• Title/Summary/Keyword: Quinnell's classification of triggering

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Effects of Ultrasound-Guided Acupotomy Therapy on a Trigger Finger: A Case Report

  • Ho Seok Jung;Tae Seong Jeong;Sung Chul Kim;Yeong Jin Jeong;Su Hak Kim;Jinwoong Lim
    • Journal of Acupuncture Research
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    • v.40 no.2
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    • pp.162-166
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    • 2023
  • This study aimed to demonstrate a safe and effective procedure targeting the A1 pulley with ultrasound-guided acupotomy in patients with a trigger finger. Six ultrasound-guided acupotomy procedures were performed on 1 patient. The Numerical Rating Scale (NRS) score, Quinnell's classification of triggering, Tanaka score, and A1 pulley thickness were measured using ultrasonography before and after treatment. This study revealed reduced NRS score, Quinnell's classification of triggering, Tanaka score, and thickness of the A1 pulley, with no side effects during the procedure. This indicates ultrasound-guided acupotomy as an effective and safe treatment method for patients with a trigger finger. Further studies are required to evaluate the beneficial effects of this treatment.

Case Study of a Patient with Trigger Finger after Conducting Pharmacopuncture according to the Progress

  • Jeong Ho Huh;Dong Heon Lee;Jun Young Lee;Ju Hwa Jeong;Seok Hee Kim;Kyung Jin Lee;Tae Han Yook;Kyeong Han Kim
    • Journal of Pharmacopuncture
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    • v.26 no.1
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    • pp.99-104
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    • 2023
  • Our study purpose was to report the clinical application of five different pharmacopunctures (Sweet BV, Scolopendrae Corpus, Chukyu, Cervi Parvum Cornu, and Hominis Placenta) for trigger finger. A patient was admitted to Ba-reun-mom S Korean Medicine Clinic and diagnosed with trigger finger. Because the effects of each pharmacopuncture have been confirmed in various acute to chronic cases, we treated a patient diagnosed with trigger finger using pharmacopunctures Sweet BV and Scolopendrae Corpus at the acute phase, Chukyu pharmacopuncture at the acute to chronic phase, and pharmacopunctures Cervi Parvum Cornu and Hominis Placenta at the chronic phase. This case was measured and assessed by Quinnell's classification of triggering and visual analogue scale (VAS) scores. After treatment, the patient's fifth finger pain and function were improved. The VAS score decreased from 5 to 0. The Quinnell's classification of triggering score decreased from 2 to 0. This case indicated that a patient with trigger finger could be treated by five pharmacopuncture treatments according to the treatment regimen and disease progress.

A Case Report on Patient with Trigger Thumb Improved by Complex Korean Medical Treatment (복합한방치료로 호전된 방아쇠 무지증 환자 증례보고)

  • Lee, Ji In;Song, Ho Sueb
    • Journal of Acupuncture Research
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    • v.32 no.1
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    • pp.141-147
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    • 2015
  • Objectives : The purpose of this study was to report a case of patient with trigger thumb which improved by Meridian Tendino-musculature Acupuncture therapy, Moxubustion and Bee-Venom pharmacoacupuncture. Methods : In this study, we have conducted Meridian Tendi-musculature Acupuncture therapy, Bee-Venom Pharmacopuncture and Moxibustion treatment, on the basis of anatomical structure on the patient who was diagnosed of trigger thumb with pain, edema and motional restriction of the thumb. Furthermore, Electroacupuncture had been implemented with acupuncture therapy, and also passive exercise therapy had been conducted before and after the treatment to enhance the effect. The patient was assessed for trigger thumb-related symptoms by Visual Analogue Scale (VAS) score and Quinnell's Classification of triggering. Results : Quinnell's triggering grade & VAS score had decreased considerably after 18 sessions of treatment. Conclusions : It can be deducted that symptoms of Trigger thumb could be improved by Meridian Tendino-musculature Acupuncture therapy, Moxibustion and Bee Venom Pharmacopuncture treatment.

