scholarly journals The efficacy of local corticosteroid injection in the treatment of trigger finger

2018 ◽  
Vol 5 (2) ◽  
pp. 13-18
Author(s):  
Bishnu Dev Sharma ◽  
Deb Narayan Sah
Keyword(s):  
Adverse Reactions ◽  
Steroid Injection ◽  
Corticosteroid Injection ◽  
Trigger Finger ◽  
Treatment Modalities ◽  
Injection Pain ◽  
Medical Sciences ◽  
Medical College ◽  
Inflammatory Drugs ◽  
Symptoms And Signs

Background and Objectives: Trigger finger is a condition that causes triggering, snapping or locking on flexion of the involved digit. Treatment modalities are conservative (Non-steroidal anti-inflammatory drugs, splints or corticosteroid injections) or operative (percutaneous or open release of A1 pulley- the first annular pulley of the fibro-osseous sheath of the fingers situated at the level of the metacarpophalengeal joint). The aim of this study is to evaluate the efficacy of corticosteroid injection for trigger finger in adults.Material and Methods: Fifty patients with 54 trigger digits were treated by one or two injections of methylprednisolone acetate with 1% lignocaine. Patients were followed-up for a period of 6 months.Results: Symptoms and signs resolved in 79.63% of the injected digits. Local adverse reactions to steroid injection- pain at the injection site and steroid flare were self-limiting. There was no tendon rupture or post-injection infection.Conclusion: The study concludes that steroid injection is an effective first line treatment for trigger finger in most patients.Janaki Medical College Journal of Medical Sciences (2017) Vol. 5(2): 13-18

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 Clinical manifestations of hypothyroidism in residents of western region of Nepal: A case control study

2013 ◽  
Vol 2 (1) ◽  
pp. 62-65 ◽  
Author(s):  
B Paudel ◽  
K Paudel ◽  
TL Upadhaya
Keyword(s):  
Clinical Manifestations ◽  
College Teaching ◽  
Signs And Symptoms ◽  
Facial Oedema ◽  
Western Region ◽  
Medical Sciences ◽  
Medical College ◽  
Laboratory Confirmation ◽  
The Difference ◽  
Symptoms And Signs

Background: This study was designed for the evaluation of the difference in the common signs and symptoms of hypothyroidism in our population from already available literature. Methods: In this study we have compared the symptoms and signs of hypothyroid and euthyroid patients visiting to Gandaki Medical College Teaching Hospital (GMCTH) from April 2011 to October 2011. We compared the 18 common signs and symptoms of hypothyroidism in our patients and analyzed by SPSS software. Results: Of the 2483 patients visiting to the GMCTH, 665 patients were included in the study and were examined. After the laboratory investigations, 98 were identified as the cases of hypothyroidism, the rest were declared as euthyroid and selected as controls. Lethargy, cold intolerance, constipation and paresthesia were the commonest symptom while facial oedema and bradycardia were the most prevalent sign in our population. Conclusions: The most common signs and symptoms of hypothyroidism in the western region of Nepal (that is one of the iodine deficient areas in Nepal) were different from other studies. It seems that strong clinical suspicion on the basis of symptoms and signs elicited by physicians and laboratory confirmation are the only reliable methods for diagnosis of hypothyroidism. Nepal Journal of Medical Sciences | Volume 02 | Number 01 | Jan-Jun 2013 | Page 62-65 DOI: http://dx.doi.org/10.3126/njms.v2i1.7655

Trigger Finger Corticosteroid Injection With and Without Local Anesthetic: A Randomized, Double-Blind Controlled Trial

Hand ◽  
2019 ◽  
pp. 155894471988466
Author(s):  
J. Randall Patrinely ◽  
Shepard P. Johnson ◽  
Brian C. Drolet
Keyword(s):  
Local Anesthetic ◽  
Corticosteroid Injection ◽  
Controlled Trial ◽  
Treatment Method ◽  
Trigger Finger ◽  
Injection Pain ◽  
Double Blind ◽  
Pain Scores ◽  
Injection Methods ◽  
To Receive

