Management of resistant de Quervain tenosynovitis with local anesthetic (neural therapy): A case report

Hüma Bölük Şenlikci; Özden Yılmaz; Hüseyin Nazlıkul

doi:10.28982/josam.679149

Authors

Hüma Bölük Şenlikci https://orcid.org/0000-0001-6771-3265
Özden Yılmaz https://orcid.org/0000-0003-1727-0050
Hüseyin Nazlıkul https://orcid.org/0000-0002-9746-5220

DOI:

https://doi.org/10.28982/josam.679149

Keywords:

de Querivain tenosynovitis, Local anesthtetic, Neuraltherapy

Abstract

De Quervain tenosynovitis is the most common reason of lateral wrist pain. Treatment consists of splinting, non-steroid anti-inflammatory drugs, and corticosteroid injections. Neural therapy (NT) is a treatment modality using injections with local anesthetics for diagnosis and treatment. Musculoskeletal disorders can be cured by NT. We herein present the management of resistant de Quervain tenosynovitis by neural therapy in a 45-year-old male patient, who was referred to our outpatient clinic with the complaint of right wrist pain lasting over 2 years. His pain was 7/10 based on visual analog scale which had gradually increased. The patient also stated that he could not lift bags and had experienced neck pain 2 years ago. He was engaged in the neural therapy program with the diagnosis of cervical discopathy and tenosynovitis. After 3 sessions he had improvement in functional outcome and pain. In the treatment of resistant de Quervain tenosynovitis accompanying cervical discopathy, neural therapy is an effective and safe method.

Downloads

Download data is not yet available.

References

Ippolito JA, Hauser S, Patel J, Vosbikian M, Ahmed I. Nonsurgical Treatment of De Quervain Tenosynovitis: A Prospective Randomized Trial. Hand (N Y). 2018:30:1558944718791187.

Pensak MJ, Bayron J, Wolf JM. Current treatment of de Quervain tendinopathy. J Hand Surg Am. 2013;38:2247-9.

Nazlikul H. Nöralterapi Ders Kitabı. Nobel Kitabevi, Istanbul, 2010.

Weinschenk S. Neural therapy—A review of the therapeutic use of local anesthetics. Acupuncture and Related Therapies 2012;1:5–9.

Egli S, Pfister M, Ludin SM, Puente de la Vega K, Busato A, Fischer L. Long-term results of therapeutic local anesthesia (neural therapy) in 280 referred refractory chronic pain patients. BMC Complement Altern Med. 2015;15:200.

Mermod J, Fischer L, Staub L, Busato A. Patient satisfaction of primary care for musculoskeletal diseases: a comparison between Neural Therapy and

conventional medicine. BMC Complement Altern Med. 2008;8:33.

Fischer L. [Pathophysiology of pain and neural therapy]. Praxis (Bern 1994). 2003;92:2051–59.

Mermod J, Fischer L, Staub L, Busato A. Patient satisfaction of primary care for musculoskeletal diseases: a comparison between Neural Therapy and conventional medicine. BMC Complement Altern Med. 2008;8:33.

Kuo YL, Hsu CC, Kuo LC, Wu PT, Shao CJ, Wu KC, et al. Inflammation is present in De Quervain’s disease – Correlation study between biochemical and histopathological evaluation. Ann Plast Surg 2015;74:146-51.

Karakan M, Hasanoğlu Erbaşer GN, Torun B, Elçi M, Tamam Y, Nazlıkul H. Etiology of cervical distonia and epilepsy molar embedded teeth an neuraltherapy treatment. Barnat. 2019;2:25-31.

Rankin ME, Rankin EA. Injection therapy for management of stenosing tenosynovitis (de Quervain's disease) of the wrist. J Natl Med Assoc. 1998;90:474-6.