Management of Stenosing Tenosynovitis (trigger finger) with Ayurved- A case study

2020 ◽  
Vol 8 (01) ◽  
Author(s):  
Sunil D. Tagalpallewar
Keyword(s):  
Middle Finger ◽  
Tendon Sheath ◽  
Finger Joint ◽  
Trigger Finger ◽  
Complete Relief ◽  
Painful Condition ◽  
Flexor Tendons ◽  
Stenosing Tenosynovitis ◽  
Ayurvedic Treatment

Trigger finger is a painful condition that makes your fingers or thumb catch or lock when you bend them. It can affect any finger, or more than one. You might hear it called stenosing tenosynovitis. Most of the time, it comes from a repeated movement or forceful use of your finger or thumb. It can also happen due to inflammation. Local swelling from inflammation or scarring of the tendon sheath (tenosynovium) around the flexor tendons causes trigger finger. These tendons normally pull the affected digit inward toward the palm (flexion). When they are inflamed, they tend to catch where they normally slide through the tendon sheath. A 62 year old patient visited OPD. He was having symptoms on right hand middle finger and side finger.  He has difficulty in folding joint and if he fold finger joint he was unable to straight the joint. There was no relief aftermodern medicine. So he wishes to start Ayurvedic treatment. As per ayurved it is sandhi snayugat vata vikar. So considering this diagnosis, ksheerbala 101-  2 capsules tds were prescribed. Patient got complete relief after 3 months.

REPORT OF AN UNUSUAL CASE OF TRIGGER FINGER SECONDARY TO PHALANGEAL EXOSTOSIS

Hand Surgery ◽  
2005 ◽  
Vol 10 (01) ◽  
pp. 135-138 ◽  
Author(s):  
S. J. Lee ◽  
R. W. H. Pho
Keyword(s):  
Physical Examination ◽  
Unusual Case ◽  
Middle Finger ◽  
Tendon Sheath ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Trigger Finger ◽  
Anomalous Muscle ◽  
Stenosing Tenosynovitis ◽  
Left Middle

Trigger finger is commonly secondary to stenosing tenosynovitis. Space occupying lesions in the tendon bed, although uncommon, may prevent smooth tendon gliding. These include lipoma, anomalous muscle insertions, tumours of the tendon sheath and haemangiomas. We describe a patient who had triggering of the left middle finger at the proximal interphalangeal joint due to an exostosis blocking the flexor tendons gliding. Removal of the exostosis relieved the problem. The clinician must be aware that there are other causes for triggering. These may be identified with pertinent findings in the history and physical examination.

scholarly journals Comparison of the Thickness of Pulley and Flexor Tendon Between in Neutral and in Flexed Positions of Trigger Finger

2016 ◽  
Vol 10 (1) ◽  
pp. 36-40 ◽  
Author(s):  
Junko Sato ◽  
Yoshinori Ishii ◽  
Hideo Noguchi
Keyword(s):  
Flexor Tendon ◽  
Tendon Sheath ◽  
Trigger Finger ◽  
Neutral Position ◽  
Flexor Tendons ◽  
Flexor Tendon Sheath ◽  
Posterior Direction ◽  
Flexor Digitorum ◽  
A1 Pulley ◽  
Anterior Posterior

Objective: This study aims to compare the morphology of the A1 pulley and flexor tendons in idiopathic trigger finger of digits other than the thumb between in neutral position and in the position with the interphalangeal joints full flexed and with the metacarpophalangeal (MP) joint 0° extended (hook grip position). Method: A total of 48 affected digits and 48 contralateral normal digits from 48 patients who initially diagnosed with idiopathic trigger finger were studied sonographically. Sonographic analysis was focused on the A1 pulley and flexor tendons at the level of the MP joint in the transverse plane. We measured the anterior-posterior thickness of A1 pulley and the sum of the flexor digitorum superficialis and profundus tendons, and also measured the maximum radialulnar width of the flexor tendon in neutral and hook grip positions, respectively. Each measurement was compared between in neutral and in hook grip positions, and also between the affected and contralateral normal digits in each position. Results: In all the digits, the anterior-posterior thickness of flexor tendons significantly increased in hook grip position as compared with in neutral position, whereas radial-ulnar width significantly decreased. Both the A1 pulley and flexor tendons were thicker in the affected digits as compared with contralateral normal digits. Conclusion: The thickness of flexor tendons was significantly increased anteroposteriorly in hook grip position as compared with in neutral position. In trigger finger, A1 pulley and flexor tendon were thickened, and mismatch between the volume of the flexor tendon sheath and the tendons, especially in anterior-posterior direction, might be a cause of repetitive triggering.

scholarly journals Trigger finger due to phalangeal osteochondroma of an adult: A case report

2020 ◽  
Vol 28 (3) ◽  
pp. 230949902096999
Author(s):  
Hoi Young Kwon ◽  
Hong Je Kang
Keyword(s):  
Pediatric Patients ◽  
Proximal Phalanx ◽  
Middle Finger ◽  
Trigger Finger ◽  
X Rays ◽  
Solitary Osteochondroma ◽  
Stenosing Tenosynovitis ◽  
Left Middle ◽  
A1 Pulley ◽  
Rule Out

Trigger finger is stenosing tenosynovitis that occurs in A1 pulley. It usually occurs idiopathically in patients’ 40s and 50s. On the other hand, pediatric trigger finger usually occurs before 8 years old in pediatric patients. Even though being rare, a tumor occurred in the soft tissue or bone near flexor tendons can cause a trigger finger. Trigger finger due to osteochondroma is very rare. Furthermore, most cases of trigger finger due to osteochondroma occur in pediatric patients with hereditary multiple osteochondromatosis (HMO). The authors report this case of a trigger finger caused by a solitary osteochondroma that occurred in the proximal portion of the proximal phalanx of the left middle finger, of a 21-year-old patient. The symptoms were relieved after excision of the osteochondroma. If a patient with unusual demographics visits, the cause of trigger finger may not be idiopathic. Evaluation methods such as x-rays and ultrasonography can be helpful to rule out other causes, such as tumors.