The Case Report of Trigger Finger Improved with Hominis Placenta Pharmacopuncture Treatment (자하거 약침으로 호전된 방아쇠 수지 환자의 증례 보고)

  • Kim, Jeong-Won;Kim, Choo-Young;Choi, Seung-Peom;Han, Sang-Wook;Lee, Jae-Chul;Kim, Dong-Hoon
    • Journal of Pharmacopuncture
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    • v.13 no.4
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    • pp.139-147
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    • 2010
  • Objectives : The Purpose of this study is to investigate and report the effectiveness of Hominis Placenta using Pharmacopuncture treatment for trigger finger. Methods : 3 Patients are admitted at Dept. of Oriental Rehabilitation, Bu-Chun Jaseng Oriental Medicine Hospital, diagnosed as Trigger finger and treated with Hominis Placenta Pharmacopuncture. Each cases are measured and assessed by Quinnell's classification of triggering and VAS (Visual Analogue Scale) scores. Results : 3 Patients of trigger finger have a different kind of cause and fingers lesion they have, but nodules are not significantly found up, so we could classify all of 3 patients to diffuse type. After treatment of Hominis placenta Pharmacopuncture, spontaneous pain and tenderness, grades of triggering are decreased significantly. We would expect that Hominis placenta Pharmacopuncture has a effect on degenerative diseases of diffuse type's tendon sheath. Conclusions : Trigger finger is generally divided into two stages, inflammatory and degenerative stage, and when degenerative stage, Hominis placenta pharmacopuncture appears to be effective.

A Case Study of the Bee Venom Acupuncture Effect for Trigger Finger with Side Effects by Steroid Injection (스테로이드 주사요법 합병증이 동반된 방아쇠 수지 환자 봉약침 치험례)

  • Lee, Seul Ji;Nam, Ji Hwan;Kim, Kie Won;Lee, Min Jung;Jun, Jae Yun;Lim, Su Jin;Lee, Chong Hwan;Song, Ju Hyun
    • Journal of Acupuncture Research
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    • v.30 no.4
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    • pp.189-196
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    • 2013
  • Objectives : The aim of this study was to find out the therapeutic effect of bee venom acupuncture in the treatment of patient with trigger finger accompany side effects by steroid injection. Methods : As the effect of bee venom acupuncture about various articulation diseases observed, we tried to treat a case that was diagnosed trigger finger with side effects by steroid injection by using bee venom acupuncture. Result : After three times bee venom acupuncture treatments, 'VAS' score and triggering grade decreased quite noticeably, and other symptoms as have improved as well. Conclusions : Bee venom acupuncture have shown fairly effective to trigger finger accompany side effects by steroid injection.

An Analysis of the Trends of Korean Medicine Treatments for Trigger Finger (방아쇠 수지에 대한 한의학적 치료 연구 동향 분석)

  • Choi, Jae-Yong;Lee, Sang-Gun;Kim, Ho;Yoo, Sang-Joon;Kang, Dong-Hyeob;Lee, Do-Hoon;Choi, Ki-Won;Lee, Yu-Jin
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.4
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    • pp.65-74
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    • 2021
  • Objectives The purpose of this review is to analyze the trends of Korean medicine treatment for trigger finger. Methods Clinical papers using Korean medicine to treat trigger finger were searched in five online databases-Koreanstudies Information Service System, Oriental Medicine Advanced Searching Integrated System, ScienceON, Research Information Sharing Service, and PubMed. Nine studies were selected, and we analyzed their characteristics according to the author, year, number/gender/age of patients, duration of disease, duration of treatment, intervention method, measurement methods, and results. Results Seven case report studies, one prospective observational study, and one randomized controlled trials (RCTs) were selected in online databases, and there were no review studies. The most frequently used therapies were pharmacopuncture and acupuncture treatment. visual analogue scale, Quinnell's classification of triggering, was frequently used for measurement methods. All nine studies had therapeutic effects. Conclusions We reviewed studies of Korean medicine treatments for trigger finger, in this study. However, there are limitations that seven of the nine selected papers were case papers, and the number of papers was small. This paper suggests that a higher level of research and more studies on Korean medicine treatments of trigger finger need to be conducted.