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KMID : 1155620220170020101
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Journal of Korea CHUNA Manual Medicine for Spine & Nerves
2022 Volume.17 No. 2 p.101 ~ p.108
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Dry Needling and Electro-Dry Needling Improved the Trigger Thumb in a Patient Based on Anatomical Structure Without A1 Pulley Release: A Case Report
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Yoon Myung-Hyun
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Abstract
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Objectives : Most of the acupuncture or dry needling points for trigger finger were limited around the metacarpophalangeal joint, A1 pulley, and flexor muscle tendon. Thus, this study aimed to report a case of a patient with trigger thumb which improved using dry needling on additional muscle points.
Methods : The author has investigated why additional points are needed including what its accompanying effects are. Dry needling and electro-dry needling have been conducted based on anatomical structure. Moreover, a follow-up observation was performed twice to evaluate if the effects of this treatment have been maintained.Treatment progress was evaluated using a numeric rating scale (NRS) and Quinnell’s classification of trigger finger.
Results : After 28 days of treatment, NRS and Quinnell’s trigger grade decreased significantly without adverse effects. The treatment effect has been maintained until follow-up observation.
Conclusions : Additional points are recommended for the radical treatment of trigger finger.
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KEYWORD
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Trigger thumb, Dry needling, Electro-dry needling, Additional muscle points, Case report
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