Effect of Iastm, Electro dry Needling and cupping therapy in the treatment of Tennis Elbow

Background: Tennis elbow (TE) is a most common condition of the upper limb that is happens due to powerful grip and continues repetitive movements in the wrist joint throughout various daily activities. Although a number of managing approaches have discussed about of the techniques used to decrease pain and increase elbow and wrist movements, the use of new methods remains a vigorous preference to reach the maximum degree of improvement and comprehensive recovery. Aim: The current study aimed to investigate the effect of combination of IASTM, electro dry Needling and cupping therapy in treating TE. Methods: 150 is actively participate and after examination only 120 is fit in this study patients between the ages of 20 and 50 years of both male and female complained of tennis elbow. They were divided randomly into four groups. Group A (n=30) received IASTM with conventional treatment, group B (n=30) received electro dry needling in addition to conventional treatment, group C (n=30) received cupping therapy with conventional treatment, and group D (n=30) received IASTM, electro dry needling and cupping therapy along with conventional treatment. Visual analog scale (VAS) was used to evaluate pain amount, a hand dynamometer was used to evaluate to pain-free grip strength (PFGS), and a patient rated tennis elbow evaluation (PRTEE) questionnaire was used to check pain and disability of the upper limb before and after four weeks. Results: There was a significant reduction in VAS, PRTEE score, and growth in PFGS favoring group D compared to the additional groups post-treatment (p < 0.001). Conclusion: The combination of IASTM, electro dry Needling and cupping therapy results in better improvement in TE treatment than conventional therapy, electro dry needling, and cupping therapy alone.