scholarly journals Intra sheath corticosteroid injection for De Quervain’s tenosynovitis

2019 ◽  
Vol 5 (3) ◽  
pp. 403
Author(s):  
Shanmuga Sundaram Pooswamy ◽  
Niranjanan Raghavn Muralidharagopalan
Keyword(s):  
Steroid Injection ◽  
Corticosteroid Injection ◽  
Signs And Symptoms ◽  
Common Condition ◽  
Abductor Pollicis Longus ◽  
De Quervain’S Tenosynovitis ◽  
Stenosing Tenosynovitis ◽  
Vas Scores ◽  
Finkelstein’S Test

<p class="abstract"><strong>Background:</strong> De Quervain’s disease or stenosing tenosynovitis of the first dorsal compartment of the wrist is a common condition, which affects the Abductor pollicis longus and the extensor pollicis brevis tendons. There are characteristic signs and symptoms including a positive Finkelstein's test. Different options for treatment include conservative approaches like analgesics, splinting and physical therapy. If conservative options fail then steroid injection is considered.</p><p class="abstract"><strong>Methods:</strong> This is a retrospective study of single dose intra-sheath triamcinolone and lignocaine injection in 32 patients at our institute who were followed up for a period of 12 months.<strong></strong></p><p class="abstract"><strong>Results:</strong> In our study there were 25 females and 7 males with a mean age of 46.4±8.03 years. Right side was involved in 17 patients and left side in 15 patients. The pre procedure VAS score was 8.65±1.07. The follow up VAS scores at 1, 6 and 12 months respectively were 1.4±1.14, 0.84±1.06 and 1.03±1.26 respectively. 4 out of 32 patients had positive Finkelstein’s test at 1 year follow up. Common complications were pain at injection site, which was seen in 5/32 patients and depigmentation seen in 2/32 patients.</p><p class="abstract"><strong>Conclusions:</strong> Thus intra sheath triamcinolone injection is a safe and effective procedure for treatment of De Quervains disease.</p>

STUDY OF RESULT OF FROZEN SHOULDER SYNDROME TREATED WITH INTRAARTICULAR STEROIDS

2021 ◽  
pp. 65-66
Author(s):  
Yashpal Singh ◽  
Mahaveer Meena ◽  
Sanjay kumar ghilley
Keyword(s):  
Steroid Injection ◽  
Corticosteroid Injection ◽  
Adhesive Capsulitis ◽  
Frozen Shoulder ◽  
Prednisolone Acetate ◽  
Common Condition ◽  
Medical College ◽  
Methyl Prednisolone ◽  
Shoulder Syndrome

OBJECTIVE: Adhesive capsulitis or frozen shoulder is a common condition that presents with pain and progressive limitation of both active and passive shoulder movements. In this study, we investigate the efcacy of intraarticular steroid injection in case of frozen shoulder. Material & Methods: Study is done on 32 patients of frozen shoulder attended Orthopedic OPD at Jhalawar Medical college, Jhalawar from July 2018 to June 2019. Intra-articular injection of steroid (methyl prednisolone acetate 80 mg) given & results analyzed. RESULTS: Patient follow up done every 2 weeks after giving Intraarticular steroid & advised to exercise of shoulder. Improvement in shoulder pain & movement of shoulder analyzed & recorded up to 12 – 24 weeks. CONCLUSION: Intraarticular injection for frozen shoulder is good, safe & efcient method. For better result corticosteroid injection is given in the early stages when pain is the predominant presentation.

A CLINICAL STUDY ON EFFECT OF AGNIKARMA IN URDWA SHAKHAGATA KURCHASIRA MARMAGHATA (DE QUERVAIN’S TENOSYNOVITIS)

2020 ◽  
Vol 08 (11) ◽  
pp. 5013-5020
Author(s):  
Jeetendra A J ◽  
Santhosh Kumar J
Keyword(s):  
Statistical Tests ◽  
Corticosteroid Injection ◽  
Full Range ◽  
Signs And Symptoms ◽  
The Body ◽  
Range Of Movement ◽  
De Quervain’S Tenosynovitis ◽  
Routine Work ◽  
De Quervain

