• Journal of Korean Neurosurgical Society
• /
• v.48 no.2
• /
• pp.185-187
• /
• 2010

A 52-year-old female patient presented with an 8-year history of progressively intense pain, cold sensitivity, and severe tenderness to palpation of the ulnar side of the tip of her right little finger. Subsequent diagnostic evaluation with ultrasonographic imaging revealed the presence of a glomus tumor in the tender area. Glomus tumors are benign, occurring in the vascular hamartomatous tubercles of the glomus body, which is a myoarterial apparatus typically found in the reticular dermis of the skin. Distal glomus tumors are relatively uncommon, and account for approximately 1% of all hand tumors. Most of them are located in the subungual area because of its high concentration of glomus bodies. We report a case of a glomus tumor with a typical triad of symptoms, yet with a rare location : on the pulp of the ulnar aspect of the distal phalanx of the right little finger.

• Archives of Hand and Microsurgery
• /
• v.23 no.4
• /
• pp.277-280
• /
• 2018

Turrets exostosis are extremely rare to occur. Benign bony outgrowths from the dorsum of the phalanges following trauma are termed Turrets exostosis. We report an unusual case of Turrets exostosis of the fourth finger with no preceding trauma which has never been reported before. A 50-year-old female patient presented to us with a bony swelling on the dorsum of the fourth finger of her right hand in one year. The swelling was dormant initially and started to progress in size since three months leading to pain, restriction of movements and deformity of the finger. Turrets exostosis are very rare to occur. A preceding history of trauma is not necessary for it to occur as described in the literature. Surgical excision yields good results and is indicated when the bony mass causes a progressive deformity of the finger and restriction of movements of the finger.

• The Journal of Internal Korean Medicine
• /
• v.37 no.2
• /
• pp.389-396
• /
• 2016

Objective: This study investigates the clinical application of Shinbaro pharmacopuncture for trigger finger.Method: Because the effect of Shinbaro pharmacopuncture has been proven in various musculoskeletal cases, we treated a patient diagnosed with trigger finger using Shinbaro pharmacopunture. A 0-10 numerical rating scale (NRS) for pain and Quinnell’s classification for trigger finger were assessed before and after three Shinbaro pharmacopuncture treatments.Results: After treatments, the patient’s pain was controlled (without any side effects), and the NRS score decreased from 8 to 1. The Quinnell’s classification of trigger finger score also improved (from 3 to 1).Conclusion: This case has shown that Shinbaro pharmacopuncture treatment could be effective for treating the clinical symptoms of trigger finger.

• The Korean Journal of Pain
• /
• v.9 no.1
• /
• pp.140-144
• /
• 1996

Electrical stimulation is a common method for successful pain management for both acute and a some cases of chronic pain. The incidence of cervical sprain is very high with automobile accidents. Treatment of cervical sprain is consists of analgesic drugs and physical therapy. Lower back pain is a common problem in pain clinics. back pain management are complex, so we have difficulty to choose best treatment modality. The prevalence of herniated lumbar disc(HLD) is 1~3% of lower back pain. The cases of laminectomy varies between 10~20% and postoperative pain is prolonged for several day. We applied Acupuncture like TENS (ALTENS) on the digit for cervical sprain patients and post laminectomy pain patient for three days. The result was very satisfactory. And we found that total hospital days in ALTEND groups are shorter than control group in both disease entities. In conclusion, acupuncture like TENS on finger control gate is an effective method of the pain management.

• The Korean Journal of Pain
• /
• v.22 no.2
• /
• pp.171-175
• /
• 2009

Neuralgic amyotrophy is a syndrome with a broad range of clinical manifestations. It is characterized by acute, severe pain in the shoulder or arm lasting several days or weeks, followed by muscle weakness and atrophy as the pain diminishes. The diagnosis is based on typical clinical features, electromyography (EMG) and a nerve conduction study. The early and correct diagnosis is important to preclude unnecessary testing or surgical procedures. A 59-year-old female patient presented with pain and weakness involving her right palm and 1 3rd fingers. Three weeks before presentation, she noted the sudden onset of severe right shoulder and forearm pain. After the pain was reduced, she noted persistent right palm and 1-3rd finger pain and weakness. On cervical MRI, there was a mild central disc protrusion at C4 5 and C5 6. Electrodiagnostic testing was performed and she was diagnosed with neuralgic amyotrophy. One week after hospital treatment, her pain was relieved from VAS 10 to 3 and she was discharged with mild weakness of the thumb and index finger during pinch grips.