Background: The first-line treatment for trigger finger is a corticosteroid injection. Although the injectable solution is often prepared with a local anesthetic, we hypothesize that patients receiving an injection with anesthetic will experience more pain at the time of injection. Methods: C Patients with trigger finger were prospectively randomized into 2 cohorts to receive triamcinolone (1 mL, 40 mg) plus 1% lidocaine with epinephrine (1 mL) or triamcinolone (1 mL, 40 mg) plus normal saline (1 mL, placebo). Both patient and surgeon were blinded to the treatment arm. The primary outcome was pain measured using a (VAS) immediately following the injection. Results: Seventy-three patients with a total of 110 trigger fingers were enrolled (57 lidocaine with epinephrine and 53 placebo). Immediate postinjection pain scores were significantly higher for injections containing lidocaine with epinephrine compared with placebo (VAS 3.5 vs 2.0). Conclusions: In the treatment of trigger finger, corticosteroid injections are effective and have relatively little associated pain. This study shows there is more injection-associated pain when lidocaine with epinephrine is included with the corticosteroid. Therefore, surgeons looking to decrease injection pain should exclude the anesthetic, but they should discuss the trade-off of foregoing short-term anesthesia with patients. Using only a single drug (ie, corticosteroid alone) is not only less painful but is also more simple, efficient, and safe; this has therefore become our preferred treatment method.

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 Treatment and Rehabilitation for Ruptured Flexor Digitorum Profundus Tendon after Steroid Injection in Trigger Finger and Carpal Tunnel Syndrome

2020 ◽  
Vol 16 (3) ◽  
pp. 198-201
Author(s):  
Jinha Park ◽  
Si Young Roh
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Range Of Motion ◽  
Carpal Tunnel ◽  
Steroid Injection ◽  
Corticosteroid Injection ◽  
Trigger Finger ◽  
Flexor Digitorum Profundus ◽  
Tunnel Syndrome ◽  
Flexor Digitorum ◽  
Little Finger

The authors report cases of treatment and rehabilitation for flexor digitorum profundus (FDP) tendon rupture of the little finger in patients with history of steroid injection. In case 1, a 43-year-old man had been given two local corticosteroid injections on the palm over 8 weeks due to trigger finger of his left little finger. While doing chin-ups 1 week after the last injection, he experienced a painful snapping in his left little finger and lost flexion of the distal interphalangeal (DIP) joint. In case 2, a 49-year-old man had been diagnosed with ipsilateral carpal tunnel syndrome and was given local corticosteroid injection on the wrist. Two months after the injection the patient experienced sudden loss of flexion on the DIP joint of his left little finger while playing golf. During operation, an intratendinous rupture of the FDP tendon of the little finger was present and direct tendon repair was done in both patients. Continuous splint remolding was performed according to the range of motion. The range of motion was checked continuously at the ward and outpatient clinic every week. The final results of treatment were checked 6 months after surgery by the criteria developed by Strickland and Glogovac in 1980.

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.

PROXIMAL PHALANX INJECTION FOR TRIGGER FINGER: RANDOMIZED CONTROLLED TRIAL

Hand Surgery ◽  
2011 ◽  
Vol 16 (03) ◽  
pp. 313-317 ◽  
Author(s):  
K. Pataradool ◽  
T. Buranapuntaruk
Keyword(s):  
Pain Score ◽  
Recurrence Rate ◽  
Steroid Injection ◽  
Proximal Phalanx ◽  
Trigger Finger ◽  
Injection Pain ◽  
Injection Technique ◽  
Palmar Surface ◽  
Satisfactory Outcome ◽  
Significant Difference

Trigger finger is one of the most common upper extremity problems in the outpatient department. Conservative treatment is the mainstay for management of trigger digits especially steroid injection with highly satisfactory outcome and minimal complication. Conventional injection technique (CI) that approaches flexor tendon sheath over metacarpal head directly causes pain for most patients. The proximal phalanx injection technique (P1I) at palmar surface of midproximal phalanx is simple and less painful for the patients. We compared pain result and effectiveness between these two methods. Forty patients with primary trigger fingers were placed in a prospective randomized study to receive steroid injection with either the CI or P1I techniques. Demographic data were recorded. Immediately after the injection, pain score was recorded for each patient using the pain visual analog scale. The patients were followed every month for three months to determine recurrent symptoms. Student's t-test, chi-square and Fisher's exact test were used for data analysis. The mean pain VAS scores immediately post-injection were 7.3 ± 1.3 and 3.2 ± 2.2 in the CI and P1I techniques, respectively. The P1I technique group had a significantly lower pain score than CI technique group (p < 0.001). The recurrence rate was 15% in the CI technique when compared to 25% in the P1I technique which was not significant (p = 0.685). We concluded that the P1I technique is less painful than the CI technique without any significant difference in recurrence rate between the two groups at three months follow-up.

