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UltraSound Guided Galvanic Electrolysis
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Contents
Other Names
- USGET
- Intratissue Percutaneous Electrolysis (EPI)
- Percutaneous Needle Electrolysis (PNE)
Background
- US guided procedure which involves needle application of electrical current to promote healing
- Novel, minimally invasive therapeutic technique
- Ultrasound-guided needle insertion and application of a galvanic electrolytic current
- Results in a non-thermal electrochemical reaction on degenerated tissue
- Subsequently:
- Inflammatory process
- Increasing oxidative stress
- Phagocytosis
- Healing and regeneration of pathologic tissue
Indications
Rotator Cuff Tendonitis
- In patients with subacromial pain syndrome, USGET combined with eccentric exercises resulted in small better outcomes at short term compared to when only eccentric exercises[1]
Lateral Epicondylitis
- In a single arm study of patients with lateral epicondylitis, weekly USGET combined with eccentric exercises and home stretching resulted in 83% of patients rating overall outcome as successful at 6 weeks.[2]
- US findings in these patients showed that the hypoechoic regions and hypervascularity of the extensor carpi radialis brevis changed significantly
Patellar Tendonitis
- USGET combined with eccentric exercises was superior to conventional electro physiotherapy (consisting of ultrasound, laser and interferential current techniques) for pain and function[3]
Achilles Tendonitis
- There is currently a trial registered with clinicaltrials.gov evaluating USGET for achilles tendinopathy[4]
Plantar Fasciopathy
- In a case series of patients treated for plantar fasciitis, the authors found that 10/17 patients improved within one month, from which 4 had no symptoms and the other 7 had no relief[5]
Contraindications
- Unknown
- Avoid in patients with pacemakers?
Procedure
Equipment
- Ultrasound Machine
- Need description of kit, vendor?
Preparation
- Sterile
Anatomy
- Variable depending on location
Technique
- Needs to be updated
Aftercare
- Needs to be updated
Complications
- Unknown
See Also
References
- ↑ Arias-Buría, José L., et al. "Ultrasound-guided percutaneous electrolysis and eccentric exercises for subacromial pain syndrome: a randomized clinical trial." Evidence-Based Complementary and Alternative Medicine 2015 (2015).
- ↑ Valera-Garrido, Fermín, Francisco Minaya-Muñoz, and Francesc Medina-Mirapeix. "Ultrasound-guided percutaneous needle electrolysis in chronic lateral epicondylitis: short-term and long-term results." Acupuncture in Medicine 32.6 (2014): 446-454.
- ↑ Abat, Ferran, et al. "Randomized controlled trial comparing the effectiveness of the ultrasound-guided galvanic electrolysis technique (USGET) versus conventional electro-physiotherapeutic treatment on patellar tendinopathy." Journal of experimental orthopaedics 3.1 (2016): 34.
- ↑ https://clinicaltrials.gov/ct2/show/NCT03167554
- ↑ Freire, Gonçalo, et al. "Ultrasound guided Intratissue Percutaneous Electrolysis (EPI) technique–a new approach to plantar fasciitis?." European Congress of Radiology 2018, 2018.
Created by:
John Kiel on 2 November 2019 16:00:37
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Last edited:
2 November 2019 16:15:39
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