Marma are the most important vital points all over the body, explained by Acharya Sushruta, which when get effected leads to severe pain, deformity and sometimes death. One among such Marma is Kurchashira Marma which is said to be situated at the base of the thumb. Acharya has said that, if this Kurchashira Marma gets injured then there will be Ruja and Shopa of Angushta. This can be correlated with the De Quervain tenosynovitis where there will be pain, swelling and restricted range of movement of thumb, fe-males are more affected than males, causes like washerwoman’s, baby takers, maid, sports person, android users. Treatment adopted are NSAID’S, Corticosteroid injection and tendon release surgery. As it consists of its own complications and patient doesn’t feel fully recovered. Agnikarma procedure has been told in the treatment aspects of the pain superior disease, and here a study is made to see effect of Agnikarma in this Marmaghata. Method: In the present study, 30 patients were selected and treated with Agnikarma at the most tender area. Follow up duration was on 7th, 14th& one month. The data obtained were recorded, tabulated and statistically analysed using appropriate statistical methods. Results: After obtaining all the suitable data, the results were formulated by applying suitable statistical tests. And it is found that Ag-nikarma shows tremendous result in treating this disease with full range of movement and patient can easi-ly do his routine work. Interpretation & Calculations: By virtue of its nidana, lakshana and Chikitsa, Kurchashira Marma bears close resemblance to de quervain tenosynovitis and can be tacked on the lines of management as mentioned in classics. It was concluded that Agnikarma has better effects both clinically and statically in reducing the signs and symptoms of Kurchashira Marmaghata.

scholarly journals Akupunktur sebagai Terapi De Quervain’s Tenosynovitis

2019 ◽  
Vol 13 (2) ◽  
pp. 70
Author(s):  
Sri Wahdini ◽  
Christina Simadibrata
Keyword(s):  
Acupuncture Therapy ◽  
Physical Examination ◽  
Conservative Therapy ◽  
Styloid Process ◽  
Functional Improvement ◽  
Left Wrist ◽  
Abductor Pollicis Longus ◽  
De Quervain’S Tenosynovitis ◽  
Carpometacarpal Joints ◽  
Finkelstein’S Test

De Quervain’s tenosynovitis is a disease with pain and edema in the styloid process due to thickening of the sheathsthat encase the tendons of abductor pollicis longus (APL) and extensor pollicis brevis (EPB). Management of DeQuervain’s tenosynovitis include pharmacotherapy combined with conservative therapy and if it fails then surgicalintervention is required. In case of De Quervain’s tenosynovitis, acupuncture for relieving pain and stiffness. Reportedthe case of a woman aged 52 year, complaints of pain and stiffness in the left thumb since two months before went tothe Poliklinik Akupunktur dr. Cipto Mangunkusumo Nasional Hospital. On physical examination the left wrist areafound tenderness and spasm in the area of APL and EPB, VAS 4, there was limitation in the first carpometacarpal jointfunctional and Finkelstein’s test was positive. Acupuncture therapy done at the point LI5, LU7, LU9 and Ashi. Therewas pain reduction and functional improvement of the carpometacarpal joints. Acupuncture gives good results forpain and stiffness in patients with de Quervain’s.

scholarly journals Trigger Finger? Just Shoot!

2020 ◽  
Vol 11 ◽  
pp. 215013272094334
Author(s):  
Stephen P. Merry ◽  
Jason S. O’Grady ◽  
Christopher L. Boswell
Keyword(s):  
Steroid Injection ◽  
Corticosteroid Injection ◽  
Primary Care Providers ◽  
Trigger Finger ◽  
Care Providers ◽  
Common Condition ◽  
Step Method ◽  
Gradual Improvement ◽  
Open Release ◽  
A1 Pulley

Trigger finger is a common condition usually curable by a safe, simple corticosteroid injection. Trigger finger results from a stenotic A1 pulley that has lost its gliding surface producing friction and nodular change in the tendon. This results in pain and tenderness to palpation of the A1 pulley, progressing to catching and then locking. Splinting for 6 to 9 weeks produces gradual improvement in most patients as does a quick steroid injection with the latter resulting in resolution of pain in days and resolution of catching or locking in a few weeks. Percutaneous or open release should be reserved for injection failures particularly those at high risk for continued injection failure including diabetics and those with multiple trigger fingers. We present a step-by-step method for injection with illustrations to encourage primary care providers to offer this easily performed procedure to their patients.

scholarly journals Results of percutaneous release of stenosing tenosynovitis (trigger finger) using hypodermic needle

2019 ◽  
Vol 5 (4) ◽  
pp. 578
Author(s):  
Shiv Kumar ◽  
Khalid Muzzafar ◽  
Irfan Tasaduq ◽  
Arpan Bijyal
Keyword(s):  
Hand Function ◽  
Trigger Finger ◽  
Hypodermic Needle ◽  
Common Condition ◽  
Open Release ◽  
Percutaneous Release ◽  
Stenosing Tenosynovitis ◽  
Level Hospital ◽  
A1 Pulley

