Application of extracorporeal shock waves in stenosing tenosynovitis: Case report [Aplicación de ondas de choque extracorpóreas en tenosinovitis estenosante: a propósito de un caso]
Autor
Bielefeldt Astudillo D.
Bascour-Sandoval C.
Resumen
Background and objective: Stenosing tenosynovitis (ST) is an inflammatory disorder that affects the sheaths and tendons of the flexor muscles of the fingers. Conservative treatments have limited effectiveness. It has been shown that extracorporeal shockwave therapy (ESWT) reduces the presence of chronic inflammatory phenomena. Given its effects, it is postulated as treatment alternative for stenosing tenosynovitis. The aim of this report is to present the case of a patient with ST which was treated with ESWT. Description: 77-year-old woman, retired, diagnosed with ST of the third right finger. The patient presented with palmar pain and clicking associated with finger lock when performing activities involving flexion-extension. Pain intensity, pressure pain threshold, functional capacity, range of motion, grip and pinch muscle strength were evaluated. Intervention: Six sessions of treatment were performed with a frequency of 1 session/week using a programming of 2000 pulses, 6 Hz and 2.2 bar. No other intervention was performed. Results: Reduction in the intensity of the pain, increase in pressure pain threshold, range of motion, functional capacity, grip and pinch force, as well as changes in the echographic appearance of the affected pulley and tendon were observed. Conclusion: Application of ESWT presented positive results in this patient. It could therefore be an option for the management of subjects with ST. © 2019 Asociación Española de Fisioterapeutas
Colecciones
Ítems relacionados
Mostrando ítems relacionados por Título, autor o materia.
-
Article
Effect of adduction during glenohumeral external rotation exercises in the scapulohumeral muscles (2021)
Bascour-Sandoval, Claudio; Gajardo-Burgos, Rubén E.; Gálvez-García, Germán; Barramuño-Medina, Mauricio (Universidad de la Frontera, 2021-10)The effect of adduction during glenohumeral external rotation (ER) exercises on the scapulohumeral muscles is controversial. The aim of this study was to evaluate the effect of carrying out adduction during external rotation ... -
Article
Effects of cranio-cervical flexion and manual spinal mobilisation in patients with chronic neck pain: Case series [Efectos del ejercicio de flexión cráneo-cervical y movilización manual vertebral en pacientes con cervicalgia crónica: serie de casos] (2020)
Bielefeldt-Astudillo D.; Bascour-Sandoval C. (Ediciones Doyma, S.L., 2020) -
Article
The effect of sleep quality on pain in chilean individuals with musculoskeletal disorders (2021)
Bascour-Sandoval, Claudio; Belmar-Arriagada, Hellen; Albayay, Javier; Lacoste-Abarzua, Claudia; Bielefeldt-Astudillo, Diego; Gajardo-Burgos, Rubén E.; Vidal-Torres, Mirko; Gálvez-García, Germán (MDPI, 2021-11-01)Poor sleep quality (SQ) negatively affects pain associated with musculoskeletal disorders (MSD). As the level of economic development of a country determines its sanitary conditions, these can influence the sleep–pain ...