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.

scholarly journals The outcome of platelet-rich plasma injection therapy in chronic plantar fasciitis

2021 ◽  
Vol 9 (2) ◽  
pp. 102-106
Author(s):  
Dr. Sanjay Upadhyay ◽  
◽  
Dr. Sunil Kumar Kirar ◽  
Dr. Atul Varshney ◽  
Dr. Sanat Singh ◽  
...  
Keyword(s):  
Plantar Fasciitis ◽  
Platelet Rich Plasma ◽  
Corticosteroid Injection ◽  
Treatment Modalities ◽  
Injection Pain ◽  
Invasive Treatment ◽  
Study Results ◽  
Before And After ◽  
Night Splinting

Background: Plantar Fasciitis is a frequently encountered problem in the everyday practice oforthopaedics. Treatment of Plantar Fasciitis is challenging to treating surgeon. Various conservativenon-invasive treatment modalities are available like rest, casting, night splinting, NSAIDs. Ifconservative management fails then corticosteroid injection over the medial tuberosity of calcaneumis an effective treatment. But in recent years Platelet-rich plasma (PRP) has proved to be a safealternative approach with less complication. This study aims to find out the effectiveness of PRPinjections in Plantar Fasciitis. Material and Method: In this study, 60 patients with Plantar Fasciitiswere included. Regular follow up was done at an interval of 4 weeks, 8 weeks and 6 months afterPRP injection. Pain intensity was measured before and after injection on every follow up using theVisual Analogue Scale (VAS). Patients who have undergone at least 4 weeks of conservativetreatment were included in the study. Results: After analysis of data, the average VAS score beforeinjection was 7.01±1.35. Whereas at the end of the last visit (i.e. 6 months) average VAS scorereduced to 2.2±1.25. This difference was statistically significant (ANNOVA test p <0.0001).Conclusion: we concluded that injection of PRP is a safe, convenient and effective approach to treatchronic Plantar Fasciitis.

Childhood Intussusception: Timely Management Leads to Decreased Surgical Risk

2018 ◽  
Vol 3 (01) ◽  
Author(s):  
Dr. Sunil Kumar Mehra, Dr. Dinesh Kumar Barolia, Dr. Arun Kumar Gupta, Dr. Vinita Chaturv
Keyword(s):  
Operative Procedure ◽  
Delayed Diagnosis ◽  
Diagnostic Methods ◽  
Treatment Modalities ◽  
Surgical Morbidity ◽  
Surgical Risk ◽  
Medical College ◽  
Pneumatic Reduction ◽  
Surgery Department ◽  
Resection And Anastomosis

Intussusception is the most common cause of intestinal obstruction in infants and children in < 1yr of age (1). Intussusception cases usually reported late therefore operative procedure was inevitable and results in significant morbidity and mortality. By this study we emphasized on timely transfer of intussusception case to a pediatric surgical center so as to decrease surgical risk. The surgical morbidity was low in those who were admitted early or directly to our center.  Methods - We retrospectively reviewed cases of intussusception in children <15 years. Children were treated from October 2015 to December 2107 at pediatric surgery department of SMS medical college Jaipur Rajasthan. Age, sex, month of admission, symptom with duration, diagnostic methods, and treatment modalities were recorded and analyzed.  Results - We studied 300 patients with intussusception.272 (90%) were treated surgically. We recently started ultrasonography guided pneumatic reduction and 24(85.7%) out of 28 treated successfully by it. Out of the patients requiring surgery 202 (67.34%) patients were reduced by per-operative manual reduction and in 60(22%) patients resection and anastomosis with 10(3.6%) treated with resection and ileostomy. 25.34% cases have delayed diagnosis and lately  transferred from peripheral hospitals requiring resection and diversion. Conclusion - In conclusion, Intussusception cases usually reported late therefore high likelihood of surgical management. The patients who underwent resection have longer duration of hospital stay.

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