has been mentioned that applying percutaneous electrolysis under ultrasound guidance would provide maximum precision while minimizing damage to other structures (30). Although articles on this topic initially began to be published in 2010, the increasing number of studies resulted in the highest number of articles entering the list between 2020 and 2023.…”
Objective. Percutaneous electrolysis is a new treatment modality whose benefits have been described in recent years. The aim of this study was to analyze the articles published on percutaneous electrolysis and to compare bibliometric and altimetric analyses. Methods. Using the keywords "percutaneous electrolysis", all articles published in Web of Science were identified. For bibliometric analysis, article title, number and names of authors, h-index of authors, article citation count, citation index, journal names, impact factors, h-and q-indices, and types of articles were determined. For altimetric analysis, the "Altmetric Attention Score" (AAS) was recorded with a software automatically calculating the score. Correlation analyses between bibliometrics and altimetrics were performed. Results. The total number of citations in the list was between 0 and 48. The country that produced the most articles was Spain and the most cited author was Fernandez-de-las-Penas. The journals that published the highest number of articles had each published four articles. The majority of the articles consisted of clinical trials. According to Pearson correlation coefficients, there was a moderate and significant correlation between the number of citations and the AASs (p < 0.005, r = 0.561). Conclusions. This study provides a general overview of the level of interest shown in articles related to percutaneous electrolysis within the scientific community and on social media platforms. The findings can assist researchers in understanding the current state of research on percutaneous electrolysis and in identifying new directions for future research as promptly as possible. However, more research and collaboration are needed on a global scale.
“…Moderate quality evidence supports a positive effect of percutaneous needle electrolysis for reducing pain and related-disability in chronic pain conditions of musculoskeletal origin [12]. In fact, percutaneous needle electrolysis can be applied to different tissues such as tendons [13], muscles [14], or nerves [15]. Further, this intervention has been advocated for managing scars or connective tissue at different interphases, e.g., hamstring tendon-sciatic nerve [14].…”
Background: Evidence suggests the plantar fascia and its interphase with the flexor digitorum brevis muscle can play a relevant role in plantar heel pain. Needling interventions could offer an appropriate treatment strategy to addressing this interface. Objective: We compared the accuracy and safety of ultrasound-guided versus palpation-guided procedures for the proper targeting of the interface between the plantar fascia and the flexor digitorum brevis with a solid needle. Methods: A crossover cadaveric study was conducted. Five experienced therapists performed a series of 20 needle insertions each (n = 100 in total, 10 landmark-guided and 10 ultrasound-guided) on 10 anatomical samples. The therapists were instructed to accurately place the needle on the interface between the plantar fascia and the flexor digitorum brevis muscle. The distance of the tip of the needle to the identified target (accuracy), the surrounding sensitive structures targeted (safety), the time needed for the procedure, the number of needle passes, and the needle length outside the skin were assessed. Results: The ultrasound-guided technique was associated with a significantly higher accuracy (p < 0.001) but without differences in safety (p = 0.249) as compared to the palpation-guided procedure. Conclusion: Our results suggest that ultrasound-guided insertion exhibits greater accuracy but not greater safety than palpation-guided insertion when targeting the interface between the plantar fascia and the flexor digitorum brevis.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
