用电针治疗扳机指

IF 0.8 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Medical Acupuncture Pub Date : 2023-12-01 Epub Date: 2023-12-13 DOI:10.1089/acu.2023.0032
Louis A Kazal, Semran Themer
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引用次数: 0

摘要

背景:扳机指(TF;狭窄性腱鞘炎的一种)很常见,影响手部的屈肌腱,通常会引起明显的疼痛和功能障碍。治疗方法包括夹板固定、注射皮质类固醇或手术松解。关于电针(EA)在治疗 TF 方面的作用,已发表的研究很少:一名 58 岁男性的左手第四节无名指在经历了 1 年多的疼痛和触发后出现了锁定,需要进行痛苦的手动缩指术。采用 4-6 根针沿第四指 A1 滑轮的桡侧和尺侧呈矩形刺入,以 10 Hz 的菊花链形式刺入,持续 45 分钟。在 1.5 个月的时间里,对治疗前后 4 次的结节大小、触发和锁定频率以及疼痛严重程度进行了评估:结果:该患者在第一次治疗后,锁定的频率和疼痛的严重程度明显降低了 50%。每次治疗后,患者的锁定、疼痛和结节大小都有明显的临床减轻,而且在两次就诊之间,患者的功能也有很大改善。第四次治疗后,他的症状得到了 100% 的缓解,不再有疼痛或诱发症状。在此期间,他继续从事他的日常活动:结论:单独针对 A1 滑轮的 EA 可能是治疗 TF 患者的有效方法。作者推测,EA 可减轻疼痛,使患者恢复正常功能并压迫结节,从而消除诱发因素。进一步评估 EA 对 TF 的疗效的研究可能有助于证实这些结果。
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Resolution of Trigger Finger with Electroacupuncture.

Background: Trigger finger (TF; a type of stenosing tenosynovitis) is common, affecting the flexor tendons of the hand, often causing significant pain and functional impairment. Treatment can include splinting, corticosteroid injection, or surgical release. There is little published research on the role of electroacupuncture (EA) for treating TF.

Case: After more than 1 year of pain and triggering, a 58 year-old male had locking of his left, fourth ring finger requiring painful manual reduction. EA was performed with 4-6 needles in a rectangular pattern along the radial and ulnar aspects of the A1 pulley of the fourth digit, with 10 Hz delivered in a daisy-chain formation for 45 minutes. Nodule size, frequency of triggering and locking, and severity of pain were assessed before and after 4 treatments over ∼1.5 months.

Results: This patient's frequency of locking and severity of pain decreased significantly by 50% after his first treatment. Additional clinically significant reductions of locking, pain, and nodule-size were evident after each treatment along with substantial functional gains between visits. After his fourth treatment, he reported 100% resolution of his symptoms with no further pain or triggering. Throughout this time, he continued his usual activities.

Conclusions: EA alone directed at the A1 pulley may be an effective treatment modality for patients with TF. The authors hypothesize that EA may reduce pain enabling a return to normal function and compression of the nodule, thus eliminating triggering. Further research evaluating the efficacy of EA for TF may help substantiate these results.

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来源期刊
Medical Acupuncture
Medical Acupuncture INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
1.80
自引率
18.20%
发文量
73
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