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IRCT2013012012194N1 IRCT 2013-02-13 Vice chancellor for research, Shiraz University of Medical Sciences Comparison the effect of acupuncture in treatment of De Quervain’s disease with steroid injection Comparison the effect of acupuncture treatment with local methylprednisolone acetate injection in De Quervain's tenosynovitis 2013-01-07 anticipated 30 Complete https://irct.ir/trial/12292 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment. 2 De Quervain's tenosynovitis. Intervention 1: Intervention group (Acupuncture): Sterile needles are inserted perpendicularly into LI-5 , LU-7, LU-9 and also ashi points (points with maximal tenderness) to the depth of 0.5 cun. These points are selected based on the meridians contributing to the affected area of wrist . Acupuncture treatment consists of 5 sessions of 30 minutes duration that is administered within 1 week. (1 cun: The breadth of the patient's thumb). Intervention 2: Control group (injection): To inject the sheath around the abductor pollicis longus and extensor pollicis brevis tendons, the insulin needle is inserted 1 cm proximal to the radial styloid process at the angle of 45 degree from the skin and parallel to the direction of the tendons. If resistance is so high, the needle is slightly pulled back and then a mixture of 0.5 ml of (40 mg) methylprednisolone acetate and 0.5 ml of 2% lidocaine is injected. The injection is performed for one session.
public Dr. Alireza Ashraf
Zand street, Department of physical medicine and rehabilitation
Shiraz Iran (Islamic Republic of) 7134814336 +98 71 1231 9040 ashrafa@sums.ac.ir Shiraz university of medical sciences scientific Dr. Mohammad Javad Hadianfard
Zand street, Department of physical medicine and rehabilitation
Shiraz Iran (Islamic Republic of) 7134814336 +98 71 1231 9040 hadianj@sums.ac.ir Shiraz University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Inclusion criteria: The patients with clinical diagnosis of De Quervain's tenosynovitis including pain and swelling around styloid process of radius and positive Finkelstein test who have symptoms more than 4 weeks. Exclusion criteria: The patients with acute symptom less than 4 weeks; history of direct trauma or fracture of wrist; previous history of local injection or surgery around styloid process of radius; uncontrolled concomitant disease such as diabetes mellitus or coagulopathy; abnormal findings in blood tests and radiography of wrist. no limit no limit Both M65.4 Radial styloid tenosynovitis [de Quervain] Treatment - Other Treatment - Drugs Intervention group (Acupuncture): Sterile needles are inserted perpendicularly into LI-5 , LU-7, LU-9 and also ashi points (points with maximal tenderness) to the depth of 0.5 cun. These points are selected based on the meridians contributing to the affected area of wrist . Acupuncture treatment consists of 5 sessions of 30 minutes duration that is administered within 1 week. (1 cun: The breadth of the patient's thumb) Control group (injection): To inject the sheath around the abductor pollicis longus and extensor pollicis brevis tendons, the insulin needle is inserted 1 cm proximal to the radial styloid process at the angle of 45 degree from the skin and parallel to the direction of the tendons. If resistance is so high, the needle is slightly pulled back and then a mixture of 0.5 ml of (40 mg) methylprednisolone acetate and 0.5 ml of 2% lidocaine is injected. The injection is performed for one session. Pain. Timepoint: Prior to the intervention, 2 weeks and 6 weeks after the end of intervention. Method of measurement: Visual Analogue Scale (VAS) score. Function. Timepoint: Prior to the intervention, 2 weeks and 6 weeks after the end of intervention. Method of measurement: Quick- Disabilities of the Arm, Shoulder and Hand (Q-DASH) score. Vice chancellor for research, Shiraz University of Medical Sciences Approved 2013-01-06 Ethics committee of Shiraz University of Medical Sciences Zand street Shiraz Iran (Islamic Republic of)