Endoscopic Trigger Finger Release: Surgical Technique

2018 ◽  
Vol 23 (01) ◽  
pp. 158-161
Author(s):  
Scott F.M. Duncan ◽  
Ryosuke Kakinoki ◽  
Ross Dunbar
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
Skin Incision ◽  
Endoscopic Technique ◽  
Trigger Finger ◽  
Surgical Approaches ◽  
Flexor Tendons ◽  
Stenosing Tenosynovitis ◽  
A1 Pulley

Numerous surgical approaches have been described for treating patients suffering with stenosing tenosynovitis. The usual surgical descriptions differ mainly by the type of skin incision utilized. The goal of surgery is to completely release the A1 pulley, thereby allowing unimpeded motion of the flexor tendons. We describe a minimally invasive endoscopic technique to address this condition in the fingers.

A Case of Trigger Finger by Flexor Tendon Sheath Ganglion

2015 ◽  
Vol 16 (2) ◽  
pp. 81-83
Author(s):  
Seok-Kyun Park ◽  
Soo Uk Chae
Keyword(s):  
Flexor Tendon ◽  
Tendon Sheath ◽  
Trigger Finger ◽  
Flexor Tendon Sheath

Ayurvedic Management of Chronic Simple Rhinitis - A Case Study

2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Jaimin R. Patel
Keyword(s):  
Complete Relief

Chronic simple rhinitis can be correlated with Vata-Kaphaja Pratishyaya. Treatment of Pratishyaya is either Shodhana or Shamana, According to Bala and Dosha of the Patient. In Pratishyaya choice of Shodhana treatment can be Nasya, Vamana, Niruhabasti, which helps to remove the vitiated Dosha from Shira (Head), Aamashaya with Pakvashaya and breakdown the Samprapti of Pratishyaya. Pachana medicine is prior required for proper Shodhana and Rasayana medicine provide best result after Shodhana. In this case of Pratishyaya the line of treatment is Pachana, Nasya, Niruhabasti, Vamana and Vardhman Pippali Rasayana, patient get started relief from first day of treatment and complete relief after Vamana and also not get the recurrence after completion of Vardhman Pippali Rasayana.

Ayurvedic management of Myositis Ossificans of Vastus Lateralis Muscle (Urusthamba) - A Case Study

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Vishnu Mohan ◽  
Gopikrishna BJ ◽  
Avnish Pathak ◽  
Mahesh Kumar ES ◽  
Duradundi G
Keyword(s):  
Heterotopic Ossification ◽  
Myositis Ossificans ◽  
Vastus Lateralis ◽  
Treatment Protocol ◽  
Vastus Lateralis Muscle ◽  
Satisfactory Treatment ◽  
Lateralis Muscle ◽  
Ayurvedic Treatment

Myositis ossificansis characterized by heterotopic ossification (calcification) of muscle of various etiologies. It is most commonly affected in the quadriceps of the thighs. There are many tools available for diagnosis of Myositis ossificans, but lack of satisfactory treatment. So the development of a treatment protocol for Myositis ossificans is the need of today`s era. In Ayurveda, the same can be understood as Urusthamba. The present paper discusses a case of Myositis ossificans of right vastus lateralis muscle and its Ayurvedic treatment.

scholarly journals Assessing Finger Joint Biomechanics by Applying Equal Force to Flexor Tendons In Vitro Using a Novel Simultaneous Approach

PLoS ONE ◽  
2016 ◽  
Vol 11 (8) ◽  
pp. e0160301 ◽  
Author(s):  
Tai-Hua Yang ◽  
Szu-Ching Lu ◽  
Wei-Jr Lin ◽  
Kristin Zhao ◽  
Chunfeng Zhao ◽  
...  
Keyword(s):  
Finger Joint ◽  
Simultaneous Approach ◽  
Flexor Tendons ◽  
Joint Biomechanics

Amavat in pediatric age group (multidisciplinary Ayurvedic approach): a single case study

2020 ◽  
Vol 8 (03) ◽  
Author(s):  
Mayuri Pawar
Keyword(s):  
Clinical Symptoms ◽  
Single Case ◽  
Treatment Protocol ◽  
Oral Intake ◽  
External Application ◽  
Pediatric Age Group ◽  
Patient Reported ◽  
Ayurvedic Treatment

Amavata is a chronic, progressive and crippling disorder caused due to generation of ama and its association with vitiated vata dosha and deposition in shleshma sthana (joints). Clinically resembling with Rheumatoid Arthirtis, it poses a challenge for the physician owing to its chronicity, morbidity and complications. The treasure of Ayurveda therapeutics has laid out detailed treatment line for amavata. A 13years old male patient reported to this hospital with pain and stiffness of metacarpophalangeal joints of right hand followed by pain in corresponding joints of other hand 1 year back. This was succeeded by pain and mild swelling on bilateral wrist, ankle and elbow joints. Based on clinical examination and blood investigations, diagnosis of amavata was made and Ayurvedic treatment protocol was advised with baluka sweda (sudation) as external application, rasnasaptak kashayam and dashmoolharitaki avaleha for oral intake for 30 days. The patient was asked for follow up every 15 days up to total of 45 days. Assessment was done subjectively based on clinical symptoms and blood investigations as objective parameters. There was substantially significant improvement and the patient felt relieved of the pain and inflammation of the joints after the treatment. This case study reveals the potential of Ayurvedic treatment protocol in management of amavata and may form a basis for further detailed study of the subject.

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