<p class="abstract"><strong>Background:</strong> Stenosing tenosynovitis or trigger finger is a common condition affecting finger function, which can lead to disability in hand function. Treatment in form of conservative can be helpful in early stages, however later stages and chronic triggering needs release of A1 pulley either by open or percutaneous methods. The aim of this study was to find the results of percutaneous release of trigger finger with 18 guage needle.</p><p class="abstract"><strong>Methods:</strong> 43 digits in 36 patients were enrolled for this prospective study in a district level hospital over a 2 year period. Release was done under local anaesthesia using 18 guage needle percutaneously. Follow up was done upto 6 months. Final scoring was done at 6 months using Quinell’s criteria.<strong></strong></p><p class="abstract"><strong>Results:</strong> We had 81.39% (35 out of 43) excellent to good results. 19.61% (8) needed open release. We had no neurovascular injury or infection in our series.</p><p class="abstract"><strong>Conclusions:</strong> Percutaneous release by 18 guage needle is safe and effective treatment for trigger finger without much complication.</p>

scholarly journals COMPARISON OF EFFICACY OF INJECTABLE STEROIDS VERSUS CONSERVATIVE MANAGEMENT FOR DE QUERVAINS’S TENOSYNOVITIS

2021 ◽  
Vol 12 (3) ◽  
pp. 217-221
Author(s):  
Nasim Ilyas ◽  
Fouzia Hanif ◽  
Rajesh Kumar Panjwani ◽  
Sheikh Kashif Rahim ◽  
Asma Abdul Qadeer ◽  
...  
Keyword(s):  
Conservative Management ◽  
Steroid Injection ◽  
Corticosteroid Injection ◽  
Post Intervention ◽  
De Quervain’S Tenosynovitis ◽  
Management Group ◽  
Group A ◽  
The Mean ◽  
The Difference ◽  
Group B

BACKGROUND & OBJECTIVE: De Quervain's tenosynovitis is tenosynovitis of the abductor pollicis longus and extensor pollicis brevis tendons, occurs due to chronic overuse of the wrist and hand. To compare effectiveness of steroid injection with conservative management of De Quervains’s tenosynovitis. METHODOLOGY: Randomized prospective study was conducted at the various private orthopedic clinic across Rawalpindi district, along with collaboration of community medicine department, Rawal Institute of health sciences, Islamabad. The study population was divided into two groups, i.e., group A and group B. Group A was given inj. corticosteroid and group B was given conservative management. The severity of pain (Visual analogue scale) and Finkelstein test were recorded on baseline and after 3 weeks follow up. RESULTS: Our study included 96 diagnosed cases of de Quervains tenosynovitis on a positive Finkelstein test; 48 were given corticosteroid injection and 48 were conservatively treated. The mean age in corticosteroid’s injection group was 34.76+6.95 years whereas the mean age in conservative management group was 31.7+8.91 years. Post-intervention 13, 29 patients had a positive Finkelstein test in corticosteroid and conservative groups respectively. Although the difference in pre intervention pain score between the two groups was not statistically significant but significantly lesser pain scores in the corticosteroid group; (p= 0.00). CONCLUSION: Steroid injection produced better results in terms of relief in pain and negative Finkelstein test as compared to conservative treatment.

Acupuncture in De Quervain—s Disease: A Treatment Proposal

2014 ◽  
Vol 32 (1) ◽  
pp. 70-72 ◽  
Author(s):  
João Bosco Guerreiro da Silva ◽  
Fernando Batigália
Keyword(s):  
Acupuncture Treatment ◽  
Corticosteroid Injection ◽  
Correct Identification ◽  
De Quervain’S Disease ◽  
Abductor Pollicis Longus ◽  
Extensor Pollicis Brevis ◽  
Stenosing Tenosynovitis ◽  
De Quervain ◽  
Inflammatory Drugs ◽  
Anti Inflammatory

De Quervain's disease is a painful stenosing tenosynovitis of the first dorsal compartment of the hand affecting the tendons of the abductor pollicis longus and extensor pollicis brevis, caused mainly by overuse. Conventional treatments include rest, immobilisation, oral anti-inflammatory drugs, corticosteroid injection and even surgery, but none of these is established as clearly effective. Acupuncture is rarely mentioned and the points suggested are rather general—regional, tender and ah shi points. Tendinopathy is almost always associated with problems in the relevant muscles and this paper calls attention to the correct identification and needling of the affected muscles, in order to increase the specificity of acupuncture treatment.

scholarly journals Interlaminar epidural corticosteroid injection in the treatment of lumbosciatic pain: a retrospective analysis

2007 ◽  
Vol 65 (4b) ◽  
pp. 1172-1176 ◽  
Author(s):  
Renato Santiago Gomez ◽  
Sebastião Gusmão ◽  
Josefino Fagundes Silva ◽  
Marcelo Pereira Bastos
Keyword(s):  
Analogue Scale ◽  
Corticosteroid Injection ◽  
World Health ◽  
Low Grade ◽  
Epidural Administration ◽  
Common Condition ◽  
Health Organization ◽  
Additional Therapy ◽  
Corticosteroid Injections

