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Evidence-Based Complementary and Alternative Medicine
Volume 2012 (2012), Article ID 142941, 7 pages
Research Article

Percutaneous Soft Tissue Release for Treating Chronic Recurrent Myofascial Pain Associated with Lateral Epicondylitis: 6 Case Studies

1Kuan-Ta Rehabilitation and Pain Clinic, Taichung 40652, Taiwan
2Department of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung 40447, Taiwan
3School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung 40402, Taiwan
4Department of Physical Medicine and Rehabilitation, China Medical University, Bei-Gang Hospital, Yun-Lin 65152, Taiwan
5Department of Rehabilitation Medicine, School of Medicine, College of Medicine, China Medical University, Taichung 40402, Taiwan
6Department of Physical Medicine and Rehabilitation, Yangming Branch, Taipei City Hospital, Taipei 11146, Taiwan
7Department of Physical Therapy and Assistive Technology, National Yang-Ming University, Taipei 11221, Taiwan

Received 10 October 2012; Accepted 14 November 2012

Academic Editor: Chang-Zern Hong

Copyright © 2012 Ming-Ta Lin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. The purpose of this pilot study is to investigate the effectiveness of the percutaneous soft tissue release for the treatment of recurrent myofascial pain in the forearm due to recurrent lateral epicondylitis. Methods. Six patients with chronic recurrent pain in the forearm with myofascial trigger points (MTrPs) due to chronic lateral epicondylitis were treated with percutaneous soft tissue release of Lin’s technique. Pain intensity (measured with a numerical pain rating scale), pressure pain threshold (measured with a pressure algometer), and grasping strength (measured with a hand dynamometer) were assessed before, immediately after, and 3 months and 12 months after the treatment. Results. For every individual case, the pain intensity was significantly reduced and the pressure pain threshold and the grasping strength were significantly increased immediately after the treatment. This significant effectiveness lasts for at least one year. Conclusions. It is suggested that percutaneous soft tissue release can be used for treating chronic recurrent lateral epicondylitis to avoid recurrence, if other treatment, such as oral anti-inflammatory medicine, physical therapy, or local steroid injection, cannot control the recurrent pain.