• Journal of Sensor Science and Technology
• /
• v.25 no.4
• /
• pp.235-242
• /
• 2016

A system for measuring the electrodermal activity (EDA) signal occurring at the sweat glands in the left palm and left finger of the human body was implemented in this study. The EDA measurement system (EDAMS) consisted of an algometer, a biopotential measurement system (BPMS), and a PC. Two experiments were performed to evaluate the function and clinical applicability of EDAMS. First, an experiment was carried out on the linearity of the voltage and the pressure that comprised the output signals of the algometer used for applying a pressure stimulus. Second, the amplitude of the EDA signal acquired from the electrode attached to the left palm or finger was measured while increasing the pressure stimulus of the algometer. When the pressure stimulus of the algometer applied to the left scapula was increased, the amplitude of the EDA signal increased. The amplitude of the EDA signal at the left palm was observed to be greater than that at the left finger. The amplitude of the EDA signal was observed to increase in a relatively linear relation with the intensity of the pressure stimuli. In addition, the latency of the EDA signal acquired from the electrode attached to the left palm or finger was measured while increasing the pressure stimulus of the algometer. When the pressure stimulus of the algometer applied to the left scapula was increased, the latency of the EDA signal decreased. The latency of the EDA signal at the palm was observed to be less than that at the finger. The latency of the EDA signal was observed to decrease nonlinearly with the pressure stimuli.

• Journal of Pharmacopuncture
• /
• v.26 no.1
• /
• pp.99-104
• /
• 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.

• The Journal of the Korea Contents Association
• /
• v.9 no.9
• /
• pp.243-248
• /
• 2009

Among 74 patients who came to pain clinic to treat their backache, 37 patient were randomly allocated to experimental(finger-pressure therapy)group and another 37 patients were allocated to control(transcutaneous electrical nerve stimulator)group. The extent of backache was compared before and after experiment by ANCOVA test at both groups(p<0.005). The reduction of pain level by visual analogue scale at experimental group was statistically significantly bigger than control group when motion with front flexion(1.92), extension after front flexion(2.22), right flexion(1.23), and left flexion(1.21)(p<0.05).

• Journal of Trauma and Injury
• /
• v.23 no.2
• /
• pp.83-88
• /
• 2010

Purpose: It is not always easy to determine the existence of tendon injuries when it comes to patients with finger lacerations. Thus, we tried to find the difference in effectiveness and in compliance of patients when we employed two different types of diagnosis, conventional gross confirmation and ultrasonographic confirmation. Methods: From December 2009 to March 2010, we enrolled 14 patients with finger tendon injury at Soonchunhyang University Cheonan Hospital. The median age of the patients was $35.9{\pm}14.4$, and the ratio of females to males was 1:2.5 We evaluated the compliance of each patient by measuring four different categories (level of cooperativeness in showing their wound and in following the instructions, level of movement of their fingers during the diagnosis and total number of attempts to diagnose) by using a score from 1 to 3 for each category, for a total possible score of 12 for each patient. We also measured the painfulness of each patient by using a score of 1 to 10 and the time required for each diagnosis. Results: The levels of patients' compliance was $8.9{\pm}2.1$ when diagnosed with gross confirmation and $9.8{\pm}2.1$ when diagnosed with ultrasonographic confirmation (p value=0.042). The pain score of the patients was $3.7{\pm}1.7$ with gross confirmation and $2.9{\pm}1.2$ with ultrasonographic confirmation (p value=0.020). The median duration of time in each test was $6.7{\pm}4.8$ minutes with gross confirmation and $10.5{\pm}4.2$ minutes with ultrasonography (p value=0.006). Conclusion: Comparing gross confirmation and ultrasonographic confirmation, gross confirmation is a better method than ultrasonography because of time efficiency. However, ultrasonographic confirmation has advantages over gross confirmation in pain scale and better compliance of patients. Emergency physicians generally employ gross confirmation rather than ultrasonography in determining the existence of tendon injury in patients. In patients with finger lacerations without bone injury, ultrasonography can be considered as a secondary diagnostic tool, especially when patients have much pain.

• Journal of Acupuncture Research
• /
• v.33 no.2
• /
• pp.77-87
• /
• 2016

Objectives : This is a pilot study for a large randomized controlled trial to investigate the efficacy and safety of a newly developed contrast therapy device-- alternating topical heat and cold -- for patients with chronic low back pain. The main objective of this study is to confirm the feasibility of the study design. Methods : The design was a randomized, 2-arm, parallel-group, single-blind, placebo controlled trial. Patients in each group received real or sham contrast therapy in an acupuncture point 10 times over four weeks. The primary outcome measure was pain intensity on a 100-mm visual analogue scale (VAS). The secondary outcomes were back-related dysfunction based on the Oswestry Disability Index (ODI), the Roland-Morris disability questionnaire (RMDQ), and range of motion of lumbar spine based on the modified Schober test (mSchober test), Finger-to-Floor distance (FTF distance), and Finger-to-Thigh distraction (FTT distraction). Results : A total of 30 subjects with chronic low back pain were randomly assigned to a contrast therapy group (n＝15) or a sham group (n＝15). A repeated-measures analysis of variance showed statistically significant group time interaction for VAS, RMDQ, mSchober test and FTF distance (p<0.05). The treatment group showed significant improvement in pain intensity and functional disability as compared to the sham group. Conclusion : Contrast therapy may be an effective and safe treatment for chronic low back pain.