Lumbosciatica is a common condition which is associated with significant pain and disability. The aim of the present study was to examine the efficacy of interlaminar epidural corticosteroid infiltration in the treatment of lumbosciatic pain. We evaluated retrospectively sixty patients with lumbosciatic pain that a sequential interlaminar epidural administration of 40 mg methylprednisolone in 7 mL bupivacaine 0.25% was administered. Each patient was interviewed and asked about the pain according to visual analogue scale (VAS) and the level of disability according to World Health Organization previously of the epidural corticosteroid infiltration and, 1 and, 6 months after starting therapy. Independently of the initial VAS value, all patients decreased their pain score after one and six months of follow-up (p<0.05). However, only the patients with a low grade of disability showed an improvement after the treatment (p<0.05). No side effects were reported after epidural corticosteroid injections. In conclusion, interlaminar epidural corticosteroid injection in association with local anesthetic may be useful, at least for six months, as additional therapy of the conservative management of lumbosciatic pain.

scholarly journals A better functional outcome with platelet rich plasma compared with local steroid injection in tennis elbow

2021 ◽  
Vol 7 (1) ◽  
pp. 24-28
Author(s):  
Shilp Verma ◽  
Anwar A ◽  
Alok Chandra Agarwal ◽  
Ranjeet Choudhary ◽  
Ankit Kumar Garg
Keyword(s):  
Steroid Injection ◽  
Tennis Elbow ◽  
Platelet Rich Plasma ◽  
Corticosteroid Injection ◽  
Symptomatic Relief ◽  
Lateral Epicondylitis ◽  
Treatment Modalities ◽  
Functional Activities ◽  
Local Steroid Injection

Lateral epicondylitis commonly referred to as 'tennis elbow,' is mainly observed in the 3rd and 4th decade of life in around 2% -3% of the population. Treatment modalities for lateral epicondylitis include analgesics, immobilization, tennis elbow brace, local steroid infiltration, and ultrasound therapy. Recent studies have explored the effectiveness of platelet-rich plasma (PRP) injections in lateral epicondylitis. We used the block randomization technique. Two groups were prepared with 30 patients in each group. One group of patients received PRP and the other received local steroid injection. Patients were evaluated at the time of procedure and immediately after the procedure, at six weeks, three months, and six months, using the visual analog score and Liverpool's elbow score. At the end of 6 months, follow-up patients in the PRP injection group show good clinical and functional compare to the steroid group of patients. PRP and local corticosteroid injection provide symptomatic relief in the treatment of lateral epicondylitis. PRP infiltration gives better results in pain relief and functional activities with statically significant values when compared with corticosteroid injections.

scholarly journals Randomized Controlled Trial on Combined Percutaneous Release and Steroid Injection Versus Percutaneous Release Alone for Trigger Finger in Adults

2021 ◽  
Vol 55 (3) ◽  
Author(s):  
Jerome David J. Sison ◽  
Tammy L. Dela Rosa
Keyword(s):  
Patient Satisfaction ◽  
Return To Work ◽  
Steroid Injection ◽  
Corticosteroid Injection ◽  
Controlled Trial ◽  
Trigger Finger ◽  
Combination Group ◽  
Active Motion ◽  
Percutaneous Release ◽  
Vas Scores

Introduction. Trigger finger is one of the most common causes of hand pain and disability. Surgical treatment consists of release of the A-1 pulley by open or percutaneous techniques. Many authors have noted that percutaneous release is convenient and cost-effective with a low complication rate. Only few studies have published results on combination of percutaneous release and steroid injection. Objective. To compare the differences of outcomes in adults with trigger finger treated with combination of percutaneous release and corticosteroid injection to those treated with percutaneous release alone Methods. We included all patients older than 18 years old in the UP-PGH Department of Orthopedics with a diagnosis of trigger finger who have consented to participate in this study. They were randomized into two treatment groups. One group was treated with percutaneous release only and the other group was treated with combined percutaneous release and corticosteroid injection. Outcomes measured were total active motion (TAM), postoperative pain, time to return-to-work, patient satisfaction, and complications. Results. Post-procedure, both groups showed significant improvement in motion of the fingers (p = 0.034) and pain relief (p = 0.001). TAM scores of the combination group were better compared to the control at all time intervals (p = 0.03, 0.008, 0.004, 0.019) and better pain VAS scores in the 1st week (p = 0.009). Patients who received the combination treatment showed a trend toward better patient satisfaction, shorter duration of post-release pain and earlier return-to-work. Conclusion. The addition of corticosteroid injections to percutaneous release of trigger finger significantly improves TAM and pain VAS scores.

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