Extra-corporeal shock wave therapy versus local corticosteroid injection in treatment of chronic trigger finger in diabetic patients

IF 0.8 Q4 RHEUMATOLOGY
Sally A. El-Leithy, Nahla Nader Adly, Rana Mohamed Taha, Nermin H. El-Gharbawy
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引用次数: 0

Abstract

Abstract Background Trigger finger is one of the most common causes of pain and dysfunction. The aim of our study was to compare the effectiveness of shock wave therapy versus local corticosteroid injection in the treatment of trigger finger in diabetic patients. Results The two groups were matched on age, HbA1c, VAS score, and grip force at week zero. There was statistically significant improvement in both groups after treatment. In comparing the two groups after 6 weeks of starting treatment either by shockwave therapy or by local corticosteroid injection, there was a statistically significant improvement in group 1 as regards VAS pain score ( p = 0.012), clinical signs (finger extension and locking) ( p = 0.018), hand grip dynamometer ( p < 0.001), and musculoskeletal ultrasound findings in comparison to group 2. Conclusion Trigger finger is a common complication of DM. Shockwave therapy was able to reduce pain and improve hand functional level and quality of life. Shockwave is an effective, safe, non-invasive method for conservative management of trigger finger.
体外冲击波治疗与局部皮质类固醇注射治疗糖尿病患者慢性扳机指
背景扳机指是疼痛和功能障碍最常见的原因之一。我们研究的目的是比较冲击波治疗与局部皮质类固醇注射治疗糖尿病患者扳机指的有效性。结果两组患者在年龄、HbA1c、VAS评分、握力等指标上无明显差异。两组治疗后均有统计学意义的改善。两组患者在冲击波治疗或局部皮质类固醇注射治疗6周后比较,第一组患者在VAS疼痛评分(p = 0.012)、临床体征(手指伸展和锁定)(p = 0.018)、握力计(p <0.001),与第2组相比,肌肉骨骼超声检查结果。结论扳机指是糖尿病的常见并发症,冲击波治疗可减轻疼痛,提高手部功能水平和生活质量。冲击波治疗是一种有效、安全、无创的保守治疗扳机指的方法。
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来源期刊
自引率
25.00%
发文量
62
审稿时长
9 weeks
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