Dry needling has been used for years to help treat tendon problems, also known as tendinopathy. The idea is simple: a very thin needle is inserted into the damaged tendon to create a tiny, controlled injury. This signals the body to begin the healing process by bringing in cells that reduce inflammation and repair the tissue. Over time, this can replace weak, scar-like tendon fibers with stronger, healthier tissue — helping the area heal and function better.
One of the most common areas treated with this technique is the outer part of the elbow, where the common extensor tendon is located — the area affected in tennis elbow.
A well-known study published in the Journal of Ultrasound in Medicine looked at the effects of ultrasound-guided dry needling (also called percutaneous tenotomy) on people with chronic tennis elbow who had not improved with other treatments. The results were impressive:
The average follow-up time was over two years after the procedure, showing that results were not just short-term.
If you’ve been struggling with persistent elbow pain that hasn’t responded to rest, therapy, or other treatments, dry needling might be a safe and worthwhile option to explore.
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