Ultrasound-Guided Percutaneous Needle Tenotomy for Tendinosis

Abstract

Tendinosis is an important cause of musculoskeletal pain and disability. Tendinosis is principally a degenerative process, rather than inflammatory as was traditionally believed. Consequently, traditional tendinosis treatments focused solely on decreasing inflammation, i.e. intratendinous corticosteroid injection has often been ineffective. The advancement of ultrasonography as for the guidance of musculoskeletal intervention has facilitated the development of percutaneous procedures focused on the regenerative healing process for the treatment of tendinosis. In this article, our aim is to illustrate the technical aspects of ultrasound-guided percutaneous needle tenotomy for the treatment of tendinosis.

Efficacy of ultrasound guided dry needling as an adjunct to conventional physical therapy for patients with jumper’s knee: A randomized controlled trial

“…For example, DN coupled with autologous blood injection showed promising results under ultrasound guidance (VISA score: mean pre-procedure score = 39.8 (range 8-72) v mean post-procedure score = 74.3 (range 29-100), P < 0.001; mean follow up 14.8 months (range 6-22 months) (1). In another study, it has been reported that ultrasonography guided treatments facilitate the development of percutaneous procedures of regenerative healing in tendinopathy (55). The efficacy of DN under the guidance of sonography has been evaluated in several reported studies and found to be statistically significant for the treatment of tendinopathy, rotator cuff, and tendons around the greater trochanter (54).…”