Review Article

Effectiveness of Acupuncture for Lateral Epicondylitis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Table 2

Characteristics of the included studies.

First authorSample size (observation/control)Dropout rateIntervention (in the observation group)Intervention (in the control group)Course of treatmentThe main outcomes

Irnich et al. [16]50 (25/25)NoneVerum acupuncture: LI 4, LI 10, SJ 5, SI 3, GB 34Sham acupuncture: points: one thumb, with away from those used in the observation group3 treatments within 10 daysPressure pain threshold (PPT)
Pain-free grip strength (GS)
NRS (same to VAS, assessment on pain on 0–10 scale)
All assessments after treatments and 14-day follow-up

Fink et al. [17]45 (23/22)3 at 2-week and 2 more at 2-month follow-upVerum acupuncture: LI 10, LI 11, Lu 5, LI 4, SJ 5, one A-Shi pointSham acupuncture: points: 5 cm away from the points used in the observation group10 treatments 2 times/week within 5 weeksPain reduction percentage
VAS (pain assessed at rest, in motion, during exertion, and frequency on 0–5 scale)
Functional impairment assessed with DASH questionnaire
All assessments after treatments and 2-month follow-up

Molsberger and Hille [15]48 (24/24)NoneVerum acupuncture: GB 34 (on ipsilateral leg)Sham acupuncture: (stimulation with pencil-like probe to simulate needle insertion)
Acupuncture point UB 13
1 treatmentClinical efficacy rate
VAS (pain assessed on 0–10 scale)
Pain relief score

Haker and Lundeberg [18]82 (44/38)4 after 10th treatment
Another 5 at 3 months
Verum acupuncture: LI 10, LI 11, LI 12, Lu 5, SJ 10Sham acupuncture: same acupoints but superficial needle insertion10 treatments in all 2-3 times/weekClinical efficacy rate, the vigorimeter test
Assessments after treatments, at 3-month and 1-year follow-up

Liao Leshan [19]60 (30/30)NoneAcupuncture therapy: LI10, SJ 5, LI 4, LI 12 (affected side), once a day, 2 weeksBlocking therapy: local injection of 0.5 ml triamcinolone acetate A injection plus 3 ml lidocaine, once a week, 2 weeks10 treatments in the observation group
3 treatments in the control group
Clinical efficacy rate
Zhang Xiaoyang and Huang [20]60 (30/30)NoneAcupuncture therapy: LI11, LI10, LI13, LI 1, Ah-Shi, LI3 once every other day, 2 weeksBlocking therapy: local injection of 1% 4 ml lidocaine injection and 1 ml prednisolone at tenderness point and LI11 once for ten days, 2 weeks10 treatments in the observation group
2 treatments in the control group
Clinical efficacy rate,
VAS (pain assessed on 0–10 scale)
Elbow joint activity score (rotation function assessed on 0–8 scale)
All assessments after first therapy, all treatments and at 1-month follow-up

Min [21]72 (36/36)NoneAcupuncture therapy: points: the most tenderness point, three points around the tenderness points, and LI11. Once every other day, 2 weeksBlocking therapy: local injection of 2% 1.5 ml procaine injection and 5 ml prednisolone suspension at tenderness point once for ten days, 2 weeks10 treatments in the observation group
2 treatments in the control group
Clinical efficacy rate
VAS (pain assessed on 0–10 scale)
Both assessments after treatments and 2-month follow-up

Hongrui [14]235 (147/88)NoneAcupuncture therapy: LI4, LI7, LI9, LI10 (affected side) once a day, 3 times a week, 3 weeksBlocking therapy: local injection of 1% 4 ml lidocaine injection and 50 mg prednisolone at tenderness point, once a week, 3 weeks9 treatments in the observation group
3 treatments in the control group
Clinical efficacy rate

Yuanli [22]84 (42/42)NoneElectroacupuncture therapy: cervical Jiaji 5–7 (EX-B2, affected side), SI 11, A-Shi points, LI 11, LI 10, SJ 5 once a day, 5 times a week, 2 weeksDrug therapy group: oral meloxicam tablets 7.5 mg once a day for 2 weeks10 treatments in the observation group
14 treatments in the drug group
Clinical efficacy rate
VAS (pain assessed on 0–10 scale)
Elbow function score scale (function assessed on 0–100 scale)

Hui [13]60 (30/30)NoneAcupuncture therapy: points: 4 points at 0.5 cm away from the tenderness point at 3, 6, 9, 12 o’clock, once every other day, 2 weeksDrug therapy group: oral celecoxib capsules 200 mg and external application of votalin ointment twice a day, 2 weeks7 times in the observation group
28 times in the drug group
Clinical efficacy rate
VAS (pain assessed on 0–10 scale)
Both assessments after treatments and 3